艾滋病防治三个90%策略实施进展分析

Analysis in promoting UNAIDS 90-90-90 targets

联合国艾滋病规划署提出了防治艾滋病＂三个90%＂的目标。各研究在评价该目标实现情况时,采用了不同的方法和标准。文章从三个90%的计算、感染者总人数的估计、检测方法、开始治疗的标准、评价过程中的不确定性等方面,对三个90%的评价方法进行概述。尽管许多国家和地区已经达到或接近＂三个90%＂的目标,但仍存在检测范围有限、方法不够丰富、药物可及性不足、服药意愿不高、医疗服务质量难以保证、服药依从性差、耐药、服务水平有限影响治疗效果、污名化、歧视仍存在等问题,为加速目标实现,防治艾滋病不能单一地依靠治疗,控制艾滋病依然需要综合防治。

UNAIDS set the ambitious 90-90-90 targets,and different methods and criteria were used in various studies to assess the achievements of the goal.This paper aims to overview of the three 90% evaluation methods from the aspects of estimated number of people with HIV,testing,the standard of starting treatment,and biases in the evaluation process.Although many countries and regions have reached or are close to three 90%targets,there are still challenges in diagnosis,treatment and virus suppression such as limitation of testing scope and method,accessibility to ART or medical care,poor drug compliance and resistance,the stigma and discrimination respectively.In order to accelerate the realization of the goal,the prevention and treatment of AIDS cannot rely on treatment alone,control AIDS still needs comprehensive prevention and treatment.