Alfven Tobias, McDougal Lotus, Frescura Luisa, Aran Christian, Amler Paul, Gill Wayne
Strategic Information and Monitoring Division, UNAIDS, 20 Avenue Appia, 1211 Geneva, Switzerland.
Health Res Policy Syst. 2014 Oct 16;12:62. doi: 10.1186/1478-4505-12-62.
The 2001 Declaration of Commitment (DoC) adopted by the General Assembly Special Session on HIV/AIDS (UNGASS) included a call to monitor national responses to the HIV epidemic. Since the DoC, efforts and investments have been made globally to strengthen countries' HIV monitoring and evaluation (M&E) capacity. This analysis aims to quantify HIV M&E investments, commitments, capacity, and performance during the last decade in order to assess the success and challenges of national and global HIV M&E systems.
M&E spending and performance was assessed using data from UNGASS country progress reports. The National Composite Policy Index (NCPI) was used to measure government commitment, government engagement, partner/civil society engagement, and data generation, as well as to generate a composite HIV M&E System Capacity Index (MESCI) score. Analyses were restricted to low and middle income countries (LMICs) who submitted NCPI reports in 2006, 2008, and 2010 (n = 78).
Government commitment to HIV M&E increased considerably between 2006 and 2008 but decreased between 2008 and 2010. The percentage of total AIDS spending allocated to HIV M&E increased from 1.1% to 1.4%, between 2007 and 2010, in high-burden LMICs. Partner/civil society engagement and data generation capacity improved between 2006 and 2010 in the high-burden countries. The HIV MESCI increased from 2006 to 2008 in high-burden countries (78% to 94%), as well as in other LMICs (70% to 77%), and remained relatively stable in 2010 (91% in high-burden countries, 79% in other LMICs). Among high-burden countries, M&E system performance increased from 52% in 2006 to 89% in 2010.
The last decade has seen increased commitments and spending on HIV M&E, as well as improved M&E capacity and more available data on the HIV epidemic in both high-burden and other LMICs. However, challenges remain in the global M&E of the AIDS epidemic as we approach the 2015 Millennium Development Goal targets.
2001年联合国大会关于艾滋病毒/艾滋病问题特别会议通过的《承诺宣言》呼吁监测各国应对艾滋病毒流行的情况。自该宣言发布以来，全球范围内已作出努力并进行投资，以加强各国的艾滋病毒监测与评估（M&E）能力。本分析旨在量化过去十年中艾滋病毒监测与评估方面的投资、承诺、能力和绩效，以评估国家和全球艾滋病毒监测与评估系统的成效及面临的挑战。
利用联合国大会关于艾滋病毒/艾滋病问题特别会议各国进展报告中的数据评估监测与评估支出及绩效。国家综合政策指数（NCPI）用于衡量政府承诺、政府参与度、合作伙伴/民间社会参与度和数据生成情况，并生成综合艾滋病毒监测与评估系统能力指数（MESCI）得分。分析仅限于在2006年、2008年和2010年提交了国家综合政策指数报告的低收入和中等收入国家（LMICs）（n = 78）。
2006年至2008年间，政府对艾滋病毒监测与评估的承诺大幅增加，但在2008年至2010年间有所下降。在高负担低收入和中等收入国家，2007年至2010年间，分配给艾滋病毒监测与评估的艾滋病总支出百分比从1.1%增至1.4%。2006年至2010年间，高负担国家的合作伙伴/民间社会参与度和数据生成能力有所提高。2006年至2008年间，高负担国家（从78%增至94%）以及其他低收入和中等收入国家（从70%增至77%）的艾滋病毒监测与评估系统能力指数上升，2010年保持相对稳定（高负担国家为91%，其他低收入和中等收入国家为79%）。在高负担国家中，监测与评估系统绩效从2006年的52%增至2010年的89%。
过去十年中，艾滋病毒监测与评估方面的承诺和支出增加，高负担和其他低收入和中等收入国家的监测与评估能力得到提升，有关艾滋病毒流行的可用数据增多。然而，在我们接近2015年千年发展目标指标时，艾滋病流行情况的全球监测与评估仍面临挑战。
