Placing contraception at the centre of the HIV prevention agenda
Placing contraception at the centre of the HIV prevention agenda
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DOI：
10.2989/16085906.2016.1204330
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发表时间：
2016-07-01
影响因子：
1.2
通讯作者：
Beksinska, Mags E.
中科院分区：
文献类型：
--
作者：
Crankshaw, Tamaryn L.;Smit, Jennifer A.;Beksinska, Mags E.
在过去十年中，全球对艾滋病毒流行病的反应是前所未有的，并取得了巨大进展。在推广抗逆转录病毒治疗方面的大量投资和扩大治疗覆盖面的努力大大减少了全世界与艾滋病有关的死亡人数。有越来越多的有希望的创新可以扩大艾滋病毒预防组合。然而，这些干预措施在少女和年轻妇女（15-24岁）中的覆盖范围仍然非常有限，而且尚未充分实现干预任务。艾滋病预防领域一直被批评倾向于采取狭隘的焦点。《快速通道战略》为艾滋病毒预防领域提供了一个独特的机会，可以扩大其视野，并开始确定与其他全球发展优先事项，即性健康和生殖健康及权利的预防办法的协同增效作用（和效率）。本文通过强调意外怀孕和艾滋病毒之间的重要关系，将SRHR的视角应用于艾滋病毒预防，并试图扩展早期的辩论，即预防艾滋病毒和预防意外怀孕是具有相互关联和共同目标的不可分割的，互补的活动。我们呼吁优先考虑在两个重叠的人口群体中预防意外怀孕，女孩和年轻妇女（15-24岁）以及感染艾滋病毒的妇女，这是实现联合国艾滋病规划署快速通道战略的关键策略，也是充分实现现有艾滋病毒预防工作的一种方式。我们讨论了艾滋病毒预防和意外怀孕预防之间的交叉途径，并建立了一个将避孕置于艾滋病毒预防议程中心的案例。
Over the past decade, the global response to the HIV epidemic has been unprecedented, and enormous progress has been made. Significant investment in the roll out of antiretroviral treatment (ART) and efforts to increase treatment coverage have greatly reduced the number of AIDS-related deaths worldwide. There are a growing number of promising innovations to expand the HIV prevention mix. However, the reach of these interventions is still very limited in adolescent girls and young women (15-24 years) and the full realisation of the intervention mandates has not yet been achieved. The HIV prevention field has been criticised for the tendency to adopt a narrow focus. The Fast-Track Strategy offers a unique opportunity for the HIV prevention field to broaden its gaze and to begin to identify synergies (and efficiencies) with prevention approaches from other global development priorities, namely sexual and reproductive health and rights (SRHR). This paper applies a SRHR lens to HIV prevention by highlighting the critical relationship between unintended pregnancy and HIV, and seeks to expand on earlier debates that prevention of HIV and prevention of unintended pregnancy are inextricably linked, complementary activities with interrelated and common goals. We call for the prioritisation of prevention of unintended pregnancy amongst two overlapping population groups girls and young women (15-24 years old) and women living with HIV as a key tactic to accomplish the Joint United Nations Programme on HIV/AIDS (UNAIDS) Fast-Track Strategy and as a way to fully realise existing HIV prevention efforts. We discuss the intersecting pathways between HIV prevention and unintended pregnancy prevention and build a case for contraception to be placed at the centre of the HIV prevention agenda.