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国际资金冻结后津巴布韦艾滋病毒与艾滋病项目的不稳定未来:影响与战略干预措施

The Precarious Future of HIV and AIDS Programs in Zimbabwe Following International Funding Freeze: Impact and Strategic Interventions.

作者信息

Jimu Christopher

机构信息

Discipline of Psychology, University of Pretoria, Pretoria, South Africa.

Department of Social Work, Faculty of Education and Social Sciences, Reformed Church University, Masvingo, Zimbabwe.

出版信息

J Epidemiol Glob Health. 2025 Jun 2;15(1):79. doi: 10.1007/s44197-025-00410-0.

Abstract

Over the past few decades, significant progress has been made in the global fight against HIV and AIDS, largely driven by international funding mechanisms such as the President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund. These initiatives have been instrumental in expanding access to antiretroviral therapy (ART), implementing prevention programs, and strengthening healthcare infrastructure, particularly in Sub-Saharan Africa (SSA), a region disproportionately affected by HIV. Zimbabwe, in particular, has achieved remarkable success in combating the epidemic, recently meeting the UNAIDS 95-95-95 fast-track targets, a testament to sustained international support and national commitment. However, the recent suspension of foreign aid, including funding for HIV programs, threatens to undermine these gains. For Zimbabwe, a prolonged freeze could lead to a resurgence of new infections, an increase in AIDS-related mortality, and further strain on Zimbabwe's already fragile healthcare system. This commentary examines the potential consequences of the aid suspension on Zimbabwe's HIV and AIDS response and explores strategies to mitigate its impact.

摘要

在过去几十年里,全球抗击艾滋病毒和艾滋病工作取得了重大进展,这在很大程度上得益于诸如总统艾滋病紧急救援计划(PEPFAR)和全球基金等国际资助机制。这些举措有助于扩大抗逆转录病毒疗法(ART)的可及性、实施预防项目以及加强医疗基础设施,尤其是在受艾滋病毒影响尤为严重的撒哈拉以南非洲地区(SSA)。特别是津巴布韦,在抗击这一流行病方面取得了显著成功,最近达到了联合国艾滋病规划署的95-95-95快速通道目标,这证明了持续的国际支持和国家承诺。然而,最近包括对艾滋病毒项目资金在内的外国援助暂停,有可能破坏这些成果。对津巴布韦来说,长期冻结援助可能导致新感染病例激增、艾滋病相关死亡率上升,并给津巴布韦本就脆弱的医疗系统带来进一步压力。本评论探讨了援助暂停对津巴布韦艾滋病毒和艾滋病应对工作的潜在后果,并探索减轻其影响的策略。

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