Game Changers: Why Did the Scale-Up of HIV Treatment Work Despite Weak Health Systems?

被引:38
作者
De Cock, Kevin M. [1 ]
El-Sadr, Wafaa M. [2 ,3 ]
Ghebreyesus, Tedros A. [4 ]
机构
[1] US Ctr Dis Control & Prevent, Ctr Global Hlth, Atlanta, GA USA
[2] Columbia Univ, Dept Epidemiol, ICAP, Mailman Sch Publ Hlth, New York, NY USA
[3] Columbia Univ, Coll Phys & Surg, Dept Med, New York, NY USA
[4] Minist Hlth, Addis Ababa, Ethiopia
关键词
AIDS; health systems; HIV; innovations; scale-up; EARLY-DIAGNOSIS; PROGRAM; AFRICA; CARE; PREVENTION; MORTALITY; INFANTS;
D O I
10.1097/QAI.0b013e3182217f00
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Game changers are radical innovations that result in fundamental and durable changes. The global HIV program scale-up witnessed over the past decade has included some innovations that are not well appreciated. The willingness to rapidly adopt and implement innovations, the flexibility and speed of program implementation, and the readiness to re-examine professional roles are just a few of such game changers. However, moving ahead, further work is needed to enhance the quality of programs, to energetically tackle HIV prevention, to build on this success, and to address other health threats that these same communities face.
引用
收藏
页码:S61 / S63
页数:3
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