HIV/AIDS: global trends, global funds and delivery bottlenecks
HIV/AIDS: global trends, global funds and delivery bottlenecks
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DOI：
10.1186/1744-8603-1-13
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发表时间：
2005-01-01
影响因子：
10.8
通讯作者：
Hadingham, Jacqui
中科院分区：
文献类型：
--
作者：
Coovadia, Hoosen M.;Hadingham, Jacqui
全球化影响人类生活的方方面面，包括健康和福祉。艾滋病毒/艾滋病的流行凸显了人类健康和福利的全球性，全球化导致了寻找全球健康挑战的共同解决办法的趋势。最近设立了许多国际基金，以应对艾滋病毒等全球卫生挑战。然而，尽管向世界较贫穷区域提供越来越多的资金用于保健倡议，但全世界的艾滋病毒感染率和流行率继续上升。因此，艾滋病在全球范围内不断扩大和加剧。受影响最严重的无疑是世界上较贫穷的地区，因为贫穷、疾病、饥荒、政治和经济不稳定以及薄弱的保健基础设施等综合因素加剧了这一流行病的严重和深远影响。全球干预措施明显无效的主要原因之一是不发达国家卫生系统的历史弱点，这造成了资金分配和利用方面的瓶颈。加强这些卫生系统虽然是应对全球流行病的重要组成部分，但也必须同时减轻其他决定因素。这些问题本质上是复杂的，包括社会和环境因素、性行为、人权问题和生物因素，所有这些因素都有助于艾滋病毒的传播、发展和死亡。一个同样重要的因素是确保预防和治疗方案之间的公平平衡，以便全面应对这一流行病带来的挑战。
Globalisation affects all facets of human life, including health and well being. The HIV/AIDS epidemic has highlighted the global nature of human health and welfare and globalisation has given rise to a trend toward finding common solutions to global health challenges. Numerous international funds have been set up in recent times to address global health challenges such as HIV.However, despite increasingly large amounts of funding for health initiatives being made available to poorer regions of the world, HIV infection rates and prevalence continue to increase world wide. As a result, the AIDS epidemic is expanding and intensifying globally. Worst affected are undoubtedly the poorer regions of the world as combinations of poverty, disease, famine, political and economic instability and weak health infrastructure exacerbate the severe and far-reaching impacts of the epidemic.One of the major reasons for the apparent ineffectiveness of global interventions is historical weaknesses in the health systems of underdeveloped countries, which contribute to bottlenecks in the distribution and utilisation of funds. Strengthening these health systems, although a vital component in addressing the global epidemic, must however be accompanied by mitigation of other determinants as well. These are intrinsically complex and include social and environmental factors, sexual behaviour, issues of human rights and biological factors, all of which contribute to HIV transmission, progression and mortality. An equally important factor is ensuring an equitable balance between prevention and treatment programmes in order to holistically address the challenges presented by the epidemic.