了解疾控中心支持的卫生机构中基于性别的暴力服务提供情况：2017-2021 年，15 个撒哈拉以南非洲国家。

Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017-2021.

机构信息

Division of Global HIV and TB, Center for Global Health (CGH), U.S. Centers for Disease Control and Prevention (CDC), Atlanta Georgia.

Hubert Department of Global Health, Emory University, Atlanta, Georgia.

出版信息

AIDS Educ Prev. 2023 Jul;35:39-51. doi: 10.1521/aeap.2023.35.suppA.39.

DOI:10.1521/aeap.2023.35.suppA.39

PMID:37406144

Abstract

Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15-19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.

摘要

基于性别的暴力（GBV）是一个深层次根植于社会结构的复杂问题，因此很难消除。GBV 会增加 HIV 传播的风险，是 HIV 检测、护理和治疗的障碍。针对 GBV 的优质临床服务（包括提供 HIV 暴露后预防 (PEP)）存在差异，并且缺乏服务提供数据。我们通过对美国总统艾滋病紧急救援计划（PEPFAR）通过美国疾病控制与预防中心提供的 15 个国家的基于性别的暴力临床服务提供情况进行描述性统计分析，发现接受 GBV 临床服务的人数增加了 252%，从 2017 年的 158691 人增加到 2021 年的 558251 人。15-19 岁人群中 PEP 完成率最低（15%）。了解 GBV 服务提供情况对于政策制定者、项目管理人员和服务提供者来说非常重要，这有助于指导干预措施，以提高服务提供的质量，并为 HIV 疫情控制做出贡献。