The DREAMS core package of interventions: A comprehensive approach to preventing HIV among adolescent girls and young women

The DREAMS core package of interventions: A comprehensive approach to preventing HIV among adolescent girls and young women
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DOI:
10.1371/journal.pone.0208167
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发表时间:
2018-12-07
期刊:
影响因子:
3.7
通讯作者:
Beamon, Ta'Adhmeeka
Beamon, Ta'Adhmeeka
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Saul, Janet;Bachman, Gretchen;Beamon, Ta'Adhmeeka

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在撒哈拉以南非洲,少女和年轻妇女感染艾滋病毒的可能性是同龄男性的5至14倍。每天有750多名老年妇女感染艾滋病毒。许多因素使女孩和年轻妇女特别容易感染艾滋病毒,包括基于性别的暴力、被排除在经济机会之外以及无法进入中学。总统艾滋病紧急救援计划(PEPFAR)正通过“坚定、坚韧、赋权、无艾滋病、受指导和安全”(DREAMS)伙伴关系,投入大量资源,根据PEPFAR帮助各国控制艾滋病毒/艾滋病的使命,改善妇女和女孩的生活。数据显示,在非洲发展中国家必须减少新的艾滋病毒感染,否则国际社会可能会失去在实现流行病控制方面取得的广泛进展。在总统防治艾滋病紧急救援计划和私营部门合作伙伴——比尔及梅琳达·盖茨基金会、吉利德科学、Girl Effect、强生公司和ViiV Healthcare的支持下,DREAMS与伙伴国政府合作,提供一揽子核心干预措施,结合超越卫生部门的循证方法,解决直接或间接增加女孩感染艾滋病毒风险的结构性驱动因素。DREAMS不仅致力于减少新的艾滋病毒感染,而且旨在减少其他关键脆弱性,如基于性别的暴力。当女孩和年轻妇女茁壮成长时,其影响会波及整个家庭、社区和国家。
In sub-Saharan Africa, adolescent girls and young women (AGYW) are 5 to 14 times more likely to be infected with HIV than their male peers. Every day, more than 750 AGYW are infected with HIV. Many factors make girls and young women particularly vulnerable to HIV, including gender-based violence, exclusion from economic opportunities, and a lack of access to secondary school. The President's Emergency Plan for AIDS Relief (PEPFAR) is dedicating significant resources through the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) partnership to impact the lives of women and girls based on PEPFAR's mission to help countries achieve epidemic control of HIV/AIDS. The data show that new HIV infections must be reduced in AGYW, or the global community risks losing the extensive progress made towards reaching epidemic control. With support from PEPFAR and private sector partners-the Bill & Melinda Gates Foundation, Gilead Sciences, Girl Effect, Johnson & Johnson and ViiV Healthcare, DREAMS works together with partner governments to deliver a core package of interventions that combines evidence-based approaches that go beyond the health sector, addressing the structural drivers that directly and indirectly increase girls' HIV risk. Not only is DREAMS an effort to reduce new HIV infections, but it aims to reduce other critical vulnerabilities such as gender-based violence. When girls and young women thrive, the effects are felt throughout their families, communities and countries.