HLSP Institute, London, England.
Bull World Health Organ. 2009 Nov;87(11):846-51. doi: 10.2471/blt.08.059279.
This paper considers new developments to strengthen sexual and reproductive health and HIV linkages and discusses factors that continue to impede progress. It is based on a previous review undertaken for the United Kingdom Department for International Development in 2006 that examined the constraints and opportunities to scaling up these linkages. We argue that, despite growing evidence that linking sexual and reproductive health and HIV is feasible and beneficial, few countries have achieved significant scale-up of integrated service provision. A lack of common understanding of terminology and clear technical operational guidance, and separate policy, institutional and financing processes continue to represent significant constraints. We draw on experience with tuberculosis and HIV integration to highlight some lessons. The paper concludes that there is little evidence to determine whether funding for health systems is strengthening linkages and we make several recommendations to maximize opportunities represented by recent developments.
本文考虑了加强性健康和生殖健康与艾滋病联系的新进展，并讨论了继续阻碍进展的因素。这是基于 2006 年为英国国际发展部进行的先前审查，该审查检查了扩大这些联系的限制和机会。我们认为，尽管越来越多的证据表明将性健康和生殖健康与艾滋病联系起来是可行且有益的，但很少有国家实现了综合服务提供的显著扩大。缺乏对术语的共同理解和明确的技术操作指导，以及单独的政策、机构和融资流程仍然是重大限制。我们借鉴了结核病和艾滋病毒综合防治的经验，以突出一些教训。本文的结论是，几乎没有证据表明卫生系统的资金是否正在加强联系，我们提出了一些建议，以最大限度地利用最近的发展所带来的机会。
