Berkman Alan, Garcia Jonathan, Muñoz-Laboy Miguel, Paiva Vera, Parker Richard
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 600 West 168th St, New York, NY 10032, USA.
Am J Public Health. 2005 Jul;95(7):1162-72. doi: 10.2105/AJPH.2004.054593. Epub 2005 Jun 2.
The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and policy decisions that can aid the development of similar programs in other low- and middle-income and developing countries.Among the critical issues that are discussed are human rights and solidarity, the interface of politics and public health, sexuality and culture, the integration of prevention and treatment, the transition from an epidemic rooted among men who have sex with men to one that increasingly affects women, and special prevention and treatment programs for injection drug users.
巴西国家艾滋病项目被广泛认为是发展中国家综合性艾滋病毒/艾滋病预防、护理和治疗项目的首要典范。我们对巴西的经验进行了批判性分析，区分了巴西独有的要素与有助于其他低收入、中等收入国家及发展中国家开展类似项目的规划和政策决策。讨论的关键问题包括人权与团结、政治与公共卫生的交叉、性与文化、预防与治疗的整合、从以男男性行为者为主的疫情向日益影响女性的疫情的转变，以及针对注射吸毒者的特殊预防和治疗项目。
