Luo Chewe, Hirnschall Gottfried, Rodrigues Jessica, Romano Sostena, Essajee Shaffiq, Rogers Braeden, McCarthy Elizabeth, Mwango Albert, Sangrujee Nalinee, Adler Michelle R, Houston James C, Langa Judite O, Urso Marilena, Bolu Omotayo, Tene Gilbert, Elat Nfetam Jean B, Kembou Etienne, Phelps Benjamin R
*UNICEF, New York, NY; †World Health Organization, Geneva, Switzerland; ‡Clinton Health Access Initiative, Applied Analytics Team, Lusaka, Zambia; §Ministry of Health, Lusaka, Zambia; ∥Centres for Disease Control and Prevention, Atlanta, GA; ¶Centres for Disease Control and Prevention, Kampala, Uganda; #Centres for Disease Control and Prevention, Maputo, Mozambique; **Centres for Disease Control and Prevention, Yaounde, Cameroon; ††National AIDS Control Committee, Yaounde, Cameroon; ‡‡World Health Organization, Yaounde, Cameroon; and §§United States Agency for International Development, Washington DC.
J Acquir Immune Defic Syndr. 2017 May 1;75 Suppl 1:S7-S16. doi: 10.1097/QAI.0000000000001332.
While the Interagency Task Team on the Prevention and Treatment of HIV Infection in Pregnant Women, Mothers, and Children (IATT) partnership existed before the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive (Global Plan), its reconfiguration was critical to coordinating provision of technical assistance that positively influenced country decision-making and program performance. This article describes how the Global Plan anchored the work of the IATT and, in turn, how the IATT's technical assistance helped to accelerate achievement of the Global Plan targets and milestones. The technical assistance that will be discussed addressed a broad range of priority actions and milestones described in the Global Plan: (1) planning for and implementing Option B+; (2) strengthening monitoring and evaluation systems; (3) translating evidence into action and advocacy; and (4) promoting community engagement. This article also reviews the ongoing challenges and opportunities of providing technical assistance in a rapidly evolving environment that calls for ever more flexible and contextualized responses. The effectiveness of technical assistance facilitated by the IATT was defined by its timeliness, evidence base, and unique global perspective that built on the competencies of its partners and promoted synergies across program areas. Reaching the final goal of eliminating vertical transmission of HIV infection and achieving an AIDS-free generation in countries with the highest HIV burden requires that the IATT partnership and technical assistance remain responsive to country-specific needs while aligning with the current programmatic reality and new global goals such as the Sustainable Development Goals and 90-90-90 targets.
虽然孕妇、母亲和儿童艾滋病毒感染预防与治疗跨部门特别工作组（IATT）伙伴关系在《2015年全球消除儿童新发艾滋病毒感染并确保其母亲存活全球计划》（《全球计划》）之前就已存在，但其重新配置对于协调提供技术援助至关重要，这种援助对国家决策和项目绩效产生了积极影响。本文描述了《全球计划》如何为IATT的工作提供支撑，以及IATT的技术援助如何反过来帮助加速实现《全球计划》的目标和里程碑。将要讨论的技术援助涉及《全球计划》中描述的一系列广泛的优先行动和里程碑：（1）规划和实施B+方案；（2）加强监测和评价系统；（3）将证据转化为行动和宣传；（4）促进社区参与。本文还审视了在快速变化的环境中提供技术援助时持续存在的挑战和机遇，这种环境需要更加灵活和因地制宜的应对措施。IATT推动的技术援助的有效性体现在其及时性、证据基础以及独特的全球视角上，该视角建立在其合作伙伴的能力之上，并促进了各项目领域之间的协同增效。要在艾滋病毒负担最重的国家实现消除艾滋病毒感染垂直传播并实现无艾滋病一代的最终目标，IATT伙伴关系和技术援助需要在适应各国具体需求的同时，与当前的项目实际情况以及可持续发展目标和90-90-90目标等新的全球目标保持一致。
