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首页> 外文期刊>Health policy and planning >HIV/AIDS National Strategic Plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets
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HIV/AIDS National Strategic Plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets

机译：艾滋病毒/艾滋病国家撒哈拉非洲国家的国家战略计划：分析性别平等和性别分列的艾滋病毒目标

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National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex-disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. This analysis quantitatively evaluates national HIV targets, included in NSPs from eighteen Sub-Saharan African countries, for sex-disaggregation. Additionally, NSP targets aimed at reducing gender-based inequality in health outcomes are compiled and inductively coded to report common themes. On average, in the eighteen countries included in this analysis, 31% of NSP targets include sex-disaggregation (range 0-92%). Three countries disaggregated a majority ( 50%) of their targets by sex. Sex-disaggregation in data reporting was more common for targets related to the early phases of the HIV care continuum: 83% of countries included any sex-disaggregated targets for HIV prevention, 56% for testing and linkage to care, 22% for improving antiretroviral treatment coverage, and 11% for retention in treatment. The most common target to reduce gender inequality was to prevent gender-based violence (present in 50% of countries). Other commonly incorporated target areas related to improving women's access to family planning, human and legal rights, and decision-making power. The inclusion of sex-disaggregated targets in national planning is vital to ensure that programmes make progress for all population groups. Improving the availability and quality of indicators to measure gender inequality, as well as evaluating programme outcomes by sex, is critical to tracking this progress. This analysis reveals an urgent need to set specific and separate targets for men and women in order to achieve an equitable and effective HIV response and align government planning with international priorities for gender equality.
机译：艾滋病毒/艾滋病国家的国家战略计划（NSP）是国家规划文件，包括计划和服务的优先事项，包括一组规定对国家和国际目标的进展量化的目标。鉴于撒哈拉以南非洲的年轻女性和青少年女孩的高疾病负担，鉴于撒哈拉以南非洲的年轻疾病负担，鉴于撒哈拉以南非洲的高疾病负担，鉴于撒哈拉以南非洲的高疾病负担，鉴于撒哈拉以南非洲的高疾病，并没有对NSP目标的综合性别分析进行了重要作用。这种分析量化评估了来自十八个撒哈拉非洲国家的NSP中的国家艾滋病毒目标，用于性别分类。此外，旨在减少健康成果中基于性别的不平等的NSP目标是编制的，并归因地编码以报告共同主题。平均而言，在该分析中包含的十八个国家，31％的NSP目标包括性别分类（范围0-92％）。三个国家通过性别分列了大多数（＆ 50％）的目标。数据报告中的性别分解对于艾滋病毒护理连续蛋白的早期阶段的目标更常见：83％的国家包括任何性别分类的艾滋病毒预防目标，56％用于治疗的测试和联系，22％用于改善抗逆转录病毒治疗覆盖率和11％的保留治疗。减少性别不平等的最常见的目标是防止基于性别的暴力（50％的国家）。与改善妇女对计划生育，人类和法律权利以及决策权的获取有关的其他常用目标领域。在国家规划中纳入性别分列的目标对于确保计划为所有人口群体进行进展至关重要。提高指标的可用性和质量，以衡量性别不平等，以及评估性行为的计划结果对于跟踪这一进展至关重要。该分析揭示了迫切需要为男女制定具体和独立的目标，以达到公平有效的艾滋病毒响应，并使政府规划有国际性平等的国际优先事项。

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