优化艾滋病毒护理和服务提供:用更少的资源做得更多
1The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. mboyd@kirby.unsw.edu.au
Lancet (London, England)
|July 26, 2012
概括
全球为提供普遍获得艾滋病毒/艾滋病护理的努力面临挑战. 本综述探讨了在低收入国家优化艾滋病毒治疗,以实现全球目标.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
背景情况:
- 全民获得艾滋病毒护理和抗逆转录病毒疗法 (ART) 取得了前所未有的国际合作.
- 全球经济衰退和捐助者优先事项的转变威胁到联合国2015年1500万人接受艾滋病治疗的目标.
- 有证据表明,艾滋病毒治疗降低了感染性,这支持了广泛获得艾滋病毒的理由.
研究的目的:
- 批判性地审查全球艾滋病毒护理计划的成功和挑战.
- 审查优化在低收入和中等收入国家 (LMICs) 提供艾滋病毒护理和ART的战略.
主要方法:
- 批判性审查现有关于艾滋病毒护理的文献和项目数据.
- 分析四个关键领域:治疗策略,药物剂量,监测和服务提供.
- 专注于在资源有限的环境中实施.
主要成果:
- 虽然取得了重大进展,但到2015年实现全民健康普及受到金融和竞争性卫生优先事项的威胁.
- 优化LMIC的努力对于可持续和有效的艾滋病毒治疗至关重要.
- 改善的关键领域包括治疗策略,药物剂量,患者监测和整体服务交付模式.
结论:
- 维持和优化LMICs的HIV护理提供对于实现全球治疗目标至关重要.
- 解决治疗策略,剂量,监测和服务提供方面的挑战对于打击艾滋病毒/艾滋病流行病的持续进展至关重要.
- 国际合作必须适应当前的全球卫生挑战,以确保持续获得拯救生命的抗逆转录病毒疗法.
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