Positioning,participation, and possibility: using post-structural concepts for social change in Asia-Pacific youth HIV prevention

This article addresses one of the areas of global concern for Southern youth: HIV rates amongst young people from key communities. In the Asia-Pacific region 95% of all new infections occur amongst those under 25. Furthermore, in this region the nature of the epidemic is concentrated, chiefly affecting people from certain sub-groups such as those who inject drugs, sell sex, participate in male-to-male sex and people who are transgender. In this article we discuss an innovative peer-led leadership and advocacy program for youth which uses post-structural theoretical frames and concepts in an effort to steer against the dominant medicalised and individualising storylines which tend to inform approaches to HIV prevention. We draw on examples and data collected from the NewGen Asia Leadership training program to illustrate the ways post-structural concepts can be used to inform program design as well as analysis and critique of the impact of change efforts. Rather than the traditional focus on transmission of knowledge, skills, and attitudes in prevention efforts, we aim to show how the concepts of positioning, platform, and possibility may be mobilised in strategies used to address the challenge of HIV prevention amongst key youth populations.