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加强民间社会对国家艾滋病应对工作的参与:联大特别会议报告的作用。

Increasing civil society participation in the national HIV response: the role of UNGASS reporting.

作者信息

Peersman Greet, Ferguson Laura, Torres Mary Ann, Smith Sally, Gruskin Sofia

机构信息

Payson Center for International Development and Technology Transfer, Law School, Tulane University, New Orleans, LA 70118, USA.

出版信息

J Acquir Immune Defic Syndr. 2009 Dec;52 Suppl 2:S97-103. doi: 10.1097/QAI.0b013e3181baee06.

Abstract

BACKGROUND

The 2001 Declaration of Commitment on HIV/AIDS provided impetus for strengthening collaboration between government and civil society partners in the HIV response. The biennial UNGASS reporting process is an opportunity for civil society to engage in a review of the implementation of commitments.

METHODS

Descriptive analyses of the National Composite Policy Index from 135 countries; a debriefing on UNGASS reporting with civil society in 40 countries; and 3 country case studies on the UNGASS process.

FINDINGS

In the latest UNGASS reporting round, engagement of civil society occurred in the vast majority of countries. The utility of UNGASS reporting seemed to be better understood by both government and civil society, compared with previous reporting rounds. Civil society participation was strongest when civil society groupings took the initiative and organized themselves. An important barrier was their lack of experience with national level processes. Civil society involvement in national HIV planning and strategic processes was perceived to be good, but better access to funding and technical support is needed. Instances remain where there are fundamental differences between government and civil society perceptions of the HIV policy and program environment. How or whether differences were resolved is not always clear, but both government and civil society seemed to appreciate the opportunity for discussion.

CONCLUSIONS

Collaborative reporting by government and civil society on UNGASS indicators is a small but potentially valuable step in what should be an ongoing and fully institutionalized process of collaborative planning, implementation, monitoring, assessment and correction of HIV responses. The momentum achieved through the UNGASS process should be maintained with follow-up actions to address data gaps, formalize partnerships and enhance active and meaningful engagement.

摘要

背景

2001年《关于艾滋病毒/艾滋病问题的承诺宣言》推动了政府与民间社会伙伴在应对艾滋病毒方面加强合作。两年一次的联大特别会议报告进程为民间社会参与审查承诺履行情况提供了契机。

方法

对135个国家的国家综合政策指数进行描述性分析;在40个国家与民间社会就联大特别会议报告进行情况汇报;对3个国家的联大特别会议进程进行案例研究。

结果

在最近一轮联大特别会议报告中,绝大多数国家都有民间社会的参与。与之前的报告轮次相比,政府和民间社会似乎都更清楚联大特别会议报告的作用。当民间社会团体主动组织起来时,民间社会的参与最为有力。一个重要障碍是他们缺乏国家层面进程的经验。民间社会参与国家艾滋病毒规划和战略进程被认为效果良好,但需要更好地获得资金和技术支持。在艾滋病毒政策和项目环境方面,政府和民间社会的看法仍存在根本差异。差异如何或是否得到解决并不总是很清楚,但政府和民间社会似乎都珍视讨论的机会。

结论

政府和民间社会就联大特别会议指标进行协作报告,是艾滋病毒应对措施协作规划、实施、监测、评估和纠正这一持续且完全制度化进程中的一小步,但可能具有重要价值。应通过后续行动保持联大特别会议进程所形成的势头,以填补数据空白、使伙伴关系正规化并加强积极且有意义的参与。

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