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首页> 外文期刊>AIDS >The time is now: closing the pediatric treatment gap and building resilience among female sex workers and their children
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The time is now: closing the pediatric treatment gap and building resilience among female sex workers and their children

机译：现在的时间是：关闭女性性工作者和孩子之间的儿科治疗差距和建筑物复原力

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Motherhood is common among female sex workers (FSWs) and many have at least one biological child. Preventable mother-to-child transmission of HIV can occur given poor uptake of contraception coupled with high rates of unintended pregnancies among FSWs. Globally, there are 2.1 million children living with HIV, and antiretroviral treatment coverage is dismally low at 43%. Without timely diagnosis and treatment, half of all children born with HIV will die by the age of 2 years. By integrating services for key populations and their children, prevention of mother-to-child transmission of HIV uptake among FSW mothers and early infant diagnosis can improve and therefore reduce transmission of HIV. This field note addresses the needs of FSWs and their children, and advocates for programs to develop and scale up comprehensive, integrated, stigma-free services for this vulnerable population. Sensitive, confidential, child-friendly, tailored services that protect FSWs while addressing their children are essential to saving these young lives and breaking the transmission cycle of the virus. By siloing programs that neglect children of FSWs, we are missing opportunities and existing entry points to take an innovative, holistic, family approach to care, support, and treatment services that could improve outcomes. Given the high prevalence of HIV in FSWs and other stigmatizing factors which affect access to services, children of FSWs can no longer afford to be left behind and the time is now to prioritize them in current and future HIV programming. Copyright (C) 2018 Wolters Kluwer Health, Inc. All rights reserved.
机译：母性在女性性工作者（fsws）中是常见的，许多人至少有一个生物儿童。由于FSWS之间的意外怀孕的高速率，可预防艾滋病毒的母亲对艾滋病毒的母亲传播可能发生。在全球范围内，艾滋病毒患有210万儿童，抗逆转录病毒治疗覆盖率低43％。没有及时诊断和治疗，所有艾滋病毒患儿的一半都将死于2年的年龄。通过整合适合关键人群和儿童的服务，预防FSW母亲和早期婴儿诊断中的艾滋病毒吸收的母婴传播可以改善，从而降低艾滋病毒的传播。该现场注意涉及FSWS及其儿童的需求，并倡导计划和扩展全面，综合，无耻辱服务的计划，为此易受攻击的人口。敏感，机密，儿童友好的，量身定制的服务，在寻求儿童时保护fsws，以节省这些年轻的生命并打破病毒的传输周期至关重要。通过忽视FSW的儿童的孤独计划，我们缺少机会和现有的入学点，以采取创新，整体，家庭方法来关心，支持和治疗服务可以改善结果。鉴于FSWS中艾滋病毒的高患病率和影响服务访问权限的侮辱性因素，FSW的儿童无法再承受落后，现在的时间是在当前和未来的艾滋病观察中优先考虑它们。版权所有（c）2018 Wolters Kluwer Health，Inc。保留所有权利。

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