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抗击艾滋病的未来成功在于领导与问责

(2012-07-31 16:20:34)
标签:

杂谈

分类: 政治与经济
http://photos.state.gov/libraries/amgov/3234/week_4/07272012_AP172119184280-300.jpg

第19届世界艾滋病大会期间,(左起)安妮•伦诺克斯(Annie Lennox)、参议员约翰•克里(Senator John Kerry)、联合国艾滋病规划署(UNAIDS)负责人米歇尔•西迪贝(Michel Sidibé)与埃尔顿•约翰(Elton John)在一起举行了会议。



美国国务院国际信息局(IIP)《美国参考》从华盛顿报道,抗击艾滋病疫情的国际性努力在过去10年中取得的成果大大超出了人们在2002年时的期望。全世界的800万患者正在接受能够延长生命的治疗,以控制艾滋病毒感染并防止发病。在世界各国政府制订战略扩大目前治疗范围之际,另有数百万人需要得到这样的治疗。

“抗击艾滋病、结核病和疟疾全球基金”(Global Fund to Fight AIDS, Tuberculosis and Malaria)和“总统防治艾滋病紧急救援计划”(PEPFAR)始终是用于拯救艾滋病患者生命的药品、治疗、护理与支持的资金的两个主要来源,但在全世界还有符合条件的大约700万人尚未获得治疗。国际保健规划人员现在面临的问题是:是否应扩大治疗人数,以及这种治疗能否持续下去。

7月26日,在一个审视未来需求与开支的研讨会上,“全球基金”总经理加布里埃尔·哈拉米略(Gabriel Jaramillo)说:“我们能够让所有患者得到治疗,我们也能够将治疗继续进行下去。”

这一研讨会是 7月22日至27日于华盛顿召开的第19届世界艾滋病大会(XIX International AIDS Conference)中的一项活动。

在大会开幕前,联合国艾滋病规划署于7月18日发布调查结果显示:低收入与中等收入国家在2011年为抗击艾滋病提供资金86亿美元,首次超过了国际组织和捐助国提供的数额。这是一个重要的转变。

与哈拉米略参加同一研讨会的美国全球艾滋病事务协调员(US Global AIDS Coordinator)埃里克·古斯比(Eric Goosby)医生表示,受艾滋病严重影响的国家的资金投入对于未来的成功将起到关键作用。

古斯比说:“为了长期抗击艾滋病、结核病和疟疾,捐助方和受援国都必须保持对于这一努力的政治与资金承诺。”

他补充说,受到严重影响的国家必须制定应对这一流行病的明确战略,以展示其责任感及其应对这一危机的能力。古斯比还说,坚持对防治艾滋病资金的使用方式进行问责以及促进当地工作与国际努力之间的协调也将是十分重要的。

古斯比表示,有了协调一致的努力和共同的愿景以及国际机构和当地政府的通力合作,就能够在帮助更多患者的同时降低实施治疗的总成本。

他说:“值此全球资金紧缺之际,我们必须采取统一行动来努力拯救尽可能多的生命,这比任何时候都更重要。”

哈拉米略在谈到埃塞俄比亚如何与国际捐助方共同努力设计出一个适合当地的战略来改善保健工作时说,该国“做得非常好”。藉着PEPFAR和全球基金提供的支持,埃塞俄比亚已显著扩大了对艾滋病人和艾滋病毒携带者的治疗,并建立了一个现在能够覆盖全国人口92%的保健系统。

哈拉米略说:“今天在埃塞俄比亚,艾滋病的死亡率已降低了50%;疟疾的死亡率降低了40%,结核病的死亡率则降低了32%。”

古斯比大使表示,美国赞扬全球基金最近所进行的使得资源分配更为有效并能获得更高效益的改革。

来自190多个国家的大约23000名代表出席了在华盛顿举行的为期一周的世界艾滋病大会,会议的使命是遏阻艾滋病流行并减轻艾滋病患者与病毒携带者和他们的家庭与社区所遭受的痛苦,代表们参加了为数众多的讲习班、演讲和讨论。

