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药物滥用治疗、艾滋病毒/艾滋病与注射吸毒者的连续应对措施

Substance Abuse Treatment, HIV/AIDS, and the Continuum of Response for People Who Inject Drugs.

作者信息

Kresina Thomas F, Lubran Robert, Clark H Westley, Cheever Laura W

机构信息

Division of Pharmacologic Therapies, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD 20857, USA.

出版信息

Adv Prev Med. 2012;2012:541489. doi: 10.1155/2012/541489. Epub 2012 Nov 29.

Abstract

The continuum of response (CoR) to HIV/AIDS is a framework for implementation of HIV prevention, care, and treatment programs based on a national strategic plan for HIV/AIDS services. The CoR for people who inject drugs (PWID) is an important extension of the developed CoR to HIV/AIDS. The CoR-PWID employs stakeholders who together plan, develop, pilot, and provide a full range of services that address the various prevention, care/support, and treatment needs of people, families, and communities infected or affected by HIV/AIDS and injection drug use. The CoR-PWID comprises a broad range of services that include but are not limited to the World Health Organization priority interventions for HIV/AIDS prevention, treatment, and care in the health sector and the package of essential interventions for the prevention, treatment, and care of HIV for people who inject drugs. Implementation of these well-defined, essential prevention, care/support, and treatment services, in addition to locally defined needed services, in a coordinated fashion is important to clients, their families, and communities. The CoR-PWID is, therefore, a necessary framework essential for service development for countries that address HIV/AIDS in populations of PWID.

摘要

对艾滋病毒/艾滋病的连续应对(CoR)是一个基于国家艾滋病毒/艾滋病服务战略计划实施艾滋病毒预防、护理和治疗项目的框架。针对注射吸毒者(PWID)的连续应对是已制定的针对艾滋病毒/艾滋病的连续应对的重要延伸。针对注射吸毒者的连续应对方案让利益相关者共同规划、制定、试点并提供全方位服务,以满足感染或受艾滋病毒/艾滋病及注射吸毒影响的个人、家庭和社区在预防、护理/支持及治疗方面的各种需求。针对注射吸毒者的连续应对方案包含广泛的服务,包括但不限于世界卫生组织在卫生部门开展的艾滋病毒/艾滋病预防、治疗和护理优先干预措施,以及针对注射吸毒者的艾滋病毒预防、治疗和护理基本干预措施组合。以协调方式实施这些明确界定的基本预防、护理/支持和治疗服务以及当地确定的所需服务,对服务对象及其家庭和社区而言至关重要。因此,针对注射吸毒者的连续应对方案是在注射吸毒人群中应对艾滋病毒/艾滋病的国家进行服务开发所必需的框架。

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