低收入和中等收入国家长效PrEP的实施和资源需求:范围审查
Delivette Castor1,2, Craig J Heck1,2, Daniela Quigee1
1Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York, USA.
Journal of the International AIDS Society
|July 13, 2023
概括
决策者需要系统地规划和调整成本,以便在低收入和中等收入国家引入长效暴露前预防 (LAP). 有成本的实施计划对于成功推出LAP和其他暴露前预防 (PrEP) 选择至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 实施科学 实施科学
背景情况:
- 低收入和中等收入国家 (LMICs) 正准备引入长效暴露前预防 (LAP).
- 存在多种暴露前预防 (PrEP) 选择,需要在资金限制的情况下仔细规划.
- 系统的实施计划和一致的成本对于有效的PrEP推广至关重要.
研究的目的:
- 审查暴露前预防 (PrEP) 的国家成本实施计划 (CIP).
- 识别和描述实施投入和活动 (领域) 用于LAP的成本推广.
- 评估主要成本证据与确定实施领域的协调性.
主要方法:
- 对口服PrEP和计划生育 (FP) 的CIP进行了快速审查,以确定实施领域.
- 在LMIC中对PrEP成本出版物的范围审查 (2010年1月至2022年6月).
- 提取了成本数据,并评估了与实施领域和全球卫生成本评估联盟原则的一致性.
主要成果:
- 从国家PrEP计划和FP-CIP模板中确定了15个实施领域;只有六个被一致报告.
- 包括66个手稿,10个报告LAP,只有13个主要成本研究 (没有关于LAP).
- 主要成本研究集中在商品,人力资源和间接成本上,对整合,供应链,政策或健康信息系统的数据有限.
结论:
- 引入LAP需要更新的艾滋病毒预防政策,技术援助和扩展的平台.
- 规划必须包括目标,供应链管理和多种PrEP方法的健康信息系统调整.
- 需要一个框架,工具和流程来支持在LMICs系统的LAP推出和成本计算.
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