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首页> 外文期刊>AIDS care. >Effect of an armed conflict on human resources and health systems in Cote d'Ivoire: prevention of and care for people with HIV/AIDS.
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Effect of an armed conflict on human resources and health systems in Cote d'Ivoire: prevention of and care for people with HIV/AIDS.

机译：武装冲突对科特迪瓦的人力资源和卫生系统的影响：艾滋病毒/艾滋病患者的预防和护理。

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In September 2002, an armed conflict erupted in Cote d'Ivoire which has since divided the country in the government-held south and the remaining territory controlled by the 'Forces Armees des Forces Nouvelles' (FAFN). There is concern that conflict-related population movements, breakdown of health systems and food insecurity could significantly increase the incidence of HIV infections and other sexually-transmitted infections, and hence jeopardize the country's ability to cope with the HIV/AIDS epidemic. Our objective was to assess and quantify the effect this conflict had on human resources and health systems that provide the backbone for prevention, treatment and care associated with HIV/AIDS. We obtained data through a questionnaire survey targeted at key informants in 24 urban settings in central, north and west Cote d'Ivoire and reviewed relevant Ministry of Health (MoH) records. We found significant reductions of health staff in the public and private sector along with a collapse of the health system and other public infrastructures, interruption of condom distribution and lack of antiretrovirals. On the other hand, there was a significant increase of non-governmental organizations (NGOs), some of which claim a partial involvement in the combat with HIV/AIDS. The analysis shows the need that these NGOs, in concert with regional and international organizations and United Nations agencies, carry forward HIV/AIDS prevention and care efforts, which ought to be continued through the post-conflict stage and then expanded to comprehensive preventive care, particularly antiretroviral treatment.
机译：2002年9月，科特迪瓦爆发了武装冲突，此​​后该国在政府控制的南部和“新生力量部队”（FAFN）控制的其余领土之间分裂。令人关切的是，与冲突有关的人口流动，卫生系统崩溃和粮食不安全可能会大大增加艾滋病毒感染和其他性传播感染的发生率，从而危及该国应对艾滋病毒/艾滋病的能力。我们的目标是评估和量化这场冲突对人力资源和卫生系统的影响，这些人力资源和卫生系统为与艾滋病毒/艾滋病相关的预防，治疗和护理提供了基础。我们通过针对科特迪瓦中部，北部和西部的24个城市环境中的关键信息提供者进行的问卷调查获得了数据，并审查了相关的卫生部（MoH）记录。我们发现公共和私营部门的医务人员大量减少，卫生系统和其他公共基础设施崩溃，避孕套分发中断，缺乏抗逆转录病毒药物。另一方面，非政府组织（NGOs）大量增加，其中一些声称部分参与了与艾滋病毒/艾滋病的斗争。分析表明，这些非政府组织有必要与区域和国际组织以及联合国机构一道，继续进行艾滋病毒/艾滋病的预防和护理工作，应继续努力直到冲突后阶段，然后再扩大到全面的预防保健，特别是抗逆转录病毒治疗。

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