Ridge D, Arachne J
School of Public Health, La Trobe University, Bundoora, Victoria, Australia.
Health Care Anal. 1997 Dec;5(4):275-82. doi: 10.1007/BF02678525.
The current approach for dealing with the global AIDS pandemic focuses on technology, particularly pharmaceuticals. However, most of the world's PLWHA (people living with HIV/AIDS) have little or no access to these expensive treatments. Additionally, such technologies have not proven themselves adequate in addressing AIDS in global terms. When the health of communities is prioritized, rather than the interests of pharmaceutical companies and biomedicine, alternative strategies and policies can be considered. These strategies include seriously investigating traditional medicines in other cultures, rather than adopting an uncritical assumption that the biomedical approach is preferable. The limited research available suggests that some alternative treatments could indeed turn out to be useful in treating HIV/AIDS. However, without Western support for rigorous evaluation and development of local alternative therapies, the potential of these treatments for HIV/AIDS will continue to be dismissed. Additionally, the rights of communities to self-determination, and PLWHA to the best possible primary health care, whether in rich or poorer nations, will also be diminished.
当前应对全球艾滋病流行的方法主要集中在技术上，尤其是药物方面。然而，世界上大多数艾滋病毒/艾滋病感染者几乎无法获得或根本无法获得这些昂贵的治疗。此外，从全球范围来看，这类技术在应对艾滋病方面尚未证明自身足够有效。当社区健康而非制药公司和生物医学的利益被置于优先地位时，就可以考虑其他替代战略和政策。这些战略包括认真研究其他文化中的传统药物，而不是不加批判地假定生物医学方法更可取。现有的有限研究表明，一些替代疗法确实可能对治疗艾滋病毒/艾滋病有用。然而，如果没有西方对严格评估和开发当地替代疗法的支持，这些疗法治疗艾滋病毒/艾滋病的潜力将继续被忽视。此外，无论在富国还是穷国，社区的自决权以及艾滋病毒/艾滋病感染者获得尽可能最佳初级卫生保健的权利也将受到损害。
