Implementing a Status-Neutral Approach to HIV in the Asia-Pacific

被引：20

作者：

Phanuphak, Nittaya ^{[1
]}

Ramautarsing, Reshmie ^{[1
]}

Chinbunchorn, Tanat ^{[1
]}

Janamnuaysook, Rena ^{[1
]}

Pengnonyang, Supabhorn ^{[1
]}

Termvanich, Krittaporn ^{[1
]}

Chanlearn, Pongthorn ^{[2
]}

Linjongrat, Danai ^{[3
]}

Janyam, Surang ^{[4
]}

Phanuphak, Praphan ^{[5
]}

机构：

[1] Inst HIV Res & Innovat, 319 Phayathai Rd, Bangkok 10330, Thailand

[2] Mplus Fdn, 142 Chiang Mai Hod Rd, Chiang Mai 50200, Thailand

[3] Rainbow Sky Assoc Thailand, 1&3 Ramkhamhaeng Rd, Bangkok 10240, Thailand

[4] Serv Workers Grp Fdn, Surawong Rd, Bangkok 10500, Thailand

[5] Thai Red Cross AIDS Res Ctr, 104 Rajdumri Rd, Bangkok 10330, Thailand

来源：

CURRENT HIV/AIDS REPORTS | 2020年 / 17卷 / 05期

关键词：

Status-neutral; Asia-Pacific; HIV; Lay providers; Key population-led health services; Task shifting; TRANSMISSION;

D O I：

10.1007/s11904-020-00516-z

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Purpose of Review Globally, "undetectable equals untransmittable (U=U)" and "pre-exposure prophylaxis (PrEP)" have become crucial elements in HIV treatment and prevention programs. We reviewed the implementation of U=U and PrEP among countries in the Asia-Pacific region. Recent Findings U=U and PrEP uptakes were limited and slow in the Asia-Pacific. Inadequate knowledge among health care practitioners and pervasive stigma towards individuals living with HIV and their sexual lives are key barriers for the integration of U=U into clinical practice. Paternalistic and hierarchical health care systems are major obstacles in PrEP implementation and scale-up. Countries with the most advanced PrEP implementation all use community-based, nurse-led, and key population-led service delivery models. To advance U=U and PrEP in the Asia-Pacific, strategies targeting changes to practice norm through wide-scale stakeholders' training and education, making use of online health care professional influencers, and utilizing financial mechanism should be further explored through implementation research.

引用

页码：422 / 430

页数：9

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