Scaling up access to antiretroviral treatment in southern Africa: who will do the job?
Scaling up access to antiretroviral treatment in southern Africa: who will do the job?
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DOI：
10.1016/s0140-6736(04)16597-5
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发表时间：
2004-07-03
期刊：
影响因子：
168.9
通讯作者：
Van Damme, W
中科院分区：
文献类型：
--
作者：
Kober, K;Van Damme, W
马拉维、莫桑比克、斯威士兰和南非是世界上艾滋病毒/艾滋病负担最重的国家。所有四个国家都制定了雄心勃勃的计划，扩大对该区域数百万艾滋病毒抗体阳性者的抗逆转录病毒治疗。2004年1月，我们访问了这些国家，目的是直接观察艾滋病的影响，特别是对保健系统的影响，与决策者和实地工作人员讨论他们对这一流行病的关切和看法，并调查与扩大抗逆转录病毒治疗有关的主要问题。我们发现，财政资源不再被视为主要的直接制约因素，但缺乏卫生人力资源被视为执行国家治疗计划的最严重障碍。然而，没有一个国家制定了迫切需要的全面人力资源战略。这也可能需要捐助者给予更多的关注和提供更多的资源。
Malawi, Mozambique, Swaziland, and South Africa have some of the highest HIV/AIDS burdens in the world. All four countries have ambitious plans for scaling-up antiretroviral treatment for the millions of HIV-positive people in the region. In January 2004, we visited these countries with the intention of directly observing the effect of AIDS, especially on health systems, to talk with policy makers and field workers about their concerns and perspectives regarding the epidemic, and to investigate the main issues related to scaling up antiretroviral treatment. We found that financial resources are not regarded as the main immediate constraint anymore, but that the lack of human resources for health is deplored as the single most serious obstacle for implementing the national treatment plans. Yet, none of the countries has developed an urgently required comprehensive human resource strategy. This may also need increased donor attention and resources.