晚期艾滋病毒感染者是否被遗弃? 一个全球调查调查
Fernanda Fonseca1, Vivian I Avelino-Silva1,2, Wilfred Odoke1
1AIDS Healthcare Foundation Global Program, Los Angeles, California, USA.
HIV medicine
|October 18, 2024
概括
基本的艾滋病毒护理服务经常无法在设施中获得,即使需求很高. 这项研究强调了先进的艾滋病毒治疗资源缺口,特别是在低收入国家,影响患者的治疗结果.
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:
- 许多患有人类免疫缺陷病毒 (HIV) 的人在疾病晚期接受治疗.
- 评估先进的艾滋病毒护理必需物资和基础设施的可用性至关重要.
- 了解资源可用性与当地疾病负担之间的相关性对于有针对性的干预至关重要.
研究的目的:
- 调查医疗保健设施中先进的艾滋病毒护理基本服务的可用性.
- 探索资源的可用性和对艾滋病毒服务的当地需求之间的关系.
- 识别不同地理区域和不同收入水平的护理供应差异.
主要方法:
- 对艾滋病保健基金会的合作机构进行了一项关于高级艾滋病毒护理服务的调查.
- 数据按大陆和人均国民总收入分析,使用频率和百分比.
- 国家一级的分数是根据资源可用性生成的,并与当地需求相关 (CD4<200/mm3的新艾滋病毒注册人数的百分比).
主要成果:
- 37个国家的643个设施参与了调查.
- 需要大量设备和物资投资的服务不太常见.
- 非洲,亚洲和拉丁美洲/加勒比地区的设施以及低收入国家的设施报告说,诊断和治疗资源的可用性较低.
- 服务的可用性与当地需求没有相关性;许多艾滋病毒发病率较高的国家的资源可用性很低.
结论:
- 对于晚期艾滋病毒患者推的基本医疗保健服务往往缺乏提供艾滋病毒治疗的设施.
- 对于先进的艾滋病毒服务的高当地需求并不能保证资源的可用性.
- 解决这些差距对于减轻与晚期艾滋病毒相关的发病率和死亡率至关重要.
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