Wu Dadong, Hawkes Sarah, Buse Kent
Institute for Global Health, University College London, London, UK.
Institute for Global Health, University College London, London, UK.
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.
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.
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.
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.
A dual elimination goal will only be reached when prioritization of MTCT of syphilis is enhanced in both the international and national agendas.
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。
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。
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。
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。
