停工令对四个撒哈拉以南非洲国家的艾滋病毒检测,治疗和垂直传播预防计划的影响

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Updated: Sep 9, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

Suzue Saito¹, Mansoor Farahani¹, Salaza Kunda²

¹ICAP at Columbia University, New York, New York, USA.

Journal of the International AIDS Society

|September 4, 2025

概括

停工令严重扰乱了艾滋病毒服务, 导致非洲多个国家的检测和治疗率下降. 虽然出现了一些复苏,但长期的资金稳定对于持续的艾滋病毒应对工作至关重要.

科学领域:

公共卫生
流行病学
国际发展

背景情况:

总统艾滋病救援紧急计划 (PEPFAR) 资助的艾滋病毒项目因2025年1月开始的停止工作命令和合同取消而受到干扰.
评估四个非洲国家对艾滋病毒服务的影响对于了解项目脆弱性至关重要.

研究的目的:

评估停工令对艾滋病毒服务的主要指标的影响.
在HIV检测,抗逆转录病毒治疗 (ART) 启动和婴儿早期诊断 (EID) 测试中量化干扰和恢复模式.

主要方法:

分析来自安哥拉,刚果民主共和国,南苏丹和赞比亚165个由疾病预防控制中心资助的ICAP支持设施的每周综合HIV服务数据.
停工前,停工后和恢复后阶段的服务数据比较 (2024年10月至2025年3月).
检查艾滋病毒检测,指数检测,艾滋病毒阳性产量,ART启动,孕妇的艾滋病毒状况和EID检测趋势.

主要成果:

在安哥拉,刚果民主共和国和赞比亚观察到艾滋病毒阳性测试和ART启动显著下降,恢复有限.
刚果民主共和国和赞比亚的HIV检测和指数检测大幅下降;安哥拉和赞比亚的EID检测下降.
安哥拉的艾滋病毒检测和孕妇检测有所回升;刚果民主共和国的艾滋病毒检测有所回升;赞比亚和安哥拉的艾滋病毒检测产量和指数检测分别有所增加. 南苏丹报告没有减少.

结论:

停工令和停工令导致艾滋病毒检测和治疗服务的短期减少.
全球艾滋病毒应对措施的持续进展需要仔细的规划,切实可行的时间表,并投资于具有成本效益的服务模式,以减轻长期的资金中断.

关键词:

艾滋病毒检测美国停止工作的命令抗逆转录病毒治疗服务中断撒哈拉以南非洲

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