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本文引用的文献

1
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2
By executive order: The likely deadly consequences associated with a 90-day pause in PEPFAR funding.根据行政命令:与全球抗击艾滋病、结核病和疟疾基金(PEPFAR)资金暂停90天相关的可能致命后果。
J Int AIDS Soc. 2025 Mar;28(3):e26431. doi: 10.1002/jia2.26431.
3
US funding for HIV at risk again.美国对艾滋病病毒防治的资金投入再次面临风险。
Lancet HIV. 2024 Aug;11(8):e495. doi: 10.1016/S2352-3018(24)00184-X.
4
Advancing the Global Fight Against HIV/Aids: Strategies, Barriers, and the Road to Eradication.推进全球艾滋病防治工作:策略、障碍和消除艾滋病之路。
Ann Glob Health. 2023 Nov 27;89(1):83. doi: 10.5334/aogh.4277. eCollection 2023.
5
Innovative domestic financing mechanisms for health in Africa: An evidence review.非洲国内创新型卫生筹资机制:一项证据综述。
J Health Serv Res Policy. 2024 Apr;29(2):132-140. doi: 10.1177/13558196231181081. Epub 2023 Jun 16.
6
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019: findings from mortality surveys using civil registration, vital statistics and health system data.津巴布韦孕产妇死亡率下降:2007/2008 年至 2018/2019 年:利用民事登记、生命统计和卫生系统数据进行死亡率调查的结果。
BMJ Glob Health. 2022 Aug;7(8). doi: 10.1136/bmjgh-2022-009465.
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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.

DOI:10.1007/s44197-025-00410-0
PMID:40455310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12130410/
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。