HIV/AIDS policy-making in Kyrgyzstan: a stakeholder analysis

HIV/AIDS policy-making in Kyrgyzstan: a stakeholder analysis
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DOI:
10.1093/heapol/czt092
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发表时间:
2015-02-01
影响因子:
3.2
通讯作者:
Rechel, Bernd
Rechel, Bernd
中科院分区:
医学3区
文献类型:
--
作者:
Ancker, Svetlana;Rechel, Bernd

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吉尔吉斯斯坦采取了若干政策举措,以应对艾滋病毒/艾滋病疫情的加速蔓延。本文探讨了艾滋病毒/艾滋病政策制定的主要参与者,他们的利益,支持和参与,以及他们目前的能力,以制定议程和影响决策过程。2011年秋季进行了54次半结构化访谈,并对吉尔吉斯斯坦关于艾滋病毒/艾滋病的政策文件和二手资料来源进行了审查。我们发现,大多数利益攸关方都支持渐进的艾滋病毒/艾滋病政策,但他们的影响力水平差异很大。令人担忧的是,一些主要的国家机构对艾滋病毒/艾滋病政策表现出某种抵制或缺乏主动性,往往促使国际机构和当地非政府组织构想和推动适当的政策。我们的结论是,如果没有明确的愿景和国家的领导,国家应对措施的可持续性将受到质疑。
Kyrgyzstan has adopted a number of policy initiatives to deal with an accelerating HIV/AIDS epidemic. This article explores the main actors in HIV/AIDS policy-making, their interests, support and involvement and their current ability to set the agenda and influence the policy-making process. Fifty-four semi-structured interviews were conducted in the autumn of 2011, complemented by a review of policy documents and secondary sources on HIV/AIDS in Kyrgyzstan. We found that most stakeholders were supportive of progressive HIV/AIDS policies, but that their influence levels varied considerably. Worryingly, several major state agencies exhibited some resistance or lack of initiative towards HIV/AIDS policies, often prompting international agencies and local NGOs to conceptualize and drive appropriate policies. We conclude that, without clear vision and leadership by the state, the sustainability of the national response will be in question.