Research Support Centre, P.O. Box A178, Avondale, University of Zimbabwe, Harare, Zimbabwe.
Int Health. 2017 Mar 1;9(2):77-79. doi: 10.1093/inthealth/ihw058.
Depression is a global public health problem affecting more than 300 million people. People living with HIV (PLWH) are twice as likely to suffer from depression when compared to matched non-HIV infected persons. Untreated, depression may hasten HIV disease progression. A large treatment gap for depression, particularly in low and middle income countries exists. There is, however, emerging evidence suggesting that trained lay health workers (LHW) can deliver evidence-based treatments in the absence of mental health professionals. Evidence-based treatments delivered by LHW can contribute towards reducing the treatment gap for depression and achieving the 90-90-90 objectives.
抑郁症是一个全球性的公共卫生问题,影响着超过 3 亿人。与未感染 HIV 的人相比,HIV 感染者患抑郁症的可能性要高出两倍。未经治疗,抑郁症可能会加速 HIV 疾病的进展。抑郁症存在着巨大的治疗缺口,尤其是在中低收入国家。然而,有新的证据表明,经过培训的非专业卫生工作者(LHW)可以在没有心理健康专业人员的情况下提供基于证据的治疗。由 LHW 提供的基于证据的治疗可以有助于减少抑郁症的治疗缺口,并实现 90-90-90 目标。