Civil society, political mobilization, and the impact of HIV scale-up on health systems in Brazil.
Civil society, political mobilization, and the impact of HIV scale-up on health systems in Brazil.
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DOI：
10.1097/qai.0b013e3181bbcb56
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发表时间：
2009-11
期刊：
影响因子：
--
通讯作者：
Parker RG
中科院分区：
文献类型：
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作者：
Parker RG
本文探讨了公民社会在巴西艾滋病毒和艾滋病政策和方案的形成中的作用。它侧重于1980年代巴西社会重新民主化的历史背景，当时对这一流行病的初步反应已经形成，并强调了与进步天主教会、公共卫生领域的卫生改革运动和新兴的同性恋权利运动有关的社会运动在巴西对这一流行病的早期反应中的作用。报告着重介绍了1990年代形成的基础广泛的民间社会联盟，以及1996年在加拿大温哥华举行的国际艾滋病会议之后不久建立的政治联盟，目的是通过立法，保障获得抗逆转录病毒治疗的权利。它强调民间社会组织-特别是与艾滋病有关的非政府组织-和主要的艾滋病活动分子继续施加压力以保证治疗机会的可持续性的重要性，以及以艾滋病毒和艾滋病为重点的行动对巴西公共卫生系统产生的更广泛的影响，特别是通过加强卫生基础设施和为更广泛的与卫生有关的社会动员提供一个模式。
This article examines the role of civil society in shaping HIV and AIDS policies and programs in Brazil. It focuses on the historical context of the re-democratization of Brazilian society during the 1980s, when the initial response to the epidemic took shape, and emphasizes the role of social movements linked to the progressive Catholic Church, the sanitary reform movement in public health, and the emerging gay rights movement in the early response to the epidemic in Brazil. It highlights the broad-based civil society coalition that took shape over the course of the 1990s, and the political alliances that were built up shortly after the 1996 International AIDS Conference in Vancouver, Canada, in order to pass legislation guaranteeing the right to antiretroviral treatment access. It emphasizes the continued importance of civil society organizations – in particular, AIDS-related NGOS – and leading AIDS activists in exerting continued pressure in order to guarantee the sustainability of treatment access, and the impact that action focused on HIV and AIDS has had on the Brazilian public health system more broadly, particularly through strengthening health infrastructures and providing a model for health-related social mobilization more broadly.