ABSTRACT

The HIV/AIDS epidemic in recent years has opened up several debates touching upon issues related not only to public health but also professional ethics, human rights and the nature of development itself. HIV prevention and control programmes, while recognising the importance and centrality of psycho-social interventions, have, in their implementation, tended to be dominated by the biomedical paradigm. Even though policies have adopted the language of rights and ethics, programme strategies have remained largely within the public health domain, creating certain tensions and dilemmas.