Strategies of HIV Prevention in Low and Middle-Income Countries

Annabel Desgrées du Loû*, 1, Sarah Memmi1, Joanna Orne-Gliemann2
1 CEPED, UMR 196 Université Paris Descartes -INED-IRD, Paris, France
2 Institut de Santé Publique Epidémiologie Développement (ISPED), Université Victor Segalen Bordeaux 2, Bordeaux, France

© 2010 Loû et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Correspondence: * Address correspondence to this author at the CEPED, UMR 196 Université Paris Descartes -INED-IRD, Paris, France. Tel : 00 33 1 78 94 98 70; Fax: 00 33 1 78 94 98 79; E-mail:


The number of people newly infected with HIV is still very high in low and middle-income countries. In these countries, the HIV epidemic is dramatically disrupting both their population structure and economic situation. There is an urgent need to reinforce strategies to prevent HIV transmission. Despite certain successes, HIV prevention strategies have not yet been sufficient to significantly limit HIV propagation. New strategies of HIV prevention have been explored. If certain HIV prevention tools have shown some efficacy, others are still under study. This paper reviews what is known about “traditional” HIV prevention strategies and what has been published about the new strategies for HIV prevention since the early 1990s. For increased efficacy, HIV prevention efforts should be tailored to the socio-cultural and economic contexts, the local type of epidemic and the needs of local population.

Keywords: HIV prevention, low and middle-income countries, acceptability.