对艾滋病毒敏感的社会保护:对东部和南部非洲社会保护政策和方案的评估。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Zitha Mokomane, Nonhlanhla Xaba, Kai Roehm, Mutinta Hambayi, Manaan Mumma, Giovanni Giordana, Simphiwe Mabhele, Christian Mouala
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引用次数: 0

摘要

尽管在防治艾滋病毒流行病方面作出了显著的政治和财政承诺,但东部和南部非洲仍然是世界上受影响最严重的区域。鉴于越来越多的人呼吁实施对艾滋病毒敏感的社会保护计划,以解决增加艾滋病毒感染风险的多种个人、社区和社会因素,本文探讨了该地区社会保护机制对艾滋病毒敏感的程度。这篇文章是基于一个两阶段的项目,其中第一阶段需要对国家社会保护政策和方案进行桌面审查。在第二阶段,对该区域15个快速通道国家进行了多部门利益攸关方磋商。主要发现表明,欧空局的社会保护政策和社会援助方案并没有专门针对艾滋病毒问题或艾滋病毒感染者、面临艾滋病毒风险或受艾滋病毒影响的人。相反,根据这些国家的宪法规定,这些方案往往包括各种人群的脆弱性,包括艾滋病毒感染者。为此目的,总的来说,这些方案足以涵盖与艾滋病毒有关的问题以及受这一流行病感染和影响的人的需要。然而,许多利益攸关方反复提出的一个论点是,由于艾滋病毒感染者往往不愿披露其状况和/或获得社会保护服务,因此,社会保护政策和规划必须明确对艾滋病毒敏感。因此,本文最后在这方面提出了建议,并为多部门合作伙伴提供了一个课程,以确保社会保护政策和方案具有变革性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV-sensitive social protection: an assessment of east and southern Africa's social protection policies and programmes.

Despite notable political and financial commitment to fight the HIV epidemic, east and southern Africa (ESA) remains the world regions most affected. Given increasing calls for the implementation of HIV-sensitive social protection programmes to address the multiple individual, community and societal factors that heighten the risk of HIV infection, this article explores the extent to which social protection mechanisms in the region are HIV sensitive. The article is based on a two-phase project where the first phase entailed a desktop review of national social protection policies and programmes. In the second phase, multisectoral stakeholder consultations conducted were 15 fast-track countries in the region. The key findings suggest that social protection policies and social assistance programmes in ESA do not specifically target HIV issues or people living with, at risk of, or affected by HIV. Rather, and in line with the countries' constitutional provisions, the programmes tend to be inclusive of the vulnerabilities of various populations including people living with HIV. To this end, the programmes can be seen as generally sufficient to encompass HIV-related issues and the needs of people infected and affected by the epidemic. However, a recurring argument from many stakeholders is that, to the extent that people living with HIV are often reluctant to either disclose their status and/or access social protection services, it is critical for social protection policies and programmes to be explicitly HIV sensitive. The article thus concludes by making recommendations in this regard as well as by making a class for multisectoral partners to work collaboratively to ensure that social protection policies and programmes are transformative.

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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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