约旦国家艾滋病计划和艾滋病毒/艾滋病监测系统评估。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI:10.1177/20503121241263694
Moad J Al-Rahamneh, Yousef Khader, Ashraf Jamil Aqel, Hiba Abaza, Srinath Satyanarayana, Ala'a Fuad Al-Shaikh, Heyam Hilal Mukattash, Areej Hamed Shoubaki, Tareq Haytham Aldamen
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引用次数: 0

摘要

导言:约旦国家艾滋病计划面临着诸多挑战,包括资金不足、资源有限以及难民涌入带来的复杂问题。由于缺乏可靠的艾滋病毒/艾滋病监测系统,跟踪和应对这一流行病的工作变得更加复杂。本研究旨在评估国家艾滋病计划和艾滋病毒/艾滋病监测系统的绩效和功能:我们开展了一项定性研究,以评估约旦的国家艾滋病计划和艾滋病毒/艾滋病监测系统。这项研究涉及 14 名专门从事艾滋病毒/艾滋病监测系统的关键信息提供者。访谈是在访谈指南的指导下进行的,该指南是根据最新的美国疾病控制和预防中心《公共卫生监测系统评估指南》制定的。数据分析通过定向内容分析进行:约旦的自愿咨询与检测中心面临着多重挑战,包括基础设施薄弱、交通不便、设施不足等。此外,自愿咨询和检测中心与胸病和移民卫生局之间缺乏有效协调,尤其是在结核病检测方面。约旦的艾滋病毒筛查受到各种因素的阻碍,包括疾病敏感性。自愿咨询和检测中心缺乏艾滋病毒/艾滋病专家和接受过适当培训的工作人员,未能遵守最新的治疗准则。人力资源、设备和培训方面的持续不足继续困扰着艾滋病毒/艾滋病监测系统。主要信息提供者对数据的实用性表示不满,担心数据质量差。这些数据很少被用于确定资源的优先次序、识别高危人群、评估艾滋病毒/艾滋病风险因素或评估预防和控制措施:约旦的国家艾滋病计划和艾滋病毒/艾滋病监测系统活动缺乏条理、协调性差、效率低。在国家艾滋病计划和艾滋病毒/艾滋病监测系统的绩效和数据方面发现了许多不足之处。建议包括开发一个用于数据收集、通知和报告的电子监测系统,以及提高艾滋病毒/艾滋病医疗服务提供者在筛查、诊断和管理方面的能力。
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Evaluation of the national AIDS program and HIV/AIDS surveillance system in Jordan.

Introduction: The National AIDS Program in Jordan has faced numerous challenges, including insufficient funding, limited resources, and complexities brought on by refugee influxes. The absence of a reliable HIV/AIDS surveillance system further complicates tracking and responding to the epidemic. This study aimed to evaluate the performance and functionality of the National AIDS Program and the HIV/AIDS surveillance system.

Methods: A qualitative study was conducted to evaluate the National AIDS Program and the HIV/AIDS Surveillance System in Jordan. The study involved 14 key informants specialized in HIV/AIDS Surveillance Systems. Interviews were guided by an interview guide based on the Updated Centers for Disease Control and Prevention Guidelines for Evaluating Public Health Surveillance Systems. Data analysis was performed through directed content analysis.

Results: The Voluntary Counseling and Testing Center in Jordan confronts multiple challenges, including poor infrastructure, limited accessibility, and inadequate facilities. Additionally, there is a lack of effective coordination between the Voluntary Counseling and Testing center and the Chest Diseases and Migrant Health Directorate, particularly regarding testing for Tuberculosis. HIV screening in Jordan is hindered by various factors, including disease sensitivity. Voluntary Counseling and Testing lacks HIV/AIDS specialists AND staff adequate training and fails to adhere to updated treatment guidelines. Persistent deficiencies in human resources, equipment, and training continue to plague the HIV/AIDS Surveillance System. Key informants expressed dissatisfaction with the data's usefulness, citing concerns over poor data quality. The data were seldom used for prioritizing resources, identifying at-risk individuals, assessing HIV/AIDS risk factors, or evaluating prevention and control measures.

Conclusion: The National AIDS Program and HIV/AIDS Surveillance System activities in Jordan are unstructured, poorly coordinated, and inefficient. Many gaps related to National AIDS Program and HIV/AIDS Surveillance System performance and data were identified. Recommendations include developing an electronic surveillance system for data collection, notification, and reporting, and building the capacities of HIV/AIDS healthcare providers in screening, diagnosis, and management.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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