Expanding the space: inclusion of most-at-risk populations in HIV prevention, treatment, and care services.

Expanding the space: inclusion of most-at-risk populations in HIV prevention, treatment, and care services.
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DOI:
10.1097/qai.0b013e31821db944
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发表时间:
2011-08
期刊:
Journal of acquired immune deficiency syndromes (1999)
影响因子:
--
通讯作者:
Celentano DD
Celentano DD
中科院分区:
其他
文献类型:
--
作者:
Beyrer C;Baral S;Kerrigan D;El-Bassel N;Bekker LG;Celentano DD

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The provision of appropriate HIV prevention, treatment, and care services for most-at-risk populations (MARP) will challenge many health care systems. For people who sell sex (SW) or inject drugs (IDU) and for men who have sex with men (MSM), stigma, discrimination, and criminalization can limit access to care, inhibit service uptake, and reduce the disclosure of risks. Several models for provision of HIV services to MARP may address these issues. We discuss integrated models, stand-alone services, and hybrid models, which may be appropriate for some MARP in some settings. Both public health and human rights frameworks concur that those at greatest risk should have expanded access to services.