AIDS exceptionalism grew out of the response to the pandemic in the late 1980s. AIDS activists advocated for both special resources and increased funding as a way to ensure the HIV/AIDS response was not subject to traditional top-down public health methods of disease control that could discourage people at risk from participating in HIV prevention, testing and treatment programs. Since that time, and especially since the introduction of highly active antiretroviral treatment (around 2006), debates about exceptionalism have surfaced. Recently, the discussions in Canada have centred around “service integration” — a the term being used to describe the integration of services around viral hepatitis, STIs and other health concerns into services that have been traditionally focused on HIV/AIDS prevention and care.
In order to set the stage for the Rethinking ASOs? Deliberative Dialogues in Halifax and Vancouver on November 24, 2014, we conducted a literature review around AIDS exceptionalism and the integration of AIDS services. On this page you will find:
- A 20-minute video presentation of the findings from the literature review (please view prior to the event),
- A link to a PDF of the presentation slides for your reference,
- A link to a table of summaries from the literature considered in the review,
- Links to additional optional readings, and
- A comments section, where you can add thoughts, questions and ideas related to the video.
We gratefully acknowledge that the above video was recorded on the traditional, unceeded territories of the Coast Salish peoples.
Click the image to the left to download the slides from Video 1: Review of the Literature: AIDS Exceptionalism & the Integration of AIDS Service Delivery.
Click the image to the left to download a PDF of the entire list of literature reviewed as well as summaries of each. (Participants in the event are not required to review this, it is provided in case it is of interest.)
Additional resources of interest (not required reading for participation in the event, listed here for your interest):
Perspectives on the Emerging Trends in Services and Funding: A facilitated dialogueAfternoon session at the 2012 Pacific AIDS Network Fall Conference September 25, 2012.
- Exploring the impacts of the shifting of HIV/AIDS policy landscape around the integration of services. Summary report from the REACH Policy Symposium Satellite Session in Vancouver (August 26, 2013).
- No More Silos, Canadian Treatment Action Council Report, by Paul Sutton (2014).
- National Deliberative Dialogue on Integrated Approaches to HIV Treatment and Prevention Meeting Report, CATIE (March 2013).
- “Is this the End of AIDS Exeptionalism?” PositiveLite.com (originally published in Positive Living Magazine) by Paul Kerston and Shelly Tognazzini. (February 7, 2014)
- Where do we go from here? A one-day dialogue addressing the political context within which our collective community-based work on HIV and Hep C takes place. Resources and videos from this October 2014 event.
- “The Evolution of Angst,” PositiveLite.com – Bob Leahy’s take on an October 17, 2014 event in Toronto entitled “Where Do We Go From Here? AIDS Organizing, Services, Bureaucracy and the State.” (October 28, 2014).
- “What is an Integrated, Holistic, Approach to STBBIs?” Pubic Health Agency of Canada (November 5, 2014).
Other Re-Thinking ASOs? resource pages: