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携手共进:非洲艾滋病预防中的合作策略——叙事综述

Moving forward together: collaborative strategies in HIV prevention across Africa - a narrative review.

作者信息

Obeagu Emmanuel Ifeanyi, Obeagu Getrude Uzoma

机构信息

Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.

School of Nursing Science, Kampala International University, Ishaka, Uganda.

出版信息

Ann Med Surg (Lond). 2025 Jan 31;87(7):4117-4126. doi: 10.1097/MS9.0000000000002961. eCollection 2025 Jul.

Abstract

HIV remains a major public health challenge across Africa, with the region accounting for nearly 70% of the global HIV burden. Despite significant advances in HIV prevention, treatment, and care, the epidemic continues to disproportionately affect certain populations, exacerbating health disparities and posing a barrier to socioeconomic development. This narrative review explores collaborative strategies in HIV prevention across Africa, focusing on multi-sectoral approaches, community-based interventions, and international partnerships. The review emphasizes the critical role of local communities, healthcare systems, and government organizations in reducing HIV transmission, with a particular focus on the importance of tailored prevention programs for vulnerable populations. Key strategies highlighted in the review include the integration of HIV prevention into broader public health initiatives, such as reproductive health, education, and poverty reduction programs. Community-based interventions, especially those involving community health workers (CHWs) and peer education, have proven effective in reaching at-risk populations. Additionally, international partnerships and funding from organizations like PEPFAR and the Global Fund have been instrumental in scaling up HIV prevention efforts, providing essential resources and technical support. Regional collaborations, such as those between neighboring countries in East and Southern Africa, have also played a vital role in addressing cross-border transmission and providing services to migrant populations.

摘要

在整个非洲,艾滋病毒仍然是一项重大的公共卫生挑战,该地区承担了全球近70%的艾滋病毒负担。尽管在艾滋病毒预防、治疗和护理方面取得了重大进展,但这种流行病继续对某些人群造成不成比例的影响,加剧了健康差距,并对社会经济发展构成障碍。这篇叙述性综述探讨了非洲各地艾滋病毒预防方面的合作策略,重点关注多部门方法、基于社区的干预措施和国际伙伴关系。该综述强调了当地社区、医疗系统和政府组织在减少艾滋病毒传播方面的关键作用,特别关注为弱势群体量身定制预防方案的重要性。综述中强调的关键策略包括将艾滋病毒预防纳入更广泛的公共卫生倡议,如生殖健康、教育和减贫方案。基于社区的干预措施,特别是那些涉及社区卫生工作者和同伴教育的措施,已被证明在接触高危人群方面有效。此外,像美国总统艾滋病紧急救援计划(PEPFAR)和全球基金等组织的国际伙伴关系和资金,在扩大艾滋病毒预防工作、提供基本资源和技术支持方面发挥了重要作用。区域合作,如东非和南部非洲邻国之间的合作,在应对跨境传播和为流动人口提供服务方面也发挥了至关重要的作用。

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