Gupta Somya, Granich Reuben
1 International Association of Providers of AIDS Care, New Delhi, India.
2 International Association of Providers of AIDS Care, Washington DC, USA.
J Int Assoc Provid AIDS Care. 2017 Mar/Apr;16(2):125-132. doi: 10.1177/2325957416686195. Epub 2017 Jan 15.
We reviewed published national HIV care continua for men who have sex with men (MSM), people who inject drugs (PWID), and female sex workers (FSWs) to track progress toward the 90-90-90 target. We searched the Internet, PubMed, surveillance reports, United Nations Programme on HIV/AIDS country reports, US President's Emergency Plan for AIDS Relief country/regional operational plans, and conference abstracts for the continua and graded them on quality. We found 12 continua for MSM, 7 for PWID, and 5 for FSW from 12 countries. HIV diagnosis, antiretroviral therapy coverage, and viral suppression varied between (1) 5% and 85%, 2% and 73%, and 1% and 72%, respectively for MSM; (2) 54% and 96%, 14% and 80%, and 8% and 68%, respectively for PWID; and (3) 27% and 63%, 8% and 16%, and 2% and 14%, respectively for FSW. Two countries, using data from national cohorts, were high quality. There are limited key population continua in the public domain. Of the few available, none have achieved 90-90-90. Improved monitoring and evaluation of key population continua is necessary to achieve the 90-90-90 target.
我们回顾了已发表的针对男男性行为者（MSM）、注射吸毒者（PWID）和女性性工作者（FSW）的国家艾滋病病毒（HIV）护理连续体，以追踪在实现90-90-90目标方面的进展。我们在互联网、PubMed、监测报告、联合国艾滋病规划署国家报告、美国总统艾滋病紧急救援计划国家/区域业务计划以及会议摘要中搜索护理连续体，并对其质量进行分级。我们从12个国家找到了12份针对男男性行为者的护理连续体、7份针对注射吸毒者的护理连续体和5份针对女性性工作者的护理连续体。HIV诊断、抗逆转录病毒疗法覆盖率和病毒抑制率在男男性行为者中分别为5%至85%、2%至73%和1%至72%；在注射吸毒者中分别为54%至96%、14%至80%和8%至68%；在女性性工作者中分别为27%至63%、8%至16%和2%至14%。有两个国家使用全国队列数据，质量较高。公共领域的关键人群护理连续体有限。在现有的少数护理连续体中，没有一个实现了90-90-90目标。为实现90-90-90目标，有必要加强对关键人群护理连续体的监测和评估。
