Articulating a rights-based approach to HIV treatment and prevention interventions.

Articulating a rights-based approach to HIV treatment and prevention interventions.
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DOI:
10.2174/157016211798038588
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发表时间:
2011-09
影响因子:
1
通讯作者:
Clayton M
Clayton M
中科院分区:
医学4区
文献类型:
--
作者:
Barr D;Amon JJ;Clayton M

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自疫情开始以来,保护人权一直是应对人类免疫缺陷病毒(艾滋病毒)的一个组成部分。与获得性免疫缺陷综合症(艾滋病)相关的高度耻辱和歧视使人权保护不仅成为确保艾滋病毒携带者和高危人群权利的优先事项,而且也成为实现公共卫生目标的优先事项。在了解抗逆转录病毒治疗对艾滋病毒预防的影响方面取得的进展为艾滋病预防提供了令人振奋的机会,甚至是范式的转变。然而,除非促进人权是治疗和预防方案和政策发展的一个主要组成部分,否则这一潜力是无法实现的。使用抗逆转录病毒治疗作为预防手段,加强了与艾滋病毒携带者的尊严和权利有关的基本原则的价值,使他们有权参与方案的设计和执行,对他们的健康和生命知情并作出明智的决定,受到保护不受伤害,并有机会对滥用行为寻求补救和追究责任。将艾滋病毒治疗作为一种预防工具的可能性意味着,现在比以往任何时候都更需要法律改革以及社区赋权和动员,以实现受艾滋病毒影响的人的权利和健康。
Since the beginning of the epidemic, the protection of human rights has been an integral component in the response to Human Immunodeficiency Virus (HIV). The high degree of stigma and discrimination associated with acquired immune deficiency syndrome (AIDS) has made human rights protection not only a priority to ensure the rights of people living with and at-risk for HIV, but to address public health goals as well. Advances in understanding the impact of antiretroviral treatment on HIV prevention provide exciting opportunities and even a paradigm shift in terms of AIDS prevention. However, this potential cannot be reached unless the advancement of human rights is a primary component of treatment and prevention programme and policy development. The use of antiretroviral treatment as prevention reinforces the value of basic principles related to the dignity and agency of people living with HIV to participate in the design and implementation of programmes, to be informed and to make informed decisions about their health and lives, to be protected from harm, and to have opportunities to seek redress and accountability for abuses. The possibility of using HIV treatment as a prevention tool means that now, more than ever, legal reform and community empowerment and mobilisation are necessary to realize the rights and health of people affected by HIV.
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