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Conceptual and methodological challenges to measuring political commitment to respond to HIV by Ashley M Fox; Allison B Goldberg; Radhika J Gore; Till Bärnighausen is a Medicine article available to read on EtoBox.

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## Background Researchers have long recognized the importance of a central government’s political “commitment” in order to mount an effective response to HIV. The concept of political commitment remains ill-defined, however, and little guidance has been given on how to measure this construct and its relationship with HIV-related outcomes. Several countries have experienced declines in HIV infection rates, but conceptual difficulties arise in linking these declines to political commitment as opposed to underlying social and behavioural factors. ## Methods This paper first presents a critical review of the literature on existing efforts to conceptualize and measure political commitment to respond to HIV and the linkages between political commitment and HIV-related outcomes. Based on the elements identified in this review, the paper then develops and presents a framework to assist researchers in making choices about how to assess a government's level of political commitment to respond to HIV and how to link political commitment to HIV-related outcomes. ## Results The review of existing studies identifies three components of commitment (expressed, institutional and budgetary commitment

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Author
Ashley M Fox; Allison B Goldberg; Radhika J Gore; Till Bärnighausen
Publisher
BioMed Central; Wiley (John Wiley & Sons); John Wiley and Sons Inc.; London: BioMed Central, 2008-2012; Geneva: International AIDS Society, 2012-; Wiley; Springer Science and Business Media LLC; International AIDS Society (ISSN 1758-2652)
Published
2011
Language
EN
Field
Medicine (Health Sciences)

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