Heymann S Jody, Clark Shelley, Brewer Timothy F
Department of Epidemiology, Biostatistics and Occupational Health, Department of Political Science, McGill University, Montreal, Quebec, Canada.
Int J Infect Dis. 2008 Mar;12(2):117-9. doi: 10.1016/j.ijid.2007.09.006. Epub 2007 Nov 26.
In April 2007, UNAIDS released Securing the future--advocating for children, a call for the global community to recognize that "children still remain largely absent from national and international political responses to the AIDS pandemic". Most efforts to date to protect children from HIV have focused on prevention of mother-to-child transmission (PMTCT) programs. Though expanding PMTCT programs, particularly in sub-Saharan Africa, are crucial, even widespread PMTCT programs would still be grossly inadequate for achieving the goal of protecting children from HIV/AIDS. The global community needs to fundamentally reframe its approach to HIV prevention to fully address the health of families, otherwise the future for at-risk children is likely to remain bleak. After identifying challenges with current approaches, we review recent research that provides insights into ways prevention programs may be adapted to better protect families and children from the devastating consequences of HIV/AIDS. Only by protecting families from HIV/AIDS will we be able to achieve the goal of an AIDS-free generation.
2007年4月，联合国艾滋病规划署发布了《确保未来——为儿童发声》，呼吁全球社会认识到“在国家和国际层面应对艾滋病疫情的行动中，儿童仍基本被忽视”。迄今为止，大多数保护儿童免受艾滋病毒感染的努力都集中在预防母婴传播（PMTCT）项目上。尽管扩大预防母婴传播项目，特别是在撒哈拉以南非洲地区，至关重要，但即使这些项目广泛开展，对于实现保护儿童免受艾滋病毒/艾滋病感染的目标而言，仍远远不够。全球社会需要从根本上重新调整其预防艾滋病毒的方法，以全面解决家庭健康问题，否则，面临风险的儿童的未来可能依然黯淡。在确定了当前方法存在的挑战之后，我们回顾了近期的研究，这些研究为预防项目如何进行调整以更好地保护家庭和儿童免受艾滋病毒/艾滋病的毁灭性影响提供了见解。只有保护家庭免受艾滋病毒/艾滋病感染，我们才能实现无艾滋病一代的目标。
