打破沉默:在欠发达国家控制艾滋病方面制定现实的优先事项
1Development Research Group, World Bank, Washington, DC, USA.
Lancet (London, England)
|July 13, 2000
概括
发展中国家有效控制艾滋病需要优先考虑具有成本效益的预防,治疗和缓解策略. 政府必须克服不情愿和约束,实施专注的国家计划,以对抗艾滋病流行病的持续影响.
科学领域:
- 公共卫生 公共卫生
- 发展经济学 发展经济学
- 流行病学 流行病学
背景情况:
- 获得性免疫缺陷综合征 (艾滋病) 流行病对低收入国家的发展构成重大威胁.
- 现有的工具可以控制流行病,但国家艾滋病控制计划的影响有限.
- 政府的不情愿和资源限制阻碍了艾滋病计划的有效实施.
研究的目的:
- 在资源有限的环境中确定国家艾滋病控制计划的核心优先事项.
- 提出一项战略,在财政和行政限制下最大限度地提高计划的有效性.
- 为应对在发展中国家实施大规模艾滋病干预的挑战.
主要方法:
- 分析限制国家艾滋病控制计划有效性的因素.
- 对各种艾滋病干预活动的成本效益的经济评估.
- 政策分析重点关注优先级和执行能力.
主要成果:
- 扩大活动的数量并不一定会提高计划的有效性,尤其是在执行能力较弱的情况下.
- 一个专注的方法,在国家范围内实施一组较小的成本效益活动,可以产生显著和持续的影响.
- 优先考虑核心活动对于成功控制艾滋病至关重要.
结论:
- 政府必须优先考虑一套核心的成本效益干预措施,用于预防,治疗和减轻影响.
- 对基本活动的战略重点可以克服实施挑战,并改善艾滋病控制的结果.
- 通过优先的国家艾滋病计划,可以实现持续的影响和未来扩张的基础.
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