Department of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland.
Department of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerland; Global HIV, Hepatitis, and STIs Programmes, WHO, Geneva, Switzerland.
Lancet Glob Health. 2024 Sep;12(9):e1544-e1551. doi: 10.1016/S2214-109X(24)00266-3. Epub 2024 Jul 20.
Sexually transmitted infections (STIs) are widespread worldwide and negatively affect sexual and reproductive health. Gaps in evidence and in available tools have long hindered STI programmes and policies, particularly in resource-limited settings. In 2022, WHO initiated a research prioritisation process to identify the most important STI research areas to address the global public health need. Using an adapted Child Health and Nutrition Research Initiative methodology including two global stakeholder surveys, the process identified 40 priority STI research needs. The top priorities centred on developing and implementing affordable, feasible, rapid point-of-care STI diagnostic tests and new treatments, especially for gonorrhoea, chlamydia, and syphilis; designing new multipurpose prevention technologies and vaccines for STIs; and collecting improved STI epidemiologic data on both infection and disease outcomes. The priorities also included innovative programmatic approaches, such as new STI communication and partner management strategies. An additional six research areas related to mpox (formerly known as monkeypox) reflect the need for STI-related research during disease outbreaks where sexual transmission can have a key role. These STI research priorities provide a call to action for focus, investment, and innovation to address existing roadblocks in STI prevention, control, and management to advance sexual and reproductive health and wellbeing for all.
性传播感染(STIs)在全球广泛存在,对性健康和生殖健康产生负面影响。长期以来,证据和现有工具方面的差距一直阻碍着 STI 规划和政策的制定,尤其是在资源有限的环境下。2022 年,世卫组织启动了一项研究重点确定进程,旨在确定解决全球公共卫生需求的最重要的 STI 研究领域。该进程采用经改进的儿童健康和营养研究倡议方法,包括两次全球利益攸关方调查,确定了 40 项优先 STI 研究需求。首要重点是开发和实施负担得起、可行和快速的即时护理 STI 诊断检测和新疗法,特别是针对淋病、衣原体和梅毒;设计新的多用途预防技术和 STI 疫苗;以及收集关于感染和疾病结果的改进的 STI 流行病学数据。这些优先事项还包括创新性的规划方法,例如新的 STI 沟通和伙伴管理策略。另外六个与猴痘(以前称为猴痘)相关的研究领域反映了在性传播可能发挥关键作用的疾病爆发期间开展 STI 相关研究的必要性。这些 STI 研究重点呼吁人们关注、投资和创新,以消除 STI 预防、控制和管理方面的现有障碍,促进所有人的性健康和生殖健康。