支持转型过程的本地所有权:维持艾滋病毒应对措施的关键途径
Lindsay Moore Murphy1, Deborah Valerie Stenoien2, Eliza Love1
1Management Sciences for Health, Cambridge, Massachusetts, USA.
BMJ global health
|June 17, 2025
概括
集中地方领导力是可持续艾滋病毒流行病控制过渡的关键. 强大的当地卫生系统,民间社会的参与和分散的规划确保了长期的成功和国内融资.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 加强卫生系统 加强卫生系统
背景情况:
- 由于捐助者资金减少和国内投资不足,艾滋病毒疫情控制方面的进展受到威胁.
- 将艾滋病毒服务从捐赠者资助的项目转移到现有医疗保健系统内的当地所有权是全球优先事项.
- 现有的过渡准备框架往往没有关注确保当地所有权.
研究的目的:
- 探索如何将当地领导力集中在艾滋病毒计划过渡过程中.
- 通过地方所有权和国内融资,确定确保艾滋病毒服务长期可持续性的战略.
- 提供可行的经验教训,以支持当地领导的HIV服务过渡.
主要方法:
- 分析越南和赞比亚的艾滋病毒计划,以以前的证据为依据.
- 检查现有的卫生计划过渡准备框架.
- 确定促进当地所有权和领导力的关键经验教训.
主要成果:
- 可持续的转型需要强大,以当地为主导的卫生系统和功能.
- 当地领导者优先考虑艾滋病毒服务和系统整合,确保与国家卫生改革保持一致.
- 能力增强和民间社会参与,特别是决策,增强过渡的可持续性.
- 对于具有去中心化结构的卫生系统,去中心化规划和地方参与者参与至关重要.
结论:
- 接受当地所有权和领导力的教训可以支持艾滋病毒服务的成功过渡.
- 加强当地卫生系统和促进包容性决策对于长期控制艾滋病毒流行病至关重要.
- 全球社区应该采用这些战略,通过地方主导的倡议来改善可持续的艾滋病毒服务.
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