...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Globalization and Health >'It's risky to walk in the city with syringes': understanding access to HIV/AIDS services for injecting drug users in the former Soviet Union countries of Ukraine and Kyrgyzstan
【24h】

'It's risky to walk in the city with syringes': understanding access to HIV/AIDS services for injecting drug users in the former Soviet Union countries of Ukraine and Kyrgyzstan

机译：“带着注射器走进城市是有风险的”：了解乌克兰和吉尔吉斯斯坦前苏联国家的吸毒者获得艾滋病毒/艾滋病服务的途径

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and other donors, the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV/AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union (FSU) countries, a region now recognised as a priority area by policymakers. There have been few empirical studies of access to HIV/AIDS services in FSU countries, resulting in limited understanding and implementation of accessible HIV/AIDS interventions. This paper explores the multiple access barriers to HIV/AIDS services experienced by a key risk group-injecting drug users (IDUs). Methods Semi-structured interviews were conducted in two FSU countries-Ukraine and Kyrgyzstan-with clients receiving Global Fund-supported services (Ukraine n = 118, Kyrgyzstan n = 84), service providers (Ukraine n = 138, Kyrgyzstan n = 58) and a purposive sample of national and subnational stakeholders (Ukraine n = 135, Kyrgyzstan n = 86). Systematic thematic analysis of these qualitative data was conducted by country teams, and a comparative synthesis of findings undertaken by the authors. Results Stigmatisation of HIV/AIDS and drug use was an important barrier to IDUs accessing HIV/AIDS services in both countries. Other connected barriers included: criminalisation of drug use; discriminatory practices among government service providers; limited knowledge of HIV/AIDS, services and entitlements; shortages of commodities and human resources; and organisational, economic and geographical barriers. Conclusions Approaches to thinking about universal access frequently assume increased availability of services means increased accessibility of services. Our study demonstrates that while there is greater availability of HIV/AIDS services in Ukraine and Kyrgyzstan, this does not equate with greater accessibility because of multiple, complex, and interrelated barriers to HIV/AIDS service utilisation at the service delivery level. Factors external to, as well as within, the health sector are key to understanding the access deficit in the FSU where low or concentrated HIV/AIDS epidemics are prevalent. Funders of HIV/AIDS programmes need to consider how best to tackle key structural and systemic drivers of access including prohibitionist legislation on drugs use, limited transparency and low staff salaries within the health sector.
机译：背景尽管尽管包括抗击艾滋病，结核病和疟疾全球基金（全球基金）和其他捐助者在内的全球卫生计划大量增加了资金，但八国集团领导人在2005年格伦伊格尔斯达成的雄心勃勃的目标是实现艾滋病毒/艾滋病治疗的普遍获得到2010年尚未实现。前苏联（FSU）国家仍然存在严重的交通障碍，该地区现已被决策者视为优先领域。在前苏联国家中，关于获得艾滋病毒/艾滋病服务的实证研究很少，导致对可获得的艾滋病毒/艾滋病干预措施的了解和实施有限。本文探讨了由主要风险人群注射毒品使用者（IDU）经历的艾滋病毒/艾滋病服务的多种获取障碍。方法在两个FSU国家（乌克兰和吉尔吉斯斯坦）进行了半结构化访谈，客户分别获得了全球基金支持的服务（乌克兰n = 118，吉尔吉斯斯坦n = 84），服务提供商（乌克兰n = 138，吉尔吉斯斯坦n = 58）和有目的的国家和地方利益相关者样本（乌克兰，n = 135，吉尔吉斯斯坦，n = 86）。国家小组对这些定性数据进行了系统的专题分析，作者对研究结果进行了比较综合。结果艾滋病毒/艾滋病和毒品使用的污名化是两国注射毒品使用者获得艾滋病毒/艾滋病服务的重要障碍。其他相关障碍包括：将毒品使用定为犯罪;政府服务提供者之间的歧视性做法;对艾滋病毒/艾滋病，服务和权利的了解有限;商品和人力资源短缺;以及组织，经济和地理障碍。结论考虑通用访问的方法经常假设服务可用性的提高意味着服务的可访问性的提高。我们的研究表明，尽管乌克兰和吉尔吉斯斯坦有更多的艾滋病毒/艾滋病服务，但由于在服务提供层面阻碍了艾滋病毒/艾滋病服务利用的多个，复杂和相互关联的障碍，因此这并不意味着获得更多的机会。卫生部门内部和外部的因素对于了解在流行的艾滋病毒/艾滋病流行率低或集中的FSU中的获取赤字至关重要。艾滋病毒/艾滋病方案的供资者需要考虑如何最好地应对获取的主要结构性和系统性驱动因素，包括禁止吸毒的立法，卫生部门内部的透明度有限和工作人员薪水较低。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号