Email this article HIV PREVENTION AND ITS ROLE IN CONTEXT OF HIV EPIDEMY PERSPECTIVE IN RUSSIAN FEDERATION
- Authors: Smolskaya TT1
-
Affiliations:
- St. Petersburg, Russia
- Issue: Vol 19, No 2 (2012)
- Pages: 47-54
- Section: Articles
- URL: https://journals.rcsi.science/1728-0869/article/view/17509
- DOI: https://doi.org/10.17816/humeco17509
- ID: 17509
Cite item
Full Text
Abstract
The article presents an overview of the existing publications and the author’s several studies focusing on the need in strengthening HIV prevention in Russia. Based on the official data, the author attempted to provide an analysis of three stages of the Russian HIV epidemy (1987-2010) in terms of incidence levels, predominant transmission routes, involvement of various populations in the epidemy and prevention activities. The author describes social prevention projects implemented by AIDS Centres in 73 administrative territories across Russia in 2008-2009. There is a clear absence of unified approaches, with primary prevention focused on the general population and multiple projects targeting specific vulnerable groups such as IDUs, prisoners, migrants and SWs. The key partners in the projects were NGOs and international organizations. Most prevention projects were aimed at awareness-raising and information work. Long-term monitoring of prevention effect was problematic due to short lifespan of most projects. The vast experience of working with target groups is combined with the positive attitude to social surveys. Financial shortages are the key factor restricting prevention activities. The final section of the article contains discussion of highly active combined prevention which incorporates behavioural, structural and biomedical interventions as well as HAART. This approach, promoted as a standard by the international community, should be incorporated in the Russian concept of HIV prevention.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
T T Smolskaya
St. Petersburg, Russia
Email: smolskaya@ts2981.spb.edu
доктор медицинских наук, заслуженный врач России 197101, г. Санкт-Петербург, ул. Мира, д. 14
References
- Deklaratsiya tysyacheletiya Organizatsii Ob"edinennykh Natsii, 2000 g. [Millenium Declaration of United Nations Organization, 2000] [Elektronnyi resurs]. URL: http://www. ifap.ru/ofdocs/un/md.pdf (data obrashcheniya: 19.12.2011). [in Russian]
- Doklad YuNEIDS o global'noi epidemii SPIDa [UNAIDS report on AIDS global epidemy] // Shagi (SPID infosvyaz'). 2010. N 4. [in Russian]
- Natsional'nyi doklad Rossiiskoi Federatsii o khode vypolneniya Deklaratsii o priverzhennosti delu bor'by s VICh/ SPIDom. Otchetnyi period: yanvar' 2006 - dekabr' 2007 [Russian Federation National Report on Implementation of Declaration on Commitment to HIV/AIDS Control. Reporting period: January 2006 - December 2007]. M., 2008. S.12. [Elektronnyi resurs]. URL: http://data.unaids.org/pub/ Report/2008/russia_2008_country_progress_report_ru.pdf (data obrashcheniya: 19.12.2011). [in Russian]
- Natsional'nyi doklad RF o khode vypolneniya Deklaratsii o priverzhennosti delu bor'by s VICh/SPIDom. Otchetnyi period: yanvar' 2008 g. - dekabr' 2009 g. [Russian Federation National Report on Implementation of Declaration on Commitment to HIV/AIDS Control. Reporting period: January 2008 - December 2009]. M., 2010. S. 40 - 54. [Elektronnyi resurs]. URL: http://fzr. ru/uploads/national_report_russia_2008-2009.pdf (data obrashcheniya: 19.12.2011). [in Russian]
- Natsional'nyi doklad RF o khode vypolneniya Deklaratsii o priverzhennosti delu bor'by s VICh/SPIDom. Otchetnyi period: yanvar' 2008 g. - dekabr' 2009 g.[ Russian Federation National Report on Implementation of Declaration on Commitment to HIV/AIDS Control. Reporting period: January 2008 - December 2009] M., 2010. S. 41. [Elektronnyi resurs]. URL: http://www.unaids.org/en/dataanalysis/mon itoringcountryprogress/2010progressreportssubmittedbