Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases
Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases
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DOI：
10.1080/17441692.2011.552068
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发表时间：
2011-01-01
影响因子：
3.3
通讯作者：
El-Sadr, Wafaa M.
中科院分区：
文献类型：
--
作者：
Rabkin, Miriam;El-Sadr, Wafaa M.
低收入国家艾滋病毒服务的急剧扩大导致了服务提供模式的发展，反映了艾滋病毒及其治疗的具体特点以及当地的背景和文化。鉴于低收入国家卫生方案面临的共同障碍和挑战，为艾滋病毒方案制定的许多执行办法有可能有助于在资源有限的情况下解决非传染性疾病所需的连续性护理框架。艾滋病毒方案实际上是许多国家的第一个大规模慢性病方案，提供可复制、适应和推广的当地有效工具、模式和方法。因此，它们可能被用来“启动”为非传染性疾病和其他慢性病提供预防、护理和治疗服务的倡议的发展。
The dramatic scale-up of HIV services in lower-income countries has led to the development of service delivery models reflecting the specific characteristics of HIV and its treatment as well as local contexts and cultures. Given the shared barriers and challenges faced by health programmes in lower-income countries, many of the implementation approaches developed for HIV programmes have the potential to contribute to the continuity care framework needed to address noncommunicable diseases (NCDs) in resource-limited settings. HIV programmes are, in fact, the first large-scale chronic disease programmes in many countries, offering local and effective tools, models and approaches that can be replicated, adapted and expanded. As such, they might be used to 'jumpstart' the development of initiatives to provide prevention, care and treatment services for NCDs and other chronic conditions.