Ensuring access to justice: the need for community paralegals to end AIDS by 2030.
Ensuring access to justice: the need for community paralegals to end AIDS by 2030.
复制标题
DOI：
10.1002/jia2.26146
复制
发表时间：
2023-08
影响因子：
6
通讯作者：
中科院分区：
文献类型：
--
作者：
长期以来，艾滋病毒应对工作一直认识到，某些“关键人群”，如被拘留者、少女和年轻妇女、性工作者、吸毒者、LGBTQ个人、移民和其他人在获得、接受和保留艾滋病毒预防和治疗服务方面面临更高的障碍。解决这些障碍的一个办法是培训社区律师助理，以倡导个人权利和解决保健环境中的歧视问题。社区律师助理方案成功地解决了影响许多国家和人口获得保健服务和健康基本决定因素的侵犯权利问题，重点关注歧视和拒绝提供保健服务等问题；非法拘留外联工作人员、性工作者、吸毒者和男男性行为者；有害的传统习俗和基于性别的暴力。除了解决具体案件外，对律师助理方案的评价发现，这些方案提高了面临艾滋病毒感染风险的关键人群的法律素养，提高了保健提供者对人权的了解，从而改善了获得艾滋病毒服务的机会。一些评价指出，律师助理方案的可持续性与更广泛的社区保健工作者方案所面临的挑战类似。为实现全球艾滋病毒目标，应增加对法律知识普及和律师助理方案的资助，并应严格评估干预措施。应努力消除在获得艾滋病毒预防和治疗方面的歧视以及对关键人群的定罪，这是确保获得艾滋病毒预防和治疗服务的两个主要障碍。
The HIV response has long recognized that certain “key populations” such as individuals in detention, adolescent girls and young women, sex workers, people who use drugs, LGBTQ individuals, migrants and others face higher barriers to access to, uptake of, and retention in HIV prevention and treatment services. One approach to addressing these barriers is the training of community paralegals to advocate for the rights of individuals and to address discrimination in health settings. Community paralegal programmes have been able to successfully address rights violations that impact access to health services and underlying determinants of health across a range of countries and populations, focusing upon issues such as discrimination and the denial of health services; unlawful detention of outreach workers, sex workers, persons who use drugs and men who have sex with men; and harmful traditional practices and gender‐based violence. In addition to resolving specific cases, evaluations of paralegal programmes have found that these programmes increased legal literacy among key populations at risk of HIV and increased understanding of human rights among healthcare providers, resulting in improved access to HIV services. Some evaluations have noted challenges related to the sustainability of paralegal programmes similar to those raised with community health worker programmes more broadly. To achieve global HIV goals, funding for legal literacy and paralegal programmes should be increased and interventions should be rigorously evaluated. Efforts should target discrimination in access to HIV prevention and treatment and criminalization of key populations, two key barriers to ensuring access to HIV prevention and treatment services.
影响因子：
4.8
作者：
Joshi, Anuradha;Schaaf, Marta;Zayed, Dina
通讯作者：
Zayed, Dina