Ấn phẩm:
Integrating HIV and primary healthcare for key populations:community-led models from Vietnam, Nigeria and Eswatini
Đang tải...
Xem mô tả
0
Xem & Tải
0
Nhan đề khác
Tóm tắt
Introduction: Key populations (KP), including men who have sex with men, people who inject drugs, sex workers, transgen-der people and people in closed settings, are disproportionately affected by HIV and face structural and legal barriers tocare. While community-led responses are central to reaching KP, services are often disease-specific and disconnected fromnational primary healthcare (PHC) systems. PHC, defined by WHO as a whole-of-society approach to delivering integratedand person-centred services, is rarely designed to meet the broader health needs of KP, who also experience high burdens ofnon-communicable diseases, mental health conditions and violence. This paper describes three service delivery models, sup-ported by PEPFAR, that integrate HIV and PHC services for KP in Vietnam, Nigeria and Eswatini.Discussion: The three models are community-led, client-centred, and tailored to KP health and social needs. Each integratesHIV services—including testing, antiretroviral therapy, viral load monitoring, pre-exposure prophylaxis (PrEP) and advancedHIV disease management—alongside broader PHC services such as mental healthcare, sexual and reproductive health, non-communicable disease screening and tuberculosis services. All models include structural and community-based interventionssuch as gender-based violence support, stigma reduction, peer navigation and economic empowerment. These services aredelivered in safe, trusted spaces by multidisciplinary teams including peer and clinical providers. While the models demon-strate alignment with PHC principles (accessibility, cultural competence, continuity and community empowerment), challengesremain related to integration within national health systems, financing and provider training. Recent U.S. global health policyshifts, including reductions in funding for KP-specific programming and limited PrEP access, pose additional threats to pro-gramme sustainability and client trust.Conclusions: Integrated models of HIV and PHC for KP can improve access, engagement and health outcomes across a rangeof services. They represent promising approaches for addressing intersecting health and structural needs, particularly in set-tings where stigma and criminalization persist. Sustained progress will require inclusion of KP in PHC policies and planning,protection of community-led services and domestic financing strategies that ensure continuity in the face of shifting donorpriorities.
Tác giả
Coleman, Megan
Người hướng dẫn
Nơi xuất bản
Nhà xuất bản
Năm xuất bản
2025
ISSN tạp chí
Nhan đề tập
Từ khóa chủ đề
Health care
Bộ sưu tập
Tài liệu tham khảo
Thông tin bản quyền
Tệp tin
Integrating HIV and primary healthcare.pdf
Dung lượng: 182.26 KBĐịnh dạng: pdf
Lượt xem: 0 Lượt tải: 0