在非洲和亚洲实现无艾滋病一代的挑战
Wipaporn Natalie Songtaweesin1,2, Grace Miriam Ahimbisibwe3, Thanyawee Puthanakit2
1School of Global Health.
Current opinion in HIV and AIDS
|August 15, 2024
概括
防止亚洲和非洲的母婴艾滋病毒传播已经停滞不前,在2022年有13万例新感染. 新的战略和综合护理对于实现到2030年实现无艾滋病的一代至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 全球健康 全球健康
背景情况:
- 垂直传播艾滋病毒仍然是一个重大的全球卫生挑战,特别是在亚洲和非洲.
- 在过去的十年里,消除儿童新艾滋病毒感染的进展已经停滞不前.
研究的目的:
- 审查目前关于防止亚洲和非洲HIV垂直传播的数据.
- 讨论到2030年实现无艾滋病一代的战略方向.
主要方法:
- 关于HIV垂直传播的最新数据的文献综述.
- 分析导致进展停滞的因素.
- 讨论新兴干预措施和服务交付模式.
主要成果:
- 在2022年,有13万名儿童新增艾滋病毒感染,这表明缺乏进展.
- 传染的主要驱动因素因地区而异:亚太地区的检测不足,南/东非的怀孕/母乳养期间感染,西/中非的抗逆转录病毒治疗 (ART) 覆盖率低.
- 长效注射性ART和中和抗体显示出降低垂直传播的潜力.
结论:
- 解决艾滋病毒服务缺口对于防止垂直传播至关重要.
- 加强对年轻人和生育年龄的妇女的预防是必不可少的.
- 需要综合,可访问的产前和产后护理,以保持怀孕和产后感染艾滋病毒的人在护理中.
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