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首页> 外文期刊>World Journal of AIDS >Do Community-Based Programs Help to Improve HIV Treatment and Health Outcomes? A Review of the Literature
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Do Community-Based Programs Help to Improve HIV Treatment and Health Outcomes? A Review of the Literature

机译：以社区为基础的计划是否有助于改善HIV治疗和健康结果？文献综述

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Increased availability of antiretroviral treatment for HIV makes the goal of universal access attainable. However, in most resource constrained settings where existing health systems are?largely dysfunctional, major barriers to achieving this goal remain. While treatments with antiretroviral drugs (ART) are the focal point of HIV management, it is increasingly recognized that ART alone will not be sufficient to adequately deal with the lifelong consequences of the disease. In addition, the current global economic downturn will continue to impact on funding for HIV care and support, making the search for sustainable solutions more urgent. This article reviews the current evidence base on the impact of community-based programs on HIV/AIDS treatment and general health outcomes, as well as their contribution to ensuring sustained care for HIV-positive people. Our findings suggest that these programs overall have a positive impact on various dimensions of HIV treatment and care, and make a significant contribution to health and HIV outcomes. The authors argue that better use of community platforms for HIV treatment and care programs could be critical for attaining desired goals and should be prioritized at all levels of program design, implementation, and monitoring and evaluation.
机译：针对艾滋病毒的抗逆转录病毒治疗的可用性增加，使实现普遍获取的目标得以实现。但是，在大多数资源受限的环境中，现有的卫生系统功能严重失调，实现此目标的主要障碍仍然存在。尽管抗逆转录病毒药物（ART）的治疗是HIV管理的重点，但人们越来越认识到，仅ART仍不足以充分应对疾病的终生后果。此外，当前的全球经济衰退将继续影响对艾滋病毒治疗和支持的资金投入，因此寻求可持续解决方案变得更加紧迫。本文根据基于社区的计划对HIV / AIDS治疗和总体健康状况的影响以及它们对确保为HIV阳性人群提供持续护理的贡献，回顾当前的证据。我们的发现表明，这些计划总体上对HIV治疗和护理的各个方面都具有积极影响，并且对健康和HIV结果做出了重大贡献。作者认为，更好地利用社区平台进行HIV治疗和护理计划对于实现预期目标可能至关重要，因此应在计划设计，实施以及监控和评估的所有级别将其优先考虑。

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