Rice Brian, Boulle Andrew, Baral Stefan, Egger Matthias, Mee Paul, Fearon Elizabeth, Reniers Georges, Todd Jim, Schwarcz Sandra, Weir Sharon, Rutherford George, Hargreaves James
Social and Environmental Health Research, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Centre for Infectious Disease Epidemiology and Research, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
JMIR Public Health Surveill. 2018 Apr 3;4(2):e36. doi: 10.2196/publichealth.9344.
The global HIV response has entered a new phase with the recommendation of treating all persons living with HIV with antiretroviral therapy, and with the goals of reducing new infections and AIDS-related deaths to fewer than 500,000 by 2020. This new phase has intensive data requirements that will need to utilize routine data collected through service delivery platforms to monitor progress toward these goals. With a focus on sub-Saharan African, we present the following priorities to improve the demand, supply, and use of routine HIV data: (1) strengthening patient-level HIV data systems that support continuity of clinical care and document sentinel events; (2) leveraging data from HIV testing programs; (3) using targeting data collection in communities and among clients; and (4) building capacity and promoting a culture of HIV data quality assessment and use. When fully leveraged, routine data can efficiently provide timely information at a local level to inform action, as well as provide information at scale with wide geographic coverage to strengthen estimation efforts.
全球应对艾滋病病毒行动已进入新阶段，建议对所有艾滋病病毒感染者进行抗逆转录病毒治疗，并设定到2020年将新增感染病例和与艾滋病相关的死亡人数减少至50万以下的目标。这一新阶段对数据有密集需求，需要利用通过服务提供平台收集的常规数据来监测在实现这些目标方面取得的进展。以撒哈拉以南非洲为重点，我们提出以下优先事项，以改善常规艾滋病病毒数据的需求、供应和使用：（1）加强支持临床护理连续性并记录哨点事件的患者层面艾滋病病毒数据系统；（2）利用艾滋病病毒检测项目的数据；（3）在社区和客户中采用有针对性的数据收集；（4）建设能力并促进艾滋病病毒数据质量评估和使用的文化。如果得到充分利用，常规数据可以在地方层面高效地提供及时信息以指导行动，同时在广泛地理覆盖范围内大规模提供信息以加强评估工作。
