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全球艾滋病预防联盟:2030年艾滋病预防全球可及性框架研究报告(中译版)(50页).pdf

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1、HIV PREVENTION 2030A Global Access Framework for Country-Led ResponsesA Global Access Framework for Country-Led Responses1Contents Introduction and context 2The urgent need to accelerate progress The objectives of the 2030 Access Framework 5 A renewed global HIV prevention push Paradigm shift 10A ne

2、w era of HIV prevention 2030 Prevention Access Framework 11A person-centred approach to access and choice Prevention optimization 19Enhanced prioritization in a resource constrained environment Prevention financing and sustainability 23Transformations to the prevention investment architecture Conclu

3、sion 28Call to action for country-led prevention Annexes 31Annex A:Milestones,epidemiological and resource estimates,and other guidance Annex B:Useful HIV prevention resources References 42HIV PREVENTION 20302The urgent need to accelerate progressThe 2025 global HIV prevention targets were not achie

4、ved.By the end of 2024,annual new HIV acquisitions had reached their lowest level in more than three decades.But the decline was not steep enough to reach the 2025 target of an 80%reduction in new infections between 2010 and 2025.By the end of 2024,new infections globally had declined by about 40%.F

5、ive countriesLesotho,Malawi,Nepal,Rwanda and Zimbabwedid achieve a 75%reduction between 2010 and 2024(1),demonstrating that the targets were achievable.Those advances were the result of strong political will,scale up of prevention and treatment,community leadership and global solidarity.However,glob

6、ally the decline in new HIV acquisitions was much too slow to meet the 2025 and 2030 targets(fewer than 200 000 new HIV infections per year in 2030).Overall,an estimated 1.3million(1 million 1.7 million)people newly acquired HIV in 2024.Even in settings with declining HIV incidence,some groups,in pa

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1. **目标未达成**:2025年全球HIV预防目标未实现,2024年新感染数较2010年下降40%(目标80%),仅莱索托等5国实现75%降幅。 2. **资金危机**:2025年起面临严重资金短缺,美国等削减援助,2024年全球初级预防资金仅17-21亿美元(需53亿美元),64国依赖外部资金。 3. **核心目标**:2030年将新感染数较2010年减少90%,实现40万HIV感染者治疗、2000万PrEP使用者等里程碑。 4. **优先策略**:以人为中心,优化预防组合(如PrEP、安全套、针具交换),重点覆盖关键人群(性工作者、MSM等)和高流行地区。 5. **资金转型**:需转向国家主导的可持续融资,2030年预防资金需占HIV总预算24%,通过总市场模式整合公私资源。
**2030防艾目标** **资金危机如何应对?** **关键人群如何覆盖?**
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