Sustaining the community dispensation strategy of HIV antiretroviral through community participation  

作　　者：Bibiane Siaheu Kameni Jobert Richie Nansseu Sandra Ayuk Tatah Jean Joel Bigna 

机构地区：[1]HIV day care Unit,Ngaoundere Regional Hospital and Adamawa Regional Technical Group for the fight against HIV/AIDS,Ngaoundere,Cameroon [2]Department of Public Health,Faculty of Medicine and Biomedical Sciences,University of Yaounde I,Yaounde,Cameroon [3]Department for the Control of Disease,Epidemics and Pandemics,Ministry of Public Health,Yaounde,Cameroon [4]Department of Pediatrics,Douala Laquintinie Hospital,Douala,Cameroon [5]Department of Epidemiology and Public Health,Centre Pasteur of Cameroon,Rue Henry Dunant,P.O,1274 Yaounde,Cameroon [6]School of Public Health,Faculty of Medicine,University of Paris Sud XI,Le Kremlin Bicetre,France

出　　处：《Infectious Diseases of Poverty》2019年第1期69-74,共6页贫困所致传染病（英文）

摘　　要：Background:The advent and widespread use of antiretroviral therapy(ART)has remarkably changed the paradigm of HIV infection,increasing substantially the lifespan and quality of life of people affected.Accordingly and responding to policy makers and international directives,many strategies were put in place in Cameroon to accelerate ART uptake,including the community dispensation of ART through community-based organizations(CBOs).Main body:In its strategic plan to curb the burden of HIV/AIDS and as part of accelerating and reinforcing the provision of ART to all people living with HIV(PLWH),Cameroon opted for different strategies including the dispensation of ART in the community through well identified and tutored CBOs.Actually,financing of ART in Cameroon is mainly the conjugation of resources from the Government and its technical and financial partners,basically the Global Funds supplemented by supports from the Unitaid initiative which allows PLWH residing in Cameroon to benefit from continuous ART without spending a dime.However,this external funding will end-up by 2020.Therefore,there is urgent need to think of alternative and efficient strategies to sustain the fight against HIV/AIDS in Cameroon,especially the provision of ART to patients through community dispensation.Some studies carried out in sub-Saharan African countries have shown that mutual health insurance seems to be a solution with great potential to improve access to quality care,mobilize the necessary funds,improve efficiency of the health sector,and promote dialogue and democratic governance in the health sector along with social and institutional development of the society.Conclusions:The pooling of associations of PLWH in Cameroon and other countries of sub-Saharan Africa in line with the Bamako Initiative constitutes a promising strategy that would undoubtedly help to offset the withdrawal of funding from external sources,and allow an appropriation of the fight against HIV/AIDS by those concerned at the first place.Nevertheless,other lines

关 键 词：HIV/AIDS Community dispensation SUSTAINABILITY Mutual Cameroon 

分 类 号：TP[自动化与计算机技术]