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Humanising and optimising HIV health care for refugees and asylum seekers
The Lancet HIV ( IF 12.8 ) Pub Date : 2024-11-10 , DOI: 10.1016/s2352-3018(24)00233-9
Claudia P Cortes MD, Omar Sued PhD, Prof William C W Wong MD, Annick Borquez PhD, Charles Ssonko MD, Prof Miłosz Parczewski MD, Prof Jocelyn DeJong PhD, Prof Vonthanak Saphonn PhD, Animesh Sinha MD, Prof Báltica Cabieses PhD

Displaced populations living with HIV, including refugees and asylum seekers, face substantial challenges across various regions globally. The intersection of forced migration and HIV presents both shared challenges and region-specific differences. Key issues include little access to health care, pervasive stigma, discrimination, and disruptions in the continuity of HIV care. Refugees often encounter barriers such as legal, cultural, and economic disparities that impact their overall health outcomes. Although HIV prevalence differs across regions, displaced populations consistently face disproportionate challenges including high-risk environments and little health-care access. Addressing these challenges requires a focus on equitable health-care access, with both actionable local interventions and broader global policy changes and an emphasis on long-term sustainability. Reliable and continuous drug supplies, interagency collaboration, and holistic health-care approaches are essential. International collaboration, robust evidence generation, and comprehensive responses are urgently needed to address the complex interplay between forced migration and HIV among vulnerable populations.

中文翻译:


为难民和寻求庇护者提供人性化和优化 HIV 医疗保健



流离失所的 HIV 感染者,包括难民和寻求庇护者,在全球各个地区都面临着重大挑战。强迫移民和 HIV 的交集既带来了共同的挑战,也带来了特定地区的差异。关键问题包括难以获得医疗保健、普遍的污名化、歧视以及 HIV 护理连续性中断。难民经常遇到影响其整体健康状况的障碍,例如法律、文化和经济差异。尽管不同地区的 HIV 流行率不同,但流离失所人口始终面临不成比例的挑战,包括高风险环境和难以获得医疗保健的机会。应对这些挑战需要关注公平的医疗保健可及性,既要采取可行的地方干预措施,又要改变更广泛的全球政策,并强调长期可持续性。可靠和持续的药物供应、机构间合作和整体医疗保健方法至关重要。迫切需要国际合作、强有力的证据生成和全面的应对措施,以解决弱势群体中被迫移民与 HIV 之间的复杂相互作用。
更新日期:2024-11-10
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