Clinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Pan Afr Med J. 2021 Oct 29;40:124. doi: 10.11604/pamj.2021.40.124.31068. eCollection 2021.
the Treat-All remains the globally endorsed approach to attain the 95-95-95 targets and end the AIDS pandemic by 2030, but requires some country-level contextualization. In Cameroon, the specific research agenda to inform strategies for improving HIV policy was yet to be defined.
under the patronage of the Cameroon Ministry of health, researchers, policy makers, implementing partners, and clinicians from 13 institutions, used the Delphi method to arrive at a consensus of HIV research priorities. The process had five steps: 1) independent literature scan by 5 working groups; 2) review of the initial priority list; 3) appraisal of priorities list in a larger group; 4) refinement and consolidation by a consensus group; 5) rating of top research priorities.
five research priorities and corresponding research approaches, resulted from the process. These include: 1) effectiveness, safety and active toxicity monitoring of new and old antiretrovirals; 2) outcomes of Antiretroviral Therapy (ART) with focus in children and adolescents; 3) impact of HIV and ART on aging and major chronic diseases; 4) ART dispensation models and impact on adherence and retention; 5) evaluations of HIV treatment and prevention programs.
the research priorities resulted from a consensus amongst a multidisciplinary team and were based on current data about the pandemic and science to prevent, treat, and ultimately cure HIV. These priorities highlighted critical areas of investigation with potential relevance for the country, funders, and regulatory bodies.
全面治疗仍然是全球认可的方法,旨在实现 95-95-95 目标,到 2030 年终结艾滋病流行,但需要在国家层面进行一些调整。在喀麦隆,为改进艾滋病毒政策提供信息的具体研究议程尚未确定。
在喀麦隆卫生部的赞助下,来自 13 个机构的研究人员、政策制定者、实施伙伴和临床医生使用德尔菲法达成了艾滋病毒研究重点的共识。该过程分为五个步骤:1)5 个工作组进行独立文献扫描;2)审查初始优先事项清单;3)在更大的群体中评估优先事项清单;4)由共识小组进行改进和整合;5)对研究重点进行评级。
该过程产生了五项研究重点和相应的研究方法,包括:1)新老抗逆转录病毒药物的有效性、安全性和主动毒性监测;2)抗逆转录病毒疗法(ART)的结果,重点关注儿童和青少年;3)艾滋病毒和 ART 对衰老和主要慢性疾病的影响;4)ART 配给模式及其对依从性和保留率的影响;5)艾滋病毒治疗和预防方案的评估。
这些研究重点是由多学科团队达成的共识,并基于当前关于大流行和科学的相关数据,旨在预防、治疗和最终治愈艾滋病毒。这些重点突出了具有国家、资助者和监管机构相关性的重要研究领域。