莫桑比克的注射吸毒青年：我们是否应该在国家减少伤害计划中强调他们？
Young people who inject drugs in Mozambique: should we emphasize them in the National Harm Reduction Plan?
机构信息
Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique.
Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
出版信息
Harm Reduct J. 2020 Mar 26;17(1):20. doi: 10.1186/s12954-020-00363-6.
Abstract
Mozambique has one of the highest burdens of HIV globally, and people who inject drugs (PWID) have one of the highest HIV infection rates in Africa. After the implementation of the first Biological Behavioral Surveillance (BBS) Survey among PWID in Mozambique, the Ministry of Health started the development of a National Harm Reduction Plan. Although the findings from the BBS survey highlighted the specific needs of young PWID, the proposed Harm Reduction Plan does not explicitly focus on reducing high-risk behaviors of young PWID. We outline the importance of the inclusion of age-specific interventions focused on the needs of young PWID in Mozambique, and how a comprehensive Harm Reduction Plan can reduce the HIV epidemic in this population. There is a unique opportunity to advocate for the Harm Reduction Plan to include "youth-friendly" cost-effective and evidence-based interventions that are targeted to this important sub-group within an already vulnerable population.
摘要
莫桑比克是全球艾滋病毒负担最重的国家之一，注射毒品者（PWID）是非洲艾滋病毒感染率最高的人群之一。在莫桑比克首次对 PWID 进行生物行为监测（BBS）调查后，卫生部开始制定国家减少伤害计划。尽管 BBS 调查的结果强调了年轻 PWID 的具体需求，但拟议的减少伤害计划并没有明确侧重于减少年轻 PWID 的高风险行为。我们概述了在莫桑比克将针对年轻 PWID 需求的特定年龄干预措施纳入其中的重要性，以及全面的减少伤害计划如何可以减少该人群中的艾滋病毒流行。现在有一个独特的机会倡导减少伤害计划纳入“对青年友好”、具有成本效益和基于证据的干预措施，这些措施针对已经处于弱势地位的这一重要亚群。
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