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  • 标题:Review of HIV response in Pakistan using a system thinking framework
  • 本地全文:下载
  • 作者:Muhammad Ahmed Abdullah ; Community ; Family Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • 期刊名称:Global Health Action
  • 印刷版ISSN:1654-9716
  • 电子版ISSN:1654-9880
  • 出版年度:2015
  • 卷号:8
  • 期号:0
  • DOI:10.3402/gha.v8.25820
  • 语种:English
  • 出版社:Taylor & Francis
  • 摘要:Pakistan has moved from a ‘low prevalence–high risk’ to a ‘concentrated epidemic’ state, yet the forcefulness required for managing this silent escalation of HIV infected numbers is not being highlighted, as it should be. A more comprehensive review of the national strategy for HIV/AIDS would necessitate a system’s thinking. For this purpose, the WHO’s Health Systems Building Blocks have been discussed to analyse whether this framework can be employed to take some corrective measures. An extensive literature review in this regard helps to understand that the service delivery has to be responsive, but skilled human resources, a robust information system, an uninterrupted supplies and use of latest technology, adequate financing, and above all good governance at operational level are essential ingredients, which call for re-orienting the national programme today. Lack of coordination, capacity, and interventions with questionable sustainability pave a perilous path. Hitherto, the issue can be addressed by involving stakeholders from all levels of the society and managing the void between policy and implementation. Furthermore, interventions that focus on the long-term future are imperative to combat the menace threatening human lives.Keywords: HIV/AIDS; Pakistan; health system; building blocks(Published: 30 March 2015)Citation: Glob Health Action 2015, 8: 25820 - http://dx.doi.org/10.3402/gha.v8.25820
  • 关键词:Public Health; Global Health;Health Systems; Community Health; Population Health;HIV/AIDS; Pakistan; health system; building blocks
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