在亚太地区加速终结艾滋病:关键人群主导和民间社会组织的国内资金投入。

Fast-tracking the end of HIV in the Asia Pacific region: domestic funding of key population-led and civil society organisations.

机构信息

Independent researcher, Bangkok, Thailand.

UNAIDS Cambodia, Phnom Penh, Cambodia.

出版信息

Lancet HIV. 2020 May;7(5):e366-e372. doi: 10.1016/S2352-3018(20)30077-1.

Abstract

Ending AIDS in Asia Pacific by 2030 requires countries to give higher priority to financing community-based and key population-led service delivery. Mechanisms must be developed for civil society organisations to deliver health and HIV/AIDS services for key populations, especially men who have sex with men, and transgender people, within national health policy frameworks. Current investments in the HIV response in the Asia Pacific region reflect inadequate HIV financing for key populations, particularly for civil society and key population-led organisations that are optimally positioned to advance HIV epidemic control. These organisations are typically supported by international agencies whose investments are starting to decline. Domestic investments in key population-led organisations are often hampered by punitive laws against their communities, pervasive stigma and discrimination by policy makers, an insufficient understanding of the most effective HIV epidemic control strategies, and financing systems that limit access to funding for these organisations from the national budget. Countries in the Asia Pacific region are evolving their community-based and key population policies and programmes. We need accessible, disaggregated financial data and in-depth case studies that showcase effective key population-led programmes, to enable countries to learn from each other.

摘要

要在 2030 年之前在亚太地区终结艾滋病,就需要各国更加重视为以社区为基础和以关键人群为主导的服务提供资金。必须建立机制,让民间社会组织在国家卫生政策框架内,为关键人群提供卫生和艾滋病毒/艾滋病服务,特别是男男性行为者和跨性别者。目前亚太地区艾滋病毒应对措施的投资反映出对关键人群的艾滋病毒供资不足,特别是对民间社会和以关键人群为主导的组织的供资不足,而这些组织是推进艾滋病毒流行控制的最佳选择。这些组织通常得到国际机构的支持,而国际机构的投资开始减少。对以关键人群为主导的组织的国内投资往往受到针对其所在社区的惩罚性法律、政策制定者的普遍污名化和歧视、对最有效的艾滋病毒流行控制战略的理解不足以及融资系统的限制,这些系统限制了这些组织从国家预算中获得资金的机会。亚太地区各国正在调整其以社区为基础和以关键人群为主导的政策和方案。我们需要可获取的、分类的财务数据和深入的案例研究,展示有效的以关键人群为主导的方案,使各国能够相互学习。

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