PEPFAR 在非洲 COVID-19 应对中保护和利用艾滋病毒服务的作用。
PEPFAR's Role in Protecting and Leveraging HIV Services in the COVID-19 Response in Africa.
机构信息
Division of Prevention Care and Treatment, Office of HIV/AIDS Bureau of Global Health United States Agency for International Development, 500 D Street SW, Washington, DC, 20547, USA.
Office of the Global AIDS Coordinator, Department of State, HIV Care and Treatment, PEPFAR, 1800 G St. Ste 10300, DC, 20003, Washington, USA.
出版信息
Curr HIV/AIDS Rep. 2022 Feb;19(1):26-36. doi: 10.1007/s11904-021-00587-6. Epub 2022 Jan 4.
PURPOSE OF REVIEW
We describe the impact of COVID-19 on PEPFAR programs in Africa and how PEPFAR adapted and leveraged its interventions to the changing landscape of the COVID-19 pandemic.
RECENT FINDINGS
To mitigate the potential impact of COVID-19 on the HIV response and protect the gains, continuity of treatment was the guiding principle regarding the provision of services in PEPFAR-supported countries. As the COVID-19 pandemic matured, PEPFAR's approach evolved from a strictly "protect and salvage" approach to a "restore and accelerate" approach that embraced innovative adaptations in service and "person-centered" care. The impact of service delivery interruptions caused by COVID-19 on progress towards HIV epidemic control in PEPFAR-supported African countries remains undetermined. With COVID vaccine coverage many months away and more transmissible variants being reported, Africa may experience more pandemic surges. HIV programs will depend on nimble and innovative adaptations in prevention and treatment services in order to advance epidemic control objectives.
目的综述
本文描述了 COVID-19 对非洲 PEPFAR 项目的影响，以及 PEPFAR 如何调整和利用其干预措施以适应 COVID-19 大流行不断变化的局面。
最近的发现
为了减轻 COVID-19 对 HIV 应对措施的潜在影响并保护已取得的成果，在 PEPFAR 支持的国家中提供服务时，治疗的连续性是指导原则。随着 COVID-19 大流行的成熟，PEPFAR 的方法从严格的“保护和挽救”方法演变为“恢复和加速”方法，该方法采用了服务和“以人为本”护理方面的创新调整。COVID-19 导致的服务提供中断对 PEPFAR 支持的非洲国家实现 HIV 流行控制目标的影响仍不确定。由于 COVID 疫苗接种需要数月时间，而且报告的传染性更强的变异株越来越多，非洲可能会经历更多的疫情激增。HIV 规划将取决于预防和治疗服务方面的灵活和创新调整，以推进流行控制目标。
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