关键词: HIV SDGs linkage to care testing viral hepatitis

来  源:   DOI:10.1111/hiv.13683

Abstract:
OBJECTIVE: The HepHIV 2023 Conference, held in Madrid in November 2023, highlighted how Europe is not on track to meet the United Nations (UN) sustainable development goals and Joint UN Programme on HIV/AIDS (UNAIDS) targets. This article presents the outcomes of the conference, which focus on ways to improve testing and linkage to care for HIV, viral hepatitis, and other sexually transmitted infections. HIV-related stigma and discrimination, a major barrier to progress, was a key concept of the conference and on the agenda of the Spanish Presidency of the European Union.
METHODS: The HepHIV 2023 organizing committee, alongside the Spanish Ministry of Health, oversaw the conference organization and prepared the scientific programme based on abstract rankings. Key outcomes are derived from conference presentations and discussions.
RESULTS: Conference presentations covered the obstacles that HIV-related stigma and discrimination continue to pose to access to services, models for data collection to better monitor progress in the future, and examples of legislative action that can be taken at national levels. Diversification of testing approaches was also highlighted, to reach key populations, (e.g. migrant populations), to increase testing offered in healthcare settings (e.g. emergency departments), and to account for different stages of epidemics across the region.
CONCLUSIONS: With a strong call for intensified action to address the impact of HIV-related stigma and discrimination on testing uptake, the conference concluded that strengthened collaboration is required between governments and implementers around testing and linkage to care. There is also an ongoing need to ensure sustainable political commitment and appropriate resource allocation to address gaps and inequalities in access for key populations and to focus on the implementation of integrated responses to HIV, viral hepatitis, and sexually transmitted infections.
摘要:
目标:HepHIV2023会议,2023年11月在马德里举行的会议强调了欧洲如何无法实现联合国(UN)可持续发展目标和联合国艾滋病毒/艾滋病联合规划署(UNAIDS)目标。本文介绍了会议的成果,专注于改善艾滋病毒检测和护理联系的方法,病毒性肝炎,和其他性传播感染。与艾滋病毒有关的污名和歧视,进步的主要障碍,是会议的一个关键概念,也是西班牙担任欧洲联盟主席的议程。
方法:HepHIV2023组委会,与西班牙卫生部一起,监督会议组织,并根据抽象排名编制科学计划。主要成果来自会议介绍和讨论。
结果:会议介绍了与艾滋病毒有关的污名和歧视继续对获得服务构成的障碍,用于数据收集的模型,以更好地监控未来的进展,以及可以在国家一级采取的立法行动的例子。还强调了测试方法的多样化,为了接触关键人群,(例如移民人口),增加医疗机构(如急诊室)提供的测试,并说明整个地区流行病的不同阶段。
结论:强烈呼吁加强行动,以解决与艾滋病毒相关的污名化和歧视对检测的影响,会议的结论是,政府和实施者之间需要在测试和与护理联系方面加强合作。还需要确保可持续的政治承诺和适当的资源分配,以解决关键人群在获取方面的差距和不平等,并侧重于实施艾滋病毒综合对策,病毒性肝炎,和性传播感染。
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