母から子へのHIV感染の予防:タイの国家プログラムの最初の年
Pornsinee Amornwichet1, Achara Teeraratkul, R J Simonds
1Department of Health, Ministry of Public Health, Tivanon Road, Nonthaburi, 11000, Thailand.
JAMA
|July 4, 2002
まとめ
タイ タイ タイ タイ.
科学分野:
- 公衆衛生は公衆衛生である.
- 感染症疫学 感染症疫学
- グローバル・ヘルス グローバル・ヘルス
背景:
- タイは2000年に,母から子どもへのHIV感染を予防するための国家プログラムを実施しました.
- タイでは,毎年約1万人の子どもがリスクのある状態で生まれています.
研究 の 目的:
- タイのHIVの母から子への感染を予防するための国家プログラムの実施と成果を評価する.
主な方法:
- データは12の地域の822の公衆衛生病院から毎月収集されています.
- 研究対象は,2000年10月から2001年9月の間に出産した女性とその新生児でした.
- 測定された主なアウトカムには,HIV検査率,母親に対する産前抗レトロウイルス予防,新生児に対する抗レトロウイルス予防,および乳児用配粉が含まれていた.
主要な成果:
- 女性の96%以上が産前ケアを受け,93.3%がHIV検査を受けた.
- HIV陽性女性の70.1%が,出産前に予防的な抗レトロウイルス薬を受けた.
- 暴露された新生児の88.7%が抗レトロウイルス薬を受け,83.2%が乳児用粉を摂取した.
結論:
- タイの国家プログラムは,母から子供へのHIV感染を予防するための重要な要素を成功裏に実施しました.
- このプログラムの成功は,他の開発途上国が同様のイニシアチブを検討するためのモデルを提供します.
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