保护非洲儿童免受极端风险:PEPFAR计划的可持续性
Lucie Cluver1, Gibstar Makangila2, Susan Hillis3
1Centre for Evidence-Based Social Intervention, Department of Social Policy and Intervention, University of Oxford, Oxford, UK; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Lancet (London, England)
|April 11, 2025
概括
总统的艾滋病救援紧急计划 (PEPFAR) 挽救了数百万人的生命,并保护了弱势儿童. 持续投资和五年过渡计划可以在全球范围内消除艾滋病.
科学领域:
- 全球卫生政策
- 预防和治疗艾滋病毒/艾滋病
- 国际发展
背景情况:
- 美国总统的艾滋病救援应急计划 (PEPFAR) 是美国的一项国际卫生倡议,
- 非洲撒哈拉以南地区儿童的重大影响包括防止780万无艾滋病毒分娩,支持1300万孤儿和弱势儿童,并保护1030万女孩免受性虐待.
研究的目的:
- 审查PEPFAR对艾滋病毒/艾滋病的预防,护理和治疗的影响,特别是对撒哈拉以南非洲的儿童.
- 评估美国和非洲的附带利益,包括经济和安全优势.
- 评估到2030年实现国家主导的艾滋病毒应对可持续性的可行性.
主要方法:
- 分析来自联合国艾滋病规划署,联合国儿童基金会,世界银行和其他全球卫生组织的数据.
- 总结PEPFAR报告和经济分析.
- 深入采访和PubMed搜索程序的有效性证据.
主要成果:
- PEPFAR带来了巨大的经济效益,包括美国对非洲的出口增加了四倍,贸易增长显著.
- 受PEPFAR支持的国家已将卫生系统的共同融资从2004年的137亿美元增加到2021年的4260亿美元.
- 创新的交付模式和高回报率支持5年过渡到国家主导的可持续性.
结论:
- 延续PEPFAR授权和五年过渡期可以结束儿童和家庭的艾滋病.
- 转型型伙伴关系加速共同融资和私人投资对于可持续性至关重要.
- 如果没有PEPFAR, 预计到2030年,
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