这次大会为欧巴马政府提供了一个机会,使它得以通过治疗患者与防止疾病传播等举措来为其实现无艾滋病一代的目标寻求支持。



Read more: http://iipdigital.usembassy.gov/st/chinese/article/2012/07/201207309857.html#ixzz22BchD7tz

AIDS 2012: Future of AIDS Fight Is in Leadership, Accountability

27 July 2012
http://photos.state.gov/libraries/amgov/3234/week_4/07272012_AP172119184280-300.jpg

Annie Lennox, Senator John Kerry, UNAIDS head Michel Sidibé and Elton John had a meeting during the XIX International AIDS Conference.

 

Washington — The international movement to beat the AIDS epidemic has achieved more in the last 10 years than anyone would have thought possible in 2002. Eight million people around the world are receiving life sustaining treatment to control HIV infection and prevent the development of AIDS. Millions more need it as governments around the world develop strategies on how to sustain and expand the population now receiving treatment.

The Global Fund to Fight AIDS, Tuberculosis and Malaria and the President’s Emergency Plan for AIDS Relief (PEPFAR) have been two of the primary sources of funding for medicines, treatment, care and support that is saving the lives of HIV-infected persons. But about 7 million more people worldwide are eligible for treatment and have not yet received it. The questions facing international health planners now are whether treatment can be expanded and can it be sustained.

“We can have universal coverage, we can have sustainability,” said Global Fund General Manager Gabriel Jaramillo as he participated in a panel discussion July 26 looking at future needs and costs.

The panel was convened at the XIX International AIDS Conference being held in Washington July 22–July 27.

A key predictor of how AIDS funding could unfold in the years ahead came before the conference began. The Joint United Nations Programme on HIV/AIDS (UNAIDS) released findings July 18 showing that low- and middle-income countries had devoted $8.6 billion for their response to the epidemic in 2011, exceeding the amounts provided by international donor organizations and nations for the first time.

Appearing on the same panel with Jaramillo, U.S. Global AIDS Ambassador Dr. Eric Goosby said financial investment from the affected countries will be critical to future success.

“In order to achieve a durable response to HIV, TB and malaria, both donor and recipient countries must sustain political and financial commitment to the effort,” Goosby said.

The ambassador said further that hard-hit countries need to develop clear-cut strategies for addressing the epidemic to demonstrate their responsibility and capability to cope with the crisis. Maintaining accountability on how AIDS funds are spent, and collaboration between local and international efforts will also be important, Goosby said.

With coordinated efforts and unified vision, Goosby said, the combined efforts of international agencies and local governments can decrease the cost of care delivery overall, while helping more people

“In this time of global financial constraint, it is more important than ever that we work towards one united response to save the most lives possible,” Goosby said.

Ethiopia has done a “remarkable job,” said Jaramillo, in how it has worked with international donors to devise a local strategy for improving health care. Drawing on support provided by both PEPFAR and the Global Fund, Ethiopia has greatly expanded treatment for persons with HIV/AIDS, Jaramillo said, and built a health care system that is now reaching 92 percent of the country’s population.

“HIV mortality is down 50 percent in Ethiopia today,” said Jaramillo. “Malaria deaths are down 40 percent, and TB mortality is down 32 percent.”

Ambassador Goosby said the United States applauds recent reforms instituted by the Global Fund to bring greater effectiveness and efficiency to the distribution of resources.

About 23,000 delegates from more than 190 countries attended the weeklong AIDS conference in Washington, participating in scores of workshops, lectures and discussions about their mission to contain the AIDS epidemic and reduce the suffering it brings to persons living with HIV/AIDS, their families and communities.

The conference was an opportunity for the Obama administration to build support for its goal to create an AIDS-free generation in the years to come through treating the ill and preventing the spread of the disease.



Read more: http://iipdigital.usembassy.gov/st/english/article/2012/07/201207279801.html#ixzz22BcigqQZ

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