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将残疾问题纳入国家艾滋病毒/艾滋病战略计划:对西非国家国家应对措施的审查

Disability Inclusion in the National Strategic Plan for HIV/AIDS: A Review on the National Response of West African Countries.

作者信息

Olufadewa Isaac, Adesina Miracle, Damilola Ibrahim Abdulmumin, Olalekan Babatunde Yusuf, Joshua Adedeji Oluwakorede, Oladele Ruth, Nnatus Joshua

机构信息

Slum and Rural Health Initiative, Nigeria.

College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

Int J Sex Health. 2024 May 9;36(3):415-424. doi: 10.1080/19317611.2024.2349615. eCollection 2024.

Abstract

OBJECTIVES

Persons with disabilities (PWD) often experience risks associated with HIV/AIDS including unmet needs and overlooked stigmatization. This could be attributed to certain misconceptions such as PWDs are asexual, and cannot enjoy sexual pleasure, among others. Therefore, this paper sought to investigate the extent of disability inclusion in recent National Strategic Plans (NSPs) for HIV/AIDS in West African countries.

METHODS

This study was a policy review of NSPs in 13 African countries. Relevant indicators in the UN Convention on the Rights of Persons with Disabilities and the UNAIDS International Guidelines on HIV and Human Rights were used. Six indicators (identification of people living with disability (PLWD) as a key population, the inclusion of principles related to PWD within the NSPs on HIV/AIDS, protecting the rights of PWD, recognition of PWD as a vulnerable population at higher risk of HIV and in need of special protection, providing HIV-related support services for PWD and monitoring and evaluating the impact of HIV on PWD).

RESULTS

Findings from this study revealed that only 30% of West African countries recognized disability as an issue of concern. Also, 38.5% of these countries recognize the vulnerability of people with disabilities to HIV. However, only a few (7.6%) provided support in the context of special needs, monitoring, and surveillance specifically for persons with disabilities.

CONCLUSION

Most of the West African NSPs are outdated and due for renewal. Therefore, it is necessary to integrate the needs of persons with disabilities within the context of HIV/AIDS in the NSPs. More importantly, support and services should also be prioritized among the vulnerable groups to optimize inclusion.

摘要

目标

残疾人经常面临与艾滋病毒/艾滋病相关的风险,包括需求未得到满足和遭受被忽视的污名化。这可能归因于某些误解,比如认为残疾人没有性欲,无法享受性快感等。因此,本文旨在调查西非国家近期艾滋病毒/艾滋病国家战略计划(NSPs)中纳入残疾问题的程度。

方法

本研究是对13个非洲国家国家战略计划的政策审查。使用了《联合国残疾人权利公约》和联合国艾滋病规划署《艾滋病毒与人权国际准则》中的相关指标。六个指标(将残疾人群体确定为关键人群、在艾滋病毒/艾滋病国家战略计划中纳入与残疾人相关的原则、保护残疾人权利、承认残疾人是艾滋病毒感染风险更高且需要特殊保护的弱势群体、为残疾人提供与艾滋病毒相关的支持服务以及监测和评估艾滋病毒对残疾人的影响)。

结果

本研究结果显示,只有30%的西非国家将残疾视为一个值得关注的问题。此外,这些国家中有38.5%认识到残疾人易感染艾滋病毒。然而,只有少数国家(7.6%)在特殊需求、监测和专门针对残疾人的监督方面提供了支持。

结论

大多数西非国家战略计划已过时,需要更新。因此,有必要在国家战略计划中将残疾人的需求纳入艾滋病毒/艾滋病背景下。更重要的是,还应在弱势群体中优先提供支持和服务,以优化包容性。

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