A critical analysis of the Brazilian response to HIV/AIDS:: Lessons learned for controlling and mitigating the epidemic in developing countries

A critical analysis of the Brazilian response to HIV/AIDS:: Lessons learned for controlling and mitigating the epidemic in developing countries
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DOI:
10.2105/ajph.2004.054593
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发表时间:
2005-07-01
影响因子:
12.7
通讯作者:
Parker, R
Parker, R
中科院分区:
医学2区
文献类型:
--
作者:
Berkman, A;Garcia, J;Parker, R

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巴西国家艾滋病方案被广泛认为是发展中国家艾滋病毒/艾滋病综合预防、护理和治疗方案的典范。我们批判性地分析了巴西的经验,将巴西独特的元素与其他中低收入和发展中国家的方案和政策决定区分开来,讨论的关键问题包括人权和团结,政治和公共卫生的界面,性和文化,预防和治疗的整合,从男男性行为者中流行的疾病转变为越来越多地影响妇女的疾病,以及针对注射吸毒者的特别预防和治疗方案。
The Brazilian National AIDS Program is widely recognized as the leading example of an integrated HIV/AIDS prevention, care, and treatment program in a developing country. We critically analyze the Brazilian experience, distinguishing those elements that are unique to Brazil from the programmatic and policy decisions that can aid the development of similar programs in other low- and middle-income and developing countries.Among the critical issues that are discussed are human rights and solidarity, the interface of politics and public health, sexuality and culture, the integration of prevention and treatment, the transition from an epidemic rooted among men who have sex with men to one that increasingly affects women, and special prevention and treatment programs for injection drug users.