OptTEST Consultant, Cardiff, UK.
GNP+, Amsterdam, Netherlands.
HIV Med. 2018 Feb;19 Suppl 1:58-62. doi: 10.1111/hiv.12591.
The aim of this work within OptTEST by HiE has been to demonstrate the role of legal and regulatory barriers in hindering access to HIV testing, treatment and care across Europe and to produce tools to help dismantle them.
An online survey to assess country-specific data on legal and regulatory barriers distributed widely across the WHO Europe region. Literature reviews conducted in January-October 2015 in English, in November 2015 in Russian, and updated in April 2017. Semi-structured interviews were conducted with 25 key actors within the HIV field to feed into case studies and tip sheets on how to dismantle legal and regulatory barriers.
More than 160 individuals and organisations from 49 countries across the WHO European region provided responses which were analysed and cross checked with other data sources and a searchable database produced (legalbarriers.peoplewithhiveurope.org). The conducted literature reviews yielded 88 papers and reports which identify legal and regulatory barriers to key populations' access to HV testing and care. Based on the interviews with key actors, ranging from PLHIV activists to government officials, on lessons-learned, a series of tip sheets and ten case studies were written-up intended to inform and inspire the HIV community to address and overcome existing barriers (opttest.eu/Tools).
While some of the barriers identified may require major changes to wider health systems, or long term legal reform, many are open to a simple change in regulations or custom and practice. We have the tools. Why can't we finish the job?
这项在 OptTEST 由 HiE 进行的工作旨在展示法律和监管障碍在阻碍欧洲各地获得艾滋病毒检测、治疗和护理方面的作用，并提供工具来帮助消除这些障碍。
一项针对特定国家法律和监管障碍数据的在线调查在世界卫生组织欧洲区域内广泛分发。2015 年 1 月至 10 月以英文进行文献综述，2015 年 11 月以俄文进行，2017 年 4 月更新。与艾滋病毒领域的 25 名关键行为者进行半结构化访谈，以充实案例研究和关于如何消除法律和监管障碍的技巧单。
来自世界卫生组织欧洲区域 49 个国家的 160 多名个人和组织提供了回复，对这些回复进行了分析，并与其他数据源进行了交叉核对，制作了一个可搜索的数据库（legalbarriers.peoplewithhiveurope.org）。进行的文献综述产生了 88 篇论文和报告，这些论文和报告确定了关键人群获得艾滋病毒检测和护理的法律和监管障碍。根据对从艾滋病毒感染者活动家到政府官员等关键行为者的访谈，总结了经验教训，编写了一系列技巧单和十个案例研究，旨在为艾滋病毒社区提供信息和启发，以解决和克服现有的障碍（opttest.eu/Tools）。
虽然确定的一些障碍可能需要对更广泛的卫生系统进行重大改变，或进行长期的法律改革，但许多障碍都可以通过简单地改变法规或习惯和做法来解决。我们有工具。为什么我们不能完成这项工作？
