中国梅毒和艾滋病毒母婴传播的预防：是什么推动了政治层面的优先重视，以及这能告诉我们关于促进双重消除的哪些信息？
Prevention of mother-to-child transmission of syphilis and HIV in China: What drives political prioritization and what can this tell us about promoting dual elimination?
作者信息
Wu Dadong, Hawkes Sarah, Buse Kent
机构信息
Institute for Global Health, University College London, London, UK.
Institute for Global Health, University College London, London, UK.
出版信息
Int J Gynaecol Obstet. 2015 Jun;130 Suppl 1(Suppl 1):S32-6. doi: 10.1016/j.ijgo.2015.04.005. Epub 2015 Apr 29.
OBJECTIVE
The present study aims to identify reasons behind the lower political priority of mother-to-child transmission (MTCT) of syphilis compared with HIV, despite the former presenting a much larger and growing burden than the latter, in China, over the 20years prior to 2010.
METHODS
We undertook a comparative policy analysis, based on informant interviews and documentation review of control of MTCT of syphilis and HIV, as well as nonparticipant observation of relevant meetings/trainings to investigate agenda-setting prior to 2010.
RESULTS
We identified several factors contributing to the lower priority accorded to MTCT of syphilis: relative neglect at a global level, dearth of international financial and technical support, poorly unified national policy community with weak accountability mechanisms, insufficient understanding of the epidemic and policy options, and a prevailing negative framing of syphilis that resulted in significant stigmatization.
CONCLUSION
A dual elimination goal will only be reached when prioritization of MTCT of syphilis is enhanced in both the international and national agendas.
目的
本研究旨在确定在2010年前的20年里，在中国梅毒母婴传播（MTCT）比艾滋病毒母婴传播的政治优先级更低的背后原因，尽管前者造成的负担比后者大得多且仍在增加。
方法
我们进行了一项比较政策分析，基于对梅毒和艾滋病毒母婴传播控制的知情者访谈和文件审查，以及对2010年前相关会议/培训的非参与式观察，以调查议程设定情况。
结果
我们确定了几个导致梅毒母婴传播优先级较低的因素：在全球层面相对被忽视、缺乏国际资金和技术支持、国家政策群体缺乏统一且问责机制薄弱、对疫情和政策选项的理解不足，以及梅毒普遍存在的负面框架导致严重污名化。
结论
只有在国际和国家议程中都提高梅毒母婴传播的优先级，才能实现双重消除目标。
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