确保在复杂的社会文化环境中为受影响人群提供优质的艾滋病毒护理:尼日利亚的教训
Abdulsamad Salihu1, Ibrahim Jahun2, David Olusegun Oyedeji1
1Society for Family Health, Abuja Nigeria.
PloS one
|May 14, 2025
概括
家庭健康协会 (SFH) 为尼日利亚北部受影响人群 (AP) 适应了艾滋病毒服务,克服了社会文化障碍. 他们以人为中心的方法显著改善了AP中获得护理和病毒负载抑制率的机会.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 健康 公平 卫生 公平
背景情况:
- 全球艾滋病毒/艾滋病疫情仍然是一个重大的公共卫生挑战.
- 减少艾滋病相关死亡率的进展不均,特别是在关键人群中.
- 家庭健康协会 (SFH) 在尼日利亚对受影响人口 (AP) 的艾滋病毒干预方面有丰富的经验.
研究的目的:
- 详细介绍SFH在适应北尼日利亚AP的HIV服务提供方面的战略和创新.
- 解决阻碍AP获得服务的社会文化和政治障碍.
- 评估SFH适应方案在不同地区的有效性.
主要方法:
- 使用2019-2023年未识别的综合计划数据进行的回顾性横截面研究.
- 对艾滋病毒检测,治疗启动和病毒载量抑制在AP中的分析.
- 除了创新,SFH还实施了针对结构,系统和客户相关障碍的战略.
主要成果:
- 超过324,000名AP被测试,艾滋病毒阳性率为9.4%.
- 注射毒品的人 (PWID) 始终表现出高的阳性率.
- 观察到ART启动和病毒载量抑制 (高达99%) 的显著增加,女性性工作者 (FSW) 和与男性发生性关系的男性 (MSM) 的高吸收率.
结论:
- 文化敏感,以人为中心的计划在达到AP和改善护理公平方面是有效的.
- 在与男性发生性关系的男性 (MSM) 接触和扩大PWID的降低危害方面需要不断改进.
- 持续的教育和意识对于增加预防和护理服务的普及至关重要,包括暴露前预防 (PrEP).
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