Implementation Research for the Prevention of Mother-to-Child HIV Transmission in Sub-Saharan Africa: Existing Evidence, Current Gaps, and New Opportunities.

Implementation Research for the Prevention of Mother-to-Child HIV Transmission in Sub-Saharan Africa: Existing Evidence, Current Gaps, and New Opportunities.
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撒哈拉以南非洲的预防母亲艾滋病毒传播的实施研究:现有的证据,当前差距和新机会。

DOI:
10.1007/s11904-015-0260-1
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发表时间:
2015-06
影响因子:
4.6
通讯作者:
Chi, Benjamin H.
Chi, Benjamin H.
中科院分区:
医学2区
文献类型:
--
作者:
Bhardwaj, Sanjana;Carter, Bryan;Aarons, Gregory A.;Chi, Benjamin H.

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撒哈拉以南非洲在预防母婴艾滋病毒传播方面取得了巨大成就。在新的科学进步、前瞻性的卫生政策和大量捐助者投资的推动下,“实际消除”儿童艾滋病毒的宏伟目标似乎越来越可行。然而,为了实现这一承诺,必须在各种环境中迅速有效地实施循证实践。执行研究的学科可以促进这种从政策到实践的转变;然而,迄今为止,其核心原则和框架在实地的应用并不一致。我们回顾了最近的发展,在实施研究的四个“叉”的全面预防母婴传播的方法。在继续取得重大进展的同时,在研究结果的设计和传播中更加强调背景、保真度和可扩展性将大大加强目前的努力,并为未来的循证计划提供必要的基础。
Tremendous gains have been made in the prevention of mother-to-child HIV transmission (PMTCT) in sub-Saharan Africa. Ambitious goals for the “virtual elimination” of pediatric HIV appear increasingly feasible, driven by new scientific advances, forward-thinking health policy, and substantial donor investment. To fulfill this promise, however, rapid and effective implementation of evidence-based practices must be brought to scale across a diversity of settings. The discipline of implementation research can facilitate this translation from policy into practice; however, to date, its core principles and frameworks have been inconsistently applied in the field. We reviewed the recent developments in implementation research across each of the four “prongs” of a comprehensive PMTCT approach. While significant progress continues to be made, a greater emphasis on context, fidelity, and scalability – in the design and dissemination of study results – would greatly enhance current efforts and provide the necessary foundation for future evidence-based programs.
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