Vitoria Marco, Granich Reuben, Gilks Charles F, Gunneberg Christian, Hosseini Mehran, Were Wilson, Raviglione Mario, De Cock Kevin M
World Health Organization, HIV Dept, Geneva, Switzerland.
Am J Clin Pathol. 2009 Jun;131(6):844-8. doi: 10.1309/AJCP5XHDB1PNAEYT.
HIV/AIDS, tuberculosis, and malaria are 3 major global public health threats and cause substantial morbidity, mortality, negative socioeconomic impact, and human suffering. Despite the significant increase in financial support and recent progress in addressing these 3 diseases, important obstacles and unmet priorities remain. Disease-specific interventions have had a considerable impact on improving health systems. However, despite considerable investment, weak health systems, inadequate human resources, and poor laboratory infrastructure continue to be major obstacles to expanding health services. Health system strengthening should be addressed in an integrated approach that includes HIV-, tuberculosis-, and malaria-specific interventions. Investment in strategic information and public health laboratory network capacity strengthening are key actions to expand services to successfully address those diseases in heavily impacted countries.
艾滋病毒/艾滋病、结核病和疟疾是全球三大主要公共卫生威胁,会导致大量发病、死亡、负面社会经济影响以及人类痛苦。尽管在应对这三种疾病方面的资金支持显著增加且近期取得了进展,但重要障碍和未满足的优先事项依然存在。针对特定疾病的干预措施对改善卫生系统产生了相当大的影响。然而,尽管投入巨大,但薄弱的卫生系统、人力资源不足以及实验室基础设施差仍是扩大卫生服务的主要障碍。应通过综合方法加强卫生系统,其中包括针对艾滋病毒、结核病和疟疾的特定干预措施。投资于战略信息和加强公共卫生实验室网络能力是在受严重影响国家扩大服务以成功应对这些疾病的关键行动。