撒哈拉以南非洲以人为中心的艾滋病毒预防服务:范围审查
Daniel Asogun1,2, Augustina Konadu Larbi-Ampofo3, Jesu-Oboh Akhaine4
1Department of Urology, Sheffield NHS Foundation Trust, Sheffield, UK. asogun82@gmail.com.
AIDS research and therapy
|February 6, 2026
概括
以个人为中心的艾滋病毒预防服务在撒哈拉以南非洲显得有前途,改善了参与和坚持. 然而,公平的准入和心理社会需求的整合仍然是广泛成功的挑战.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 艾滋病毒预防研究 预防研究
背景情况:
- 撒哈拉以南非洲地区在关键人群的艾滋病毒预防方面面临着持续的差距.
- 传统的艾滋病毒预防模式往往无法解决个人偏好,社会背景和结构性障碍.
- 以人为中心的护理 (PCC) 提供了一个有希望的方法,但在该地区缺乏广泛的实施.
研究的目的:
- 系统地绘制撒哈拉以南非洲以人为中心的艾滋病毒预防服务的格局.
- 确定干预模式,结果,以及实施促进者和障碍.
- 了解当前的状况,并确定在以人为中心的艾滋病毒预防方面需要改进的领域.
主要方法:
- 在多个数据库 (PubMed,ScienceDirect,Google Scholar,AJOL) 进行了全面的文献搜索,搜索了2010年至2025年间发表的研究.
- 该审查遵循PRISMA-ScR指南,包括对141个记录的选和对13项研究的全文审查.
- 来自六个撒哈拉以南非洲国家的12项研究符合纳入标准,并进行了叙事综合.
主要成果:
- 干预模型包括PrEP计划,基于选择的模型,由同行领导的推广和差异化的ART交付.
- PCC的关键要素包括共享决策,去中心化,社会支持和对耻辱感意识的咨询.
- 基于社区的,同行支持的模型提高了可访问性和遵守性,而预防方法的选择提高了吸收和满意度.
结论:
- 以人为中心的战略可以改善对撒哈拉以南非洲的艾滋病毒预防服务的参与.
- 在地理代表性,公平性和心理社会需求的整合方面仍然存在差距.
- 未来的计划必须解决结构性障碍,增强心理安全,建立社区信任,并确保包容性设计以实现一致的覆盖范围.
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