U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Henry M. Jackson Foundation, Bethesda, MD, USA.
Int J Health Policy Manag. 2017 Dec 1;6(12):729-732. doi: 10.15171/ijhpm.2017.53.
In this commentary, we elaborate on the main points that Karamouzian and colleagues have made about HIVdata scarcity in Middle Eastern and North African (MENA) countries. Without accessible and reliable data, no epidemic can be managed effectively or efficiently. Clearly, increased investments are needed to bolster capabilities to capture and interpret HIV surveillance data. We believe that this enhanced capacity can be achieved, in part, by leveraging and repurposing existing data platforms, technologies and patient cohorts. An immediate modest investment that capitalizes on available infrastructure can generate data on the HIV burden and spread that can be persuasive for MENA policy-makers to intensify efforts to track and contain the growing HIV epidemic in this region. A focus on key populations will yield the most valuable data, including among men who have sex with men (MSM), transgender women and men, persons who inject drugs (PWIDs), female partners of high risk men and female sex workers.
在这篇评论中,我们详细阐述了 Karamouzian 及其同事提出的关于中东和北非(MENA)国家 HIV 数据匮乏的主要观点。如果没有可获取和可靠的数据,就无法有效或高效地管理任何疫情。显然,需要增加投资来增强获取和解释 HIV 监测数据的能力。我们相信,通过利用和重新利用现有的数据平台、技术和患者队列,可以在一定程度上实现这一增强的能力。立即进行适度投资,利用现有基础设施,可以生成关于 HIV 负担和传播的数据,这些数据可以说服 MENA 的政策制定者加大力度追踪和遏制该地区日益严重的 HIV 流行。关注重点人群将产生最有价值的数据,包括男男性行为者(MSM)、跨性别女性和男性、注射毒品者、高危男性的女性伴侣和性工作者。