Al-Rahamneh Moad J, Khader Yousef, Aqel Ashraf Jamil, Abaza Hiba, Satyanarayana Srinath, Al-Shaikh Ala'a Fuad, Mukattash Heyam Hilal, Shoubaki Areej Hamed, Aldamen Tareq Haytham
Global Health Development, Eastern Mediterranean Public Health Network, Amman, Jordan.
Faculty of Medicine, Department of Community Medicine, Public Health, and Family Medicine, Jordan University of Science and Technology, Irbid, Jordan.
SAGE Open Med. 2024 Jul 30;12:20503121241263694. doi: 10.1177/20503121241263694. eCollection 2024.
The National AIDS Program in Jordan has faced numerous challenges, including insufficient funding, limited resources, and complexities brought on by refugee influxes. The absence of a reliable HIV/AIDS surveillance system further complicates tracking and responding to the epidemic. This study aimed to evaluate the performance and functionality of the National AIDS Program and the HIV/AIDS surveillance system.
A qualitative study was conducted to evaluate the National AIDS Program and the HIV/AIDS Surveillance System in Jordan. The study involved 14 key informants specialized in HIV/AIDS Surveillance Systems. Interviews were guided by an interview guide based on the Updated Centers for Disease Control and Prevention Guidelines for Evaluating Public Health Surveillance Systems. Data analysis was performed through directed content analysis.
The Voluntary Counseling and Testing Center in Jordan confronts multiple challenges, including poor infrastructure, limited accessibility, and inadequate facilities. Additionally, there is a lack of effective coordination between the Voluntary Counseling and Testing center and the Chest Diseases and Migrant Health Directorate, particularly regarding testing for Tuberculosis. HIV screening in Jordan is hindered by various factors, including disease sensitivity. Voluntary Counseling and Testing lacks HIV/AIDS specialists AND staff adequate training and fails to adhere to updated treatment guidelines. Persistent deficiencies in human resources, equipment, and training continue to plague the HIV/AIDS Surveillance System. Key informants expressed dissatisfaction with the data's usefulness, citing concerns over poor data quality. The data were seldom used for prioritizing resources, identifying at-risk individuals, assessing HIV/AIDS risk factors, or evaluating prevention and control measures.
The National AIDS Program and HIV/AIDS Surveillance System activities in Jordan are unstructured, poorly coordinated, and inefficient. Many gaps related to National AIDS Program and HIV/AIDS Surveillance System performance and data were identified. Recommendations include developing an electronic surveillance system for data collection, notification, and reporting, and building the capacities of HIV/AIDS healthcare providers in screening, diagnosis, and management.
约旦的国家艾滋病项目面临诸多挑战，包括资金不足、资源有限以及难民涌入带来的复杂性。缺乏可靠的艾滋病毒/艾滋病监测系统使疫情的追踪和应对工作更加复杂。本研究旨在评估国家艾滋病项目和艾滋病毒/艾滋病监测系统的绩效与功能。
开展了一项定性研究，以评估约旦的国家艾滋病项目和艾滋病毒/艾滋病监测系统。该研究涉及14名专门从事艾滋病毒/艾滋病监测系统工作的关键信息提供者。访谈以基于美国疾病控制与预防中心最新版《公共卫生监测系统评估指南》的访谈提纲为指导。通过定向内容分析法进行数据分析。
约旦的自愿咨询检测中心面临多重挑战，包括基础设施差、可及性有限和设施不足。此外，自愿咨询检测中心与胸科疾病和移民健康局之间缺乏有效的协调，尤其是在结核病检测方面。约旦的艾滋病毒筛查受到多种因素的阻碍，包括疾病敏感性。自愿咨询检测缺乏艾滋病毒/艾滋病专家，工作人员培训不足，且未遵循最新的治疗指南。人力资源、设备和培训方面的持续不足继续困扰着艾滋病毒/艾滋病监测系统。关键信息提供者对数据的有用性表示不满，称担心数据质量差。这些数据很少用于资源优先排序、识别高危个体、评估艾滋病毒/艾滋病风险因素或评估预防和控制措施。
约旦的国家艾滋病项目和艾滋病毒/艾滋病监测系统活动缺乏条理、协调不善且效率低下。发现了许多与国家艾滋病项目和艾滋病毒/艾滋病监测系统绩效及数据相关的差距。建议包括开发用于数据收集、通报和报告的电子监测系统，以及增强艾滋病毒/艾滋病医疗服务提供者在筛查、诊断和管理方面的能力。
