需要整合艾滋病毒和非传染性疾病的医疗保健服务:印度的视角。

Arohi Chauhan, Abhinav Sinha, Pranab Mahapatra, Sanghamitra Pati
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引用次数: 0

摘要

随着艾滋病毒死亡率的下降,与艾滋病毒无直接关系的发病率和死亡率也随之上升。因此,许多国家,尤其是中低收入国家(LMICs)目前正面临着艾滋病毒和非传染性疾病(NCDs)的双重负担。在印度,230 万艾滋病毒感染者因老龄化而罹患非传染性疾病的风险更高,这可归因于长期艾滋病毒感染的额外影响以及抗逆转录病毒疗法的副作用。这导致对综合卫生系统应对措施的需求增加,以管理艾滋病毒感染和同时存在的非传染性疾病,尤其是在印度等低收入和中等收入国家。设想中的保健和健康中心(HWCs)将提供范围更广的预防和治疗服务,包括慢性病服务,这可能会成为向这些人提供平等、便捷的初级保健服务的机会之窗。将艾滋病毒和非传染性疾病护理结合起来的原因是,这些疾病在流行病学上存在重叠,而且在提供医疗保健服务时需要采取类似的战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A need to integrate healthcare services for HIV and non-communicable diseases: An Indian perspective.

With the decline in HIV mortality, a concomitant increase in morbidity and death not directly related to HIV has been witnessed. Consequently, many countries especially low- and middle-income countries (LMICs) are now facing the dual burden of HIV and non-communicable diseases (NCDs). 2.3 million people living with HIV in India are at a higher risk of developing NCDs due to ageing, which can be attributed to the additional impact of long-standing HIV infection and the side-effects of antiretroviral therapy. This has led to a rise in demand for a combined health system response for managing HIV infection and co-existing NCDs, especially in LMICs such as India. The health and wellness centres (HWCs) envisioned to provide an expanded range of preventive and curative services including that for chronic conditions may act as a window of opportunity for providing egalitarian and accessible primary care services to these individuals. The reasons for integrating HIV and NCD care are epidemiological overlap between these conditions and the similar strategies required for provision of healthcare services.

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