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东非和南非的儿童和年轻女性是实现 2030 年艾滋病毒目标的关键:是时候加快行动了。

Children and young women in eastern and southern Africa are key to meeting 2030 HIV targets: time to accelerate action.

机构信息

Health Economics and HIV and AIDS Research Division, School of Accounting, Economics and Finance, University of KwaZulu-Natal, South Africa.

Health Economics and HIV and AIDS Research Division, School of Accounting, Economics and Finance, University of KwaZulu-Natal, South Africa.

出版信息

Lancet HIV. 2023 May;10(5):e343-e350. doi: 10.1016/S2352-3018(23)00012-7.

Abstract

New HIV infections and AIDS-related deaths among children and adolescent girls and young women (aged 15-24 years) in eastern and southern Africa continue to occur at unacceptably high rates. The COVID-19 pandemic has also severely undermined ongoing initiatives for HIV prevention and treatment, threatening to set the region back further in its efforts to end AIDS by 2030. Major impediments exist to attaining the UNAIDS 2025 targets among children, adolescent girls, young women, young mothers living with HIV, and young female sex workers residing in eastern and southern Africa. Each population has specific but overlapping needs with regard to diagnosis and linkage to and retention in care. Urgent action is needed to intensify and improve programmes for HIV prevention and treatment, including sexual and reproductive health services for adolescent girls and young women, HIV-positive young mothers, and young female sex workers.

摘要

在东非和南非,儿童和少女及年轻妇女(15-24 岁)中的新感染艾滋病毒人数和艾滋病相关死亡人数仍居高不下,令人无法接受。新冠疫情也严重破坏了艾滋病毒预防和治疗方面的现行举措,有可能使该地区在 2030 年实现艾滋病终结目标方面进一步倒退。在实现儿童、少女及年轻妇女、感染艾滋病毒的年轻母亲和居住在东非和南非的年轻女性性工作者等人达到 2025 年艾滋病署目标方面,存在着重大障碍。每个群体在诊断以及与艾滋病毒护理服务的衔接和留用方面都有具体但重叠的需求。需要采取紧急行动,加强和改善艾滋病毒预防和治疗方案,包括为少女及年轻妇女、艾滋病毒阳性年轻母亲和年轻女性性工作者提供性健康和生殖健康服务。

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