Courting success in HIV/AIDS prevention: the challenges of addressing a concentrated epidemic in Senegal
Courting success in HIV/AIDS prevention: the challenges of addressing a concentrated epidemic in Senegal
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DOI：
10.2989/16085906.2010.545628
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发表时间：
2010-12-01
影响因子：
1.2
通讯作者：
Nguer, Rokhaya
中科院分区：
文献类型：
--
作者：
Foley, Ellen E.;Nguer, Rokhaya
本文介绍了塞内加尔达喀尔城市性工作者艾滋病毒/艾滋病项目的研究结果。该研究的目的是评估迄今为止的艾滋病毒预防和治疗工作，并确定长期必须克服的挑战，以减少塞内加尔艾滋病毒的传播。 2008 年 6 月，研究小组在塞内加尔首都与注册和未注册的性工作者组织了为期四天的社区对话。除了这些会议之外，我们还采访了塞内加尔卫生部雇用的医生、性工作者组织的领导人以及针对性工作者和其他弱势群体的非政府组织的主管和工作人员。我们的研究结果表明，塞内加尔的公共卫生战略在很大程度上有效地遏制了该国的艾滋病毒流行，但未能解决艾滋病毒传播的社会驱动因素或保护性少数群体的权利，例如性工作者和男男性行为者。为了使塞内加尔的艾滋病毒/艾滋病应对工作继续走上成功的道路，它必须扩大到包括结构性干预措施并纳入人权方针。
This article presents findings from a study of HIV/AIDS programmes for urban sex workers in Dakar, Senegal. The objective of the research was to assess HIV prevention and treatment efforts to date, and to identify challenges that must be overcome in the long term to reduce the spread of HIV in Senegal. The research team organised four day-long community dialogues, in June 2008, with registered and unregistered sex workers in the Senegalese capital. In addition to these sessions, we conducted interviews with physicians employed by the Senegalese Ministry of Health, leaders of sex-worker organisations, and directors and staff at non-governmental organisations whose programmes target sex workers and other vulnerable groups. Our findings indicate that Senegal's public health strategies have been largely effective at containing the country's HIV epidemic, but not at addressing the social drivers of HIV transmission or protecting the rights of sexual minorities, such as sex workers and men who have sex with men. For Senegal's HIV/AIDS response to continue on a successful path, it must expand to include structural interventions and incorporate a human-rights approach.