INSERM U897, Institut de Santé Publique d'Épidémiologie et de Développement (ISPED), Université Victor Segalen, 146 Rue Léo Saignat, 33000, Bordeaux, France.
BMC Public Health. 2010 Nov 16;10:702. doi: 10.1186/1471-2458-10-702.
In resource-limited settings, HIV/AIDS remains a serious threat to the social and physical well-being of women of childbearing age, pregnant women, mothers and infants.
In sub-Saharan African countries with high prevalence rates, pediatric HIV/AIDS acquired through mother-to-child transmission (MTCT) can in largely be prevented by using well-established biomedical interventions. Logistical and socio-cultural barriers continue, however, to undermine the successful prevention of MTCT (PMTCT). In this paper, we review reports on maternal, neonatal and child health, as well as HIV care and treatment services that look at program incentives.
These studies suggest that comprehensive PMTCT strategies aiming to maximize health-worker motivation in developing countries must involve a mix of both financial and non-financial incentives. The establishment of robust ethical and regulatory standards in public-sector HIV care centers could reduce barriers to PMTCT service provision in sub-Saharan Africa and help them in achieving universal PMTCT targets.
在资源有限的情况下，艾滋病毒/艾滋病仍然严重威胁着育龄妇女、孕妇、母亲和婴儿的社会和身体健康。
在高流行率的撒哈拉以南非洲国家，通过母婴传播（MTCT）获得的儿科艾滋病毒/艾滋病可以通过使用成熟的生物医学干预措施来很大程度上预防。然而，后勤和社会文化障碍继续破坏 MTCT（PMTCT）的成功预防。在本文中，我们回顾了关于孕产妇、新生儿和儿童健康以及艾滋病毒护理和治疗服务的报告，这些报告着眼于计划激励措施。
这些研究表明，旨在最大限度地激发发展中国家卫生工作者积极性的综合 PMTCT 战略必须结合财务和非财务激励措施。在公立部门艾滋病毒护理中心建立强大的伦理和监管标准可以减少撒哈拉以南非洲地区 PMTCT 服务提供的障碍，并帮助他们实现普遍的 PMTCT 目标。
