Chandan U, Richter L
Child, Youth, Family and Social Development, Human Sciences Research Council, Durban, South Africa.
AIDS Care. 2009;21 Suppl 1(S1):76-82. doi: 10.1080/09540120902923097.
Families have been at the forefront of the response to the HIV/AIDS epidemic in high-prevalence countries. They have also borne the greatest costs associated with the epidemic, including impoverishment, which has strained their capacity to care for vulnerable members. Within this context, there is consensus that strengthening the capacity of families to care for children is one of the most important strategies for mitigating the impacts of the HIV/AIDS epidemic on children's lives in high-prevalence countries. It is argued that evidence-based early intervention programmes that enhance caregiving and link caregivers with supports and services can play a pivotal role in strengthening families. Based on a systematic review, we recommend that two intervention strategies that should be given consideration within the context of high-prevalence countries, because of their demonstrated benefits in other settings, are nurse home visiting for first time, low-income pregnant mothers and their young children as well as early childhood development programmes for low-income children and families.
在艾滋病高发国家，家庭一直处于应对艾滋病毒/艾滋病疫情的前沿。他们也承担了与该疫情相关的最大成本，包括贫困，这削弱了他们照顾弱势群体的能力。在此背景下，人们达成共识，即加强家庭照顾儿童的能力是减轻艾滋病高发国家艾滋病毒/艾滋病疫情对儿童生活影响的最重要策略之一。有人认为，基于证据的早期干预计划，即加强照顾并将照顾者与支持和服务联系起来，可以在加强家庭方面发挥关键作用。基于一项系统综述，我们建议，鉴于在其他环境中已证明的益处，在艾滋病高发国家的背景下应考虑两种干预策略，即对首次生育的低收入孕妇及其幼儿进行护士家访，以及为低收入儿童和家庭开展幼儿发展计划。
