Médecins sans Frontières, Operational Centre Brussels, Medical Department, MSF- Luxemburg, Luxemburg.
J Int AIDS Soc. 2011 Jul 6;14 Suppl 1(Suppl 1):S7. doi: 10.1186/1758-2652-14-S1-S7.
Until now, we have all been desperately trying to run behind the HIV/AIDS epidemic and catch up with it, but despite all our efforts, the epidemic remains well ahead of us. In 2010, the antiretroviral treatment (ART) gap was about 60%, AIDS-related deaths were almost two million a year, and on top of these figures, for every one person started on ART, there were two new HIV infections. What is needed to change this situation is to think ahead of the epidemic in terms of the programmatic tasks we will be faced with and try to act boldly in trying to implement those tasks. From a programmatic perspective, we: a) highlight what needs to fundamentally change in our thinking and overall approach to the epidemic; and b) outline a number of key task areas for implementation and related operational research.
到目前为止,我们都在拼命追赶艾滋病的流行趋势,试图控制它,但尽管我们付出了所有努力,疫情仍然遥遥领先。2010 年,抗逆转录病毒治疗(ART)的差距约为 60%,每年因艾滋病相关原因导致的死亡人数近 200 万,除此之外,每接受一人接受抗逆转录病毒治疗,就有两人新感染艾滋病毒。要改变这种情况,就需要从我们将面临的规划任务的角度提前考虑疫情,并大胆尝试实施这些任务。从规划的角度来看,我们:a)强调我们在思维和总体方法上需要从根本上改变的地方;b)概述一些关键的执行任务领域及相关的业务研究。