全国采用世卫组织关于差异化艾滋病毒检测服务方法的建议:全球政策审查
Tafadzwa Kadye1, Muhammad S Jamil2, Cheryl Johnson3
1Global Health, UCL, London, UK tafkadye@gmail.com.
BMJ open
|March 14, 2024
概括
国家政策显示,世卫组织艾滋病毒检测服务 (HTS) 准则的采用情况各不相同. 虽然一些地区完全整合了建议,但其他地区落后,需要进一步倡导政策和实施差异化的HTS方法.
科学领域:
- 公共卫生 公共卫生
- 全球卫生政策 全球卫生政策
- 传染病控制和控制传染病
背景情况:
- 世界卫生组织 (WHO) 在2015-2016年发布了针对艾滋病毒检测服务 (HTS) 的指南.
- 这些指导方针强调了差异化HTS方法的战略组合,以改善测试普及率.
- 了解如何将这些建议纳入国家政策对于全球艾滋病毒/艾滋病战略至关重要.
研究的目的:
- 审查和分析国家政策在多大程度上采用了世卫组织的差异化艾滋病毒检测服务 (HTS) 建议.
- 在全球范围内确定HTS战略在国家政策中的区域差异和具体采用模式.
主要方法:
- 2015年1月至2019年6月期间公布的国家政策的系统审查.
- 数据提取的重点是包括世卫组织推的HTS方法,包括基于设施,基于社区,自我测试和辅助转诊.
- 进行了描述性分析,以量化世卫组织不同地区对这些建议的采用情况.
主要成果:
- 在194个国家中,确定并分析了65个已公布的政策.
- 世卫组织非洲 (AFR) 和东地中海 (EMR) 地区显示了最多的结合性建议.
- 孕妇 (85%) 和关键人群 (75%) 的设施测试最常被纳入,而艾滋病毒自我测试 (38%) 和提供者辅助转诊 (25%) 的采用率较低.
结论:
- 在全球各个国家政策中,世卫组织的差异化HTS建议的采用有显著的变化.
- 虽然一些地区表现出高吸收率,但其他地区,特别是泛美地区 (AMR),落后.
- 持续宣传和集中努力至关重要,以促进这些重要的HTS建议在国家政策中的采用和有效实施.
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