Uye Nei Inofanira Kuve Nehanya Nevose Tedu
Iyo HIV Treatment Cascade inomiririra muenzaniso unoshandiswa nehurumende, hurumende nehurumende dzepamunharaunda kuti zvive nani kuzivisa zvipingamupinyi mukuchengetwa kwevanhu vanotarisana neHIV. Iyo inozivikanwawo seHIV / AIDS Care Continuum , iyo muenzaniso inopa mufananidzo unomanikidza wehuwandu hwevanhu veAmerica vari kubatanidzwa mune imwe nhanho yekutarisira utachiona hweHIV mukuderedzwa kubva:
- Nhamba inofungidzirwa yevanhu vanotapukirwa neHIV;
- Chiyero chakawanikwa;
- Chiyero icho chave chichibatanidzwa nehanya;
- Chiyero chakachengetwa mukutarisirwa;
- Chiyero chinoda antiretroviral therapy;
- Chiyero chinogamuchira chiremba, uye;
- Chiyero chinogona kuchengetedza zvisingaoneki zvehutachiona hwehutachiona (hunofunga kuti chiyero chekubudirira kubudirira).
Muenzaniso wacho wakatanga kurondedzerwa naDkt. Edward Gardner nevamwe vake muDhipatimendi reMweya munaDecember 2011. Kuongororwa kwakaona kuti pakanga paine kudonha kukuru kubva pane imwe nhanho yekuenderera mberi kusvika pakakonzera piramidhi isina kuiswa paakaiswa mu mifananidzo yemamiriro ezvinhu ( ona mufananidzo ).
Pazvinonyanya kuvhiringidza, izvo HIV Inoshandiswa Cascade inoratidza ndeyevanhu vanoda kusvika mamiriyoni 1,2 vokuAmerica vanofungidzirwa kuva neHIV, asi vanenge 25% vakwanisa kubudirira kuburikidza nekuchengetedzwa kwekuchengetedzwa kubva pakuongororwa kuchirapa kusvika pakupedza zvakakwana kwehutachiona hweHIV.
Zvakanyanya kuipa, zveva 66% avo vanotanga kubatanidzwa nekutarisirwa, inenge hafu yevaya (vanenge 219 000 vanhu) vanorasikirwa kutevera kana kusakwanisa kuwana hutano hwakanaka hweHIV.
Nekunge kune huri kubudirira muhutano hwehutano nekubatanidza kutarisirwa kubva muna 2010 kusvika muna 2012 (kuwedzera 2% uye 4%, maererano), kurasikirwa kwepakati pe3% ne4% kwakaonekwa mune mamwe marudzi ose.
Zvinotapurirwa neHIV Kuchengetedzwa kweHIV Zvichitiudza
Aya mafananidzo anosimbisa matambudziko anouya kune vatevedzeri semitungamiri yezvino yeUnited States inoshevedza kwete kwete chete kuongororwa kweHIV kwevanhu vose veAmerica vane makore 15-65 asiwo inoda kuti kutanga kweHIV kurapwe panguva yekuongororwa pasinei neCD4 count.
Pakupedzisira, chinangwa chemitemo iyi ndechokubata zvakasimba vanhu vazhinji sezvinobvira kuti vauye pasi izvo zvinonzi "hutachiona hwemahara" (CVL) mukati mekuwanda kwevanhu vakawanda. Nokuita kudaro, kupararira kweHIV kunogona kuderera zvakadzama sezvo kushaya kwekuita kwehuwandu hwevanhu kwakaderera zvishoma nezvishoma.
Zvisinei, inoteterera kubvunza kuti kana zvinangwa izvi zvingave zvakagadziriswa zvakapiwa zvakapiwa zvikakosha zvakanyanya mukuchengetedzwa kwekuchengetedza, kunyanya pakati pevanhu veAfrica vemuAmerica vasingakwanisi kuwirirana nekutarisira (62%) uye zvishoma kudarika kuwanikwa kwehutachiona (21% ).
Vechidiki veAmerica (vane makore 25-34) vanowedzera kuipa, ne 56% chete vanobatana nekutarisira uye 15% chete vanowana zviratidzo zvisingaoneki zvehutachiona.
Uyezve, vamwe vakataura kuti, sechigadziriswa, CVL chiratidzo chechikanganiso chekutapurirana sezvo inonyanya kukosha kwehupenyu hwevanhu vane hutachiona hwepamusoro hutsika pavanoderedza hutachiona hwehutano hweavo vanoramba vasina kuziva.
Chimwe chidzidzo chakadaro chakaitwa neYunivhesiti yeChristian Hill, North Carolina inoratidza kuti CVL inogona, kaviri, inowanika kaviri iyo ikozvino inonzi apo zvirwere zvepidemiological zvakaitwa.
Kuvhara Matanho
Kuti zvidimbure zvimwe zvezvipembenene mukuchengetedzwa kwekuchengetedza, huwandu hwekutarisira hutano huri kuendeswa huri kuongororwa nehuwandu hwehutano hwehutano hwemashurumende nehurumende. Pakati pezvinangwa zvakakosha:
- Kupa ruzivo rwakawanda rwekuchengetedzwa kweHIV, kunyanya kune mharaunda yakasarudzwa. Kuwedzera kwekuenda kuMedicaid uye yehutano inshuwalhu yehutano pasi peAne Affordable Care Act inogona kubatsira kuderedza kusagadzikana kwehutano hwevanhu vanobatwa.
- Kurambidza kudya nekuenzanisa, kubatanidza nekuchengetedza, uye kurapa varwere mune imwe nzvimbo yakabatanidzwa (inozivikanwa inozivikanwa seTCL-Plus). San Francisco, Los Angeles, Birmingham, neWashington, DC vari pakati pemaguta eUnited States anowanzotaurirwa sekuratidza zvakanakisisa TLC-Plus maitiro.
- Shingairira maitiro ekuwana "varasikirwa" nevarwere uye vadzosera zvakare kuti vatarise. Muna 2013, Dhipatimendi reNew York City Dhipatimendi rehutano uye Mental Hygiene yakakwanisa kuwana 689 ve797 varwere veHIV vakarasikirwa kutevera, vachizogadzirisa 77% vavo kuti vakwanise kurapwa.
- Shandisai magwaro ezvokurapa emagetsi pakati pemagariro ehutano akareghenzwa kuti ave nechokwadi chokuti "kugadzirwa kwemagetsi" kune avo vanorasikirwa kutevera-kana kuti vanoda kurapwa. Pakazosvika 2009 na2011, Dhipatimendi reMeutano yeLouisana yakakwanisa kuziva uye kuchenjerera varwere vane HIV vane hutachiona hweHIV kuburikidza neLouanaana Public Health Information Exchange (LaPHIE), iyo yakanyatsogadzirisa nguva, inotungamirirwa nehutano hwehutano hwemagetsi.
- Ongorora zvose zvinyorwa uye tsika dzedsika yekuvandudza kutambira kune vamwe vanhu vane antiretroviral therapy. Izvi zvinosanganisira kuwedzera kushandiswa kwechiremba-murwere. Zvidzidzo zvinoratidza kuti varwere vane chiremba mumwe anoshanyira gore rimwe nerimwe vane 94% vanogona kurwara kana kufirwa kupfuura mumwe munhu ane vana. Kuwedzerwa kwechiremba-mutauriri wevarwere kunobatanidzawo nekuvandudzwa kwemishonga yekubatanidza mishonga.
Sources:
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