El-Sadr Wafaa M, Abrams Elaine J
International Center for AIDS Care and Treatment Programs, Columbia University Mailman School of Public Health, New York, New York 10032, USA.
AIDS. 2007 Oct;21 Suppl 5:S65-70. doi: 10.1097/01.aids.0000298105.79484.62.
The rapid expansion of HIV care and treatment in resource-limited settings will undoubtedly ameliorate conditions in communities ravaged by this epidemic around the world and enable persons living with HIV to live longer, more productive lives. Concerns have been raised, however, regarding the possible deleterious effects on other health services. This paper argues that efforts to scale up HIV care and treatment in resource-limited countries, if designed and implemented with the additional goal of achieving broad health benefits, may serve as a catalyst for the establishment of more effective and responsive health systems. In order to determine these broader effects, mechanisms need to be established that enable relevant research and evaluation questions to be answered.
在资源有限的环境中迅速扩大艾滋病毒护理和治疗，无疑将改善世界各地受这一流行病蹂躏的社区的状况，并使艾滋病毒感染者能够活得更长、更有成效。然而，人们对其可能对其他卫生服务产生的有害影响表示担忧。本文认为，在资源有限的国家扩大艾滋病毒护理和治疗的努力，如果在设计和实施时以实现广泛的健康效益为额外目标，可能会成为建立更有效和更有响应能力的卫生系统的催化剂。为了确定这些更广泛的影响，需要建立能够回答相关研究和评估问题的机制。
