接受复杂性:为预防艾滋病毒采取行动的呼吁
Peter Piot1, Michael Bartos, Heidi Larson
1Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland.
Lancet (London, England)
|August 9, 2008
概括
尽管有广泛的知识,但每天的艾滋病毒感染仍然存在. 加强艾滋病毒预防需要应用基于证据的战略,解决结构性决定因素,并通过统一的领导和充足的资金克服障碍.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 超过25年的艾滋病应对工作已经产生了关于艾滋病毒传播和预防的大量知识.
- 尽管如此,全球每天仍有大约7000例新的人类免疫缺陷病毒 (HIV) 感染.
- 许多地方和国家在控制疫情方面取得了成功,形成了强有力的证据基础.
研究的目的:
- 讨论加强艾滋病毒预防工作所需的解决方案组合.
- 利用现有的证据和从过去的HIV预防成功和失败中吸取的经验教训.
- 解决知识与应用在艾滋病毒预防战略中的差距.
主要方法:
- 审查有关艾滋病毒传播和预防现有证据.
- 分析成功和失败的艾滋病毒预防计划及其实施.
- 讨论限制艾滋病毒预防服务规模,质量和影响的因素.
主要成果:
- 成功的艾滋病毒预防方法尚未得到充分实施或充分资助.
- 现有的项目往往缺乏足够的覆盖,质量和强度.
- 很少有计划有效地解决艾滋病毒的脆弱性和驱动疫情的结构性决定因素.
结论:
- 预防艾滋病毒是复杂的,但不是不可克服的;解决方案的组合是必要的.
- 有效的艾滋病毒预防需要解决覆盖范围,资金和干预目标等问题.
- 动员预防选民和提供自信的领导力对于克服障碍和加强艾滋病毒预防至关重要.
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