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了解疾病预防控制中心支持的卫生设施中的基于性别的暴力服务提供:15个撒哈拉以南非洲国家,2017-2021年
Udhayashankar Kanagasabai1, Christopher Valleau2, Meagan Cain1
1Division of Global HIV and TB, Center for Global Health (CGH), U.S. Centers for Disease Control and Prevention (CDC), Atlanta Georgia.
概括
基于性别的暴力 (GBV) 临床服务显著增加,在2021年达到558,000多人. 然而,艾滋病毒暴露后预防 (PEP) 完成率在青少年中仍然最低,突出了关键的护理差距.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 基于性别的暴力 (GBV) 是一个重要的全球卫生问题,与社会结构密切相关,并对艾滋病毒预防和治疗工作构成重大障碍.
- 对GBV幸存者提供有效的临床服务,包括关键的HIV暴露后预防 (PEP),是必不可少的,但往往缺乏全面的服务交付数据.
- 总统艾滋病救援紧急计划 (PEPFAR) 支持许多国家的性暴力临床服务,旨在减轻艾滋病毒风险.
研究的目的:
- 描述15个由PEPFAR支持的国家提供GBV临床服务的情况.
- 分析服务利用的趋势,并确定GBV临床服务提供中的关键挑战.
- 为改善性暴力干预和艾滋病毒流行病控制提供政策和计划制定信息.
主要方法:
- 使用PEPFAR监测,评估和报告 (MER) 数据进行了描述性统计分析.
- 分析了2017年至2021年的数据,以评估接受GBV临床服务的人数的变化.
- 检查了服务交付数据,包括PEP完成率.
主要成果:
- 获得GBV临床服务的人数大幅增加了252%,从2017年的158,691人增加到2021年的558,251人.
- 分析显示,艾滋病毒暴露后预防 (PEP) 完成率在15-19岁的青少年中最低,为15%.
- 服务覆盖率取得了显著进展,但所有年龄组服务质量和完成情况的具体数据需要进一步调查.
结论:
- 由PEPFAR支持的GBV临床服务的扩展表明了接触幸存者的积极趋势.
- 青少年中PEP完成率很低,这凸显了针对性干预措施的迫切需要,以改善这个弱势群体的坚持和结果.
- 了解GBV服务交付动态对于政策制定者和项目经理来说至关重要,以提高服务质量,并有效地为全球艾滋病疫情控制工作做出贡献.
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