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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >Are the investments in national HIV monitoring and evaluation systems paying off?
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Are the investments in national HIV monitoring and evaluation systems paying off?

机译：对国家艾滋病毒监测和评估系统的投资是否有回报？

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BACKGROUND: Concerted efforts and substantial financial resources have gone toward strengthening national monitoring and evaluation (M&E) systems for HIV programs. This article explores whether those investments have made a difference in terms of data availability, quality and use for assessing whether national programs are on track to achieve the 2015 Millennium Development Goal (MDG) of halting and reversing the HIV epidemic. METHODS: Descriptive analyses, including trends, of the National Composite Policy Index data and M&E expenditures were conducted. Global Fund funding continuation assessments were reviewed for concerns related to M&E. Availability of population-based survey data was assessed. RESULTS: There has been a marked increase in the number of countries where the prerequisites for a national HIV M&E system are in place and in human resources devoted to M&E at the national level. However, crucial gaps remain in M&E capacity, available M&E data, and data quality assurance. The extent to which data are used for program improvement is difficult to ascertain. There is a potential threat to sustaining the current momentum in M&E as governments have not committed long-term funding and current M&E-related expenditures are below the minimum needed to make M&E systems fully functional. CONCLUSIONS: There is evidence of rapid scale-up of basic HIV M&E systems, but if M&E is to fulfil its role in guiding optimal use of resources, ensuring effective HIV programs and providing evidence of progress toward the Millennium Development Goal of halting and reversing the HIV epidemic, essential data gaps will need to be filled urgently and those data will need to be used to guide decision making.
机译：背景：齐心协力和大量财政资源已用于加强艾滋病项目的国家监测和评估（M＆E）系统。本文探讨了这些投资是否在数据可得性，质量和用于评估国家计划是否按计划实现2015年千年发展目标（MDG）方面制止和扭转了艾滋病流行方面是否有所改变。方法：对国家综合政策指数数据和监测与评估支出进行了描述性分析，包括趋势。审查了全球基金的资金持续评估，以评估与监督评估有关的问题。评估了基于人群的调查数据的可用性。结果：已经建立了国家艾滋病毒监测和评估系统的先决条件的国家数目以及在国家一级用于监测和评估的人力资源已大大增加。但是，M＆E能力，可用的M＆E数据和数据质量保证方面仍存在重大差距。很难确定将数据用于程序改进的程度。由于政府尚未承诺长期拨款，并且当前与机电相关的支出低于使机电系统完全运行所需的最低限度，因此维持机电市场的当前势头存在潜在的威胁。结论：有证据表明，基本的艾滋病监测和评估系统正在迅速扩大，但是如果监测和评估要发挥其在指导资源的最佳利用，确保有效的艾滋病毒计划以及为实现制止和逆转千年发展目标方面取得进展的证据，就可以发挥作用。艾滋病毒流行，急需填补必要的数据空白，并将这些数据用于指导决策。

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