满足最后一英里消除艾滋病毒母婴传播的脆弱人群需求：（重新）争取艾滋病毒应对措施以保护女性性工作者及其子女。
Addressing Vulnerable Population Needs in the Last Mile to the elimination of mother to child transmission of HIV: (Re)Claiming the HIV Response for Female Sex Workers and Their Children.
机构信息
US Centers for Disease Control and Prevention, Division of Global HIV and TB, 1600 Clifton Rd, NE, US2-1, Atlanta, GA, 30329, USA.
出版信息
BMC Public Health. 2020 Jun 26;20(1):1015. doi: 10.1186/s12889-020-09114-5.
Abstract
As countries strive to eliminate mother-to-child transmission of HIV, female sex workers (FSW) and their children still face barriers to accessing these essential services. Data on FSW uptake of HIV and reproductive health services before, during, and after pregnancy reveal inadequate service utilization. Stigma encountered by FSW in healthcare settings may contribute to low uptake of HIV testing, antiretroviral therapy (ART), and other prevention of mother-to-child HIV transmission (PMTCT) services. Coordination between community-based FSW and facility-based PMTCT programs can facilitate successful linkage of pregnant FSW to antenatal services to support PMTCT efforts. We offer a way forward to reach 90-90-90 targets for FSW and their families and eliminate mother-to-child transmission of HIV.
摘要
随着各国努力消除艾滋病毒母婴传播，性工作者及其子女在获得这些基本服务方面仍然面临障碍。在妊娠前、妊娠中和妊娠后，性工作者获得艾滋病毒和生殖健康服务的数据显示，服务利用率不足。性工作者在医疗保健环境中遇到的污名将导致艾滋病毒检测、抗逆转录病毒疗法 (ART) 和其他预防母婴传播艾滋病毒 (PMTCT) 服务的接受率较低。以社区为基础的性工作者与以机构为基础的 PMTCT 方案之间的协调，可以促进将怀孕的性工作者成功联系到产前服务，以支持 PMTCT 工作。我们提供了一种前进的方式，以实现性工作者及其家庭的 90-90-90 目标，并消除艾滋病毒母婴传播。
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PLoS One. 2018 Sep 19;13(9):e0201352. doi: 10.1371/journal.pone.0201352. eCollection 2018.
2
Gaps and opportunities: measuring the key population cascade through surveys and services to guide the HIV response.差距与机遇：通过调查和服务衡量关键人群级联，以指导艾滋病应对工作。
J Int AIDS Soc. 2018 Jul;21 Suppl 5(Suppl Suppl 5):e25119. doi: 10.1002/jia2.25119.
3
Facilitators and barriers to uptake and adherence to lifelong antiretroviral therapy among HIV infected pregnant women in Uganda: a qualitative study.乌干达感染艾滋病毒的孕妇接受并坚持终身抗逆转录病毒治疗的促进因素和障碍：一项定性研究
BMC Pregnancy Childbirth. 2017 Mar 21;17(1):94. doi: 10.1186/s12884-017-1276-x.
4
Overlapping HIV and sex-work stigma among female sex workers recruited to 14 respondent-driven sampling surveys across Zimbabwe, 2013.2013年，在津巴布韦各地招募参与14次应答者驱动抽样调查的女性性工作者中，艾滋病毒污名与性工作污名相互交织。
AIDS Care. 2017 Jun;29(6):675-685. doi: 10.1080/09540121.2016.1268673. Epub 2016 Dec 21.
5
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