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非洲儿童中的艾滋病毒/艾滋病:百时美施贵宝基金会和贝勒反应。

HIV/AIDS in African children: the Bristol-Myers Squibb Foundation and Baylor response.

机构信息

Bristol-Myers Squibb Foundation.

出版信息

Health Aff (Millwood). 2012 Jul;31(7):1636-42. doi: 10.1377/hlthaff.2012.0425.

DOI:10.1377/hlthaff.2012.0425
PMID:22778353
Abstract

In 2000, 1.4 million children were living with HIV/AIDS in sub-Saharan Africa, according to the Joint United Nations Programme on HIV/AIDS. Few of them were receiving lifesaving antiretroviral therapy because public health systems lacked the clinical infrastructure and trained health care workers to implement and disseminate high-quality care. Research has shown that without treatment, half of HIV-infected infants die by age two. From 2000 to 2011 the Bristol-Myers Squibb Foundation worked with the Baylor International Pediatric AIDS Initiative, governments in sub-Saharan Africa, and other funders to help ensure that children received needed treatment and care. The partnership led to the creation of seven Children's Clinical Centers for Excellence and the Pediatric AIDS Corps of physicians. The mortality rate for the 13,154 children receiving antiretroviral therapy at the centers was 3.35 deaths per 100 patient-years, which compares favorably with results of similar programs in Africa. The experience showed that strategic investments by foundations and others can have a positive impact on health service delivery and the training of health professionals to meet the specific needs of HIV-infected children for the short and long terms.

摘要

据联合国艾滋病规划署(Joint United Nations Programme on HIV/AIDS)称,2000 年,撒哈拉以南非洲地区有 140 万儿童感染艾滋病毒/艾滋病。他们中很少有人接受救命的抗逆转录病毒治疗,因为公共卫生系统缺乏临床基础设施和训练有素的医疗保健工作者来实施和传播高质量的护理。研究表明,如果不进行治疗,一半的感染艾滋病毒的婴儿会在两岁前死亡。从 2000 年到 2011 年,百时美施贵宝基金会(Bristol-Myers Squibb Foundation)与贝勒国际儿科艾滋病倡议(Baylor International Pediatric AIDS Initiative)、撒哈拉以南非洲的政府以及其他资助者合作,以确保儿童获得所需的治疗和护理。该合作伙伴关系促成了七个儿童临床卓越中心和儿科艾滋病医生队伍的创建。在这些中心接受抗逆转录病毒治疗的 13154 名儿童的死亡率为每 100 名患者年 3.35 例死亡,这与非洲类似项目的结果相当。这一经验表明,基金会和其他机构的战略投资可以对卫生服务的提供以及医疗保健专业人员的培训产生积极影响,以满足艾滋病毒感染儿童的短期和长期的具体需求。

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