Luthando HIV Clinic, Chris Hani Baragwanath Hospital, Soweto, South Africa.
Health Hum Rights. 2011 Dec 15;13(2):E64-72.
HIV is the leading infectious killer of adults in the world today and a majority of persons with HIV live in southern Africa. Mental illness is common among patients with HIV. Persons with HIV and mental illness, however, are often denied access to HIV treatment for a variety of reasons, including presumed non-adherence, potential drug interactions, and lack of coordinated care. The exclusion of the mentally ill from HIV care is a concerning human rights issue. This paper discusses some of the human rights issues in the care of patients with mental illness and HIV and describes a successful model for integrated care developed at the Luthando Neuropsychiatric HIV Clinic in Soweto, South Africa. The Luthando clinic has provided care to more than 500 patients and has been shown to be a successful model for other programs to improve HIV care among the mentally ill.
HIV 是当今全球导致成年人死亡的主要传染病病原体，且大多数 HIV 感染者生活在南部非洲。精神疾病在 HIV 感染者中较为常见。然而，由于多种原因，包括推测的不依从性、潜在的药物相互作用和缺乏协调的护理，HIV 感染者和精神疾病患者往往无法获得 HIV 治疗。将精神疾病患者排除在 HIV 护理之外是一个令人关切的人权问题。本文讨论了在精神疾病和 HIV 患者护理方面的一些人权问题，并描述了在南非索韦托的 Luthando 神经精神病学 HIV 诊所开发的综合护理成功模式。Luthando 诊所已经为 500 多名患者提供了护理，并已被证明是改善精神疾病患者 HIV 护理的其他项目的成功模式。
