Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, Kazakhstan.
Kazakh Scientific Center of Dermatology and Infectious Diseases, Almaty, Kazakhstan.
AIDS Res Ther. 2019 Nov 19;16(1):35. doi: 10.1186/s12981-019-0251-1.
Against the current global trends, in the former Soviet Union (FSU) countries HIV prevalence is on the rise. Visa-free movement across borders has facilitated migrant-associated HIV transmission within this region. Despite efforts from the governments to curtail the growing epidemic, there is still a serious need for the development of strategies that focus on high-risk behaviors and practices responsible for the continued transmission of HIV in this region. While governments of FSU countries have taken commendable steps in recent years to address hurdles at each step of the HIV care continuum, to ensure 100% antiretroviral treatment (ART) accessibility to people living with HIV (PLHIV), testing for HIV needs to be enforced widely in FSU countries. Stigma against people who inject drugs (PWID), men who have sex with men (MSM), migrants, and PLHIV need to be addressed. Finally, to avoid breaks in ART supply, FSU countries need to gain independence in funding HIV care so that the provision of ART to PLHIV is made available without interruption.
与当前全球趋势背道而驰的是,在前苏联国家(FSU),艾滋病毒的流行率呈上升趋势。免签证的跨境流动促进了该地区与移民相关的艾滋病毒传播。尽管各国政府努力遏制这一不断蔓延的疫情,但仍迫切需要制定专注于高风险行为和做法的战略,以阻止该地区艾滋病毒的持续传播。尽管 FSU 国家的政府近年来在解决艾滋病毒护理连续体每一步骤中的障碍方面采取了值得称赞的步骤,以确保艾滋病毒感染者(PLHIV)能够获得 100%的抗逆转录病毒治疗(ART),但仍需要在 FSU 国家广泛实施艾滋病毒检测。需要解决针对注射吸毒者(PWID)、男男性接触者(MSM)、移民和 PLHIV 的污名化问题。最后,为避免 ART 供应中断,FSU 国家需要在 HIV 护理方面实现资金自给自足,以便不间断地向 PLHIV 提供 ART。