Hi Rona and Pat,

I certainly agree that earlier and better collaboration and negotiation could have offset some of the controversy… but it’s a difficult situation and one that also speaks to working in settings characterised by poverty, very entrenched stigma, and inequity between different parts of the population.

I know we all agree that negotiation of prevention standards is essential…but how do we frame and conduct those conversations?

What are the overarching considerations? Feasibility? Impact of the interventions? Ethics? Cost?