Jiang Zhen, Wang Qi, Liang Jun, Gu Yuzhou, Han Zhigang, Li Jie, Xu Yake, Zhang Youran, Zhang Xuehua, Zhang Jiahui, Xu Jie, Lv Fan
Division of Prevention and Intervention, National Center for AIDS and STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan, China.
Glob Health Med. 2024 Oct 31;6(5):295-303. doi: 10.35772/ghm.2024.01048.
Since 2017, China has started a pilot exploration of pre-exposure prophylaxis (PrEP)/post-exposure prophylaxis (PEP) service aiming for human immunodeficiency virus (HIV) control. Efforts to summarize the pilot experience and sort out the gaps in service provision must be prioritized. In June-October, 2023, three provincial capital cities with two years of PrEP/PEP pilot experience in eastern, central and western China were chosen. A structural information collective tool was developed, as a framework to identify key links and steps in reviewing service procedures for PrEP/PEP service. Two main service models have been formed, including the independent offline service model led by professional health institutions and Multi-agencies (health institution/Community Based Organizations (CBOs)/Internet platform) online and offline collaborative service model. The pilot experience conceptualizes opportunities to integrate PrEP/PEP into HIV prevention efforts and, illustrates the optimizing path to move forward to reach for a high level HIV prevention and care continuum. Systematic barriers during the process of integration need to be noted and addressed. It is urgent to establish a realistic and feasible online and offline monitoring system to achieve a balance between standardized, safe, simplified and convenient services.
自2017年以来，中国已开始对暴露前预防（PrEP）/暴露后预防（PEP）服务进行试点探索，目标是控制人类免疫缺陷病毒（HIV）。必须优先总结试点经验并梳理服务提供方面的差距。2023年6月至10月，选取了中国东部、中部和西部具有两年PrEP/PEP试点经验的三个省会城市。开发了一种结构化信息收集工具，作为识别PrEP/PEP服务程序审查关键环节和步骤的框架。已形成两种主要服务模式，包括由专业卫生机构主导的独立线下服务模式和多机构（卫生机构/社区组织（CBO）/互联网平台）线上线下协同服务模式。试点经验明确了将PrEP/PEP纳入HIV预防工作的机会，并说明了迈向高水平HIV预防和护理连续统一体的优化路径。整合过程中的系统性障碍需要加以关注和解决。迫切需要建立一个切实可行的线上线下监测系统，以实现标准化、安全、简化和便捷服务之间的平衡。
