HIV as a Public Health Concern in Brent Borough: Interventions and Effectiveness

In the modern-day world, the number of people affected by HIV is increasing day by
day. HIV has become a public health concern that stands for Human
immunodeficiency virus. This virus harms an individual by attacking their immune
systems. In the human body, predominantly white blood cells known as CD4 are
responsible for the body's immunity against diseases, referred to as T cells. These
cells are killed when HIV is not adequately treated, making the body vulnerable to
dangerous conditions, such as various types of cancer. With the advancements of
medicines and technology, Government can tackle HIV effectively. However, despite
all these advancements, there is still considerable stigma associated with HIV. Along
with its impact, the cure of this condition has not yet been ascertained. It has
enabled the country to deliver integrated HIV care to patients who will be effective
and used in the future. In this essay, health care policy will be discussed, and how
HIV it is a public concern in Brent Borough and the Government's uses various
interventions. In the later part of the essay, will look at the effectiveness of
intervention applied. Health educators and health promoters play vital roles within
the interprofessional team control in this condition.
Policy objective- to prevent diseases, prolong life and promote health among the
population.
The steps was taken about the despite significant in public health and disparities
exist about the leading to population that are the working affected by diseases. This
population may have the limited access to affordable healthcare, putting them with
greater risk for developing the HIV diseases.
Health economics have the branch of economics concerned and this could related to
efficiency, effectiveness, behaviours and values at their production and consumption
of healthcare and health.
Behavioural change model- It is approaches and that focuses on the lifestyles
behaviour and also has the impact on health. It might be seeks to persuade the
individual for adopting the health lifestyles behaviours and try to use the preventive
health services. Along with this also take responsibility for their own health. The

behavioural change model might be based on health which providing the people
information about changes their beliefs, attitude and behaviours.
The health promotion is models that keep focus on helping people achieving their
high levels of well-being. This also keep encourages about the health professional
that provides the positive resources and help their patients for achieving the
behaviour with particular changes. Along with this also having the individuals strive
that controls about their own behaviour and work for improving themselves and their
environment. This model also help the nursing for keep their focus on improving the
work for their patients and ensure them for working with some effective concepts.
HIV is one of the most dangerous diseases that an individual can contact. The main
issue with the disease is that it directly impacts the immune system, and there is no
measure for it (Brown et al., 2018). Due to the lack of awareness about this disease,
a massive stigma around HIV has made it difficult for people to survive in society
(WHO, 2021). Recent research on HIV in Brent has brought to light that many
individuals were accessing HIV and treatment services, which can be understood
when considering that the prevalence diagnostic of HIV in Brent was 2.1 per 1000.
Compared to the UK rate, 1.3 per 1000, it is an outstanding amount, inclusive of
undiagnosed prevalence (Daskou, et.al., 2022). Many people in Brent belong to this
undiagnosed section, and they can contribute to 27 per cent of people in the UK
unaware of themselves being affected (Lorenc et al., 2014). The sexual health report
of Brent borough shows the high spread of HIV transmission through sexual
activities in this region. More than 29% of sexually transmitted diseases have been
found between man and man, and 62% between men and women (Hoorenborg et
al., 2019). The report also includes that the positive cases of HIV in Brent are
partially black among the black and minority ethical groups. The reason for these
substantial differences was that the individuals affected by HIV in Brent were
influenced by other health problems, such as mental health issues, diabetes, CVD
etc. It counted for 29% of all cases, but over all cases in the UK, didn't have
individuals affected with such illness before their HIV infection, which shows that
there is also a physical aspect play (NAT, 2021). But surprisingly, most cases are the
product of male and female sex in Brent, while in the UK, more registered cases are
where the ones brought about because of male-to-male sex. It is mainly due to their
limited knowledge of HIV in general and less education of the risks involved in sexual

activities, both male to male and male to female (Nwokolo et al., 2017). The census
in Brent reveals that 68% of HIV positive people live in Stonebridge Park, Dollis Hill,
and Kilburn region (Brent.gov.uk, 2014).
The UK government already has the existing call for action on HIV, working
effectively in five key areas. This strategy focuses on more funding and bridges the
significant gap between committed and needed factors (Singh et.al., 2022). The
funding is available on a long-term basis (Kirby, 2020). The policy has a more
substantial political direction acknowledged by local and federal governments. In the
case of Brent borough, some HIV services are commissioned by Brent audit social
care and some by NHS Brent. These two segments provide some important areas of
commissioned service. It includes prevention, testing, treatment, and social support
(Pegu et.al., 2022). The pan-London HIV prevention programme consisted of 30
other PCTs within London (Pyper and Brodie, 2011). The organisation initiates
different prevention activities. The community's health action trust supports the
programme, because these prevention activities require culturally sensitive primary
HIV prevention for the black African community. The treatment process is more
related to the guideline set by the London HIV consortium commission HIV treatment
service. These services are more related to antiretroviral therapy for the borough of
London. In addition, one-stop shop services initiated and managed by the HIV
coordinator situated in Monks Park canals will be mentioned (Brown, Gill and
Delpech, 2013). This services always treat HIV positive patients to assess the
ranges of voluntary and statutory sector services.
The Government adopts various interventions and the policy discussed here also
discusses various interventions which will help mitigate this problem. The first step is
to increase awareness about this condition among the people (Barhoum., 2015).
When the people are unaware of this condition, they cannot take necessary
precautions to prevent this condition. With awareness, people will take care of many
factors, which will play a vital role in the mitigation of this problem. People can also
be involved in early intervention, and this intervention will prevent the spread of this
condition (Landovitz et.al., 2021) . A range of educational, peer-group, motivational
and peer-group approaches should be adopted (Tso et al., 2016). The policy also
discusses expanding HIV testing. Everyone will be informed about HIV status and