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Treatment 2.0 Pilot in Vietnam—Early Progress and Challenges

机译:越南治疗2.0试点—早期进展和挑战

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Announced in 2010 at the International AIDS Conference in Vienna and pioneered by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization's (WHO) leadership at the global level, Treatment 2.0 is a new approach to the HIV response that encourages innovation, efficiency, and sustainability. Building upon WHO and UNAIDS' "3 by 5" Initiative, Treatment 2.0 focuses upon scale-up and universal access of life-saving ART treatment through strategic investments and innovations in five priority pillars that include: 1) Optimize drug regimens, 2) Provide point-of-care (POC) and other simplified diagnostic and monitoring tools, 3) Reduce costs, 4) Adapt service delivery, and 5) Mobilize communities [1-3]. The Treatment 2.0 approach is in line with UNAIDS' 2011-2015 Strategy: Getting to Zero with the vision of, "Zero New infections; Zero discrimination; and Zero AIDS-related deaths", and as well as the four strategic directions for the health sector response outlined under WHO's Global Health Sector Strategy on HIV/AIDS 2011-2015 [4,5]. At the Sixty-fourth World Health Assembly (WHA) in May 2011, it was formally announced that Vietnam has taken the leadership to pilot Treatment 2.0 in two of its provinces, with support from both the WHO and UNAIDS country offices [6,7]. Given that Vietnam is one of the few countries with a concentrated epidemic to pilot Treatment 2.0, the outcomes and experiences of this initiative can provide valuable insight to other countries who may consider implementation. The objectives of this article are therefore to: 1) Describe the early process for translating Treatment 2.0 concept in Vietnam's context; and 2) Highlight early progress and challenges.
机译:2010年在维也纳国际艾滋病大会上宣布,并由联合国艾滋病毒/艾滋病联合规划署(UNAIDS)和世界卫生组织(WHO)在全球范围内的领导者率先提出,2.0治疗是应对艾滋病毒的新方法,鼓励创新,效率和可持续性。在世界卫生组织和联合国艾滋病规划署的“三五”倡议的基础上,治疗2.0重点通过以下五个优先重点领域的战略投资和创新,扩大扩大规模和普遍使用的挽救生命的抗逆转录病毒疗法:1)优化药物治疗方案,2)提供即时医疗服务(POC)和其他简化的诊断和监控工具,3)降低成本,4)调整服务提供,5)动员社区[1-3]。 “治疗2.0”方法符合联合国艾滋病规划署的2011-2015年战略:“零感染,零歧视和与艾滋病相关的零死亡”的愿景以及实现健康的四个战略方向,实现“零”世卫组织《 2011-2015年全球艾滋病毒/艾滋病卫生部门战略》 [4,5]概述了该部门的应对措施。在2011年5月的第六十四届世界卫生大会(WHA)上,越南正式宣布领导越南,在世卫组织和联合国艾滋病规划署国家办事处的支持下,在其两个省试点治疗2.0 [6,7] 。鉴于越南是试点治疗2.0流行病集中的少数几个国家之一,该计划的成果和经验可以为其他可能考虑实施的国家提供宝贵的见识。因此,本文的目标是:1)在越南的背景下,描述翻译Treatment 2.0概念的早期过程; 2)突出早期的进展和挑战。

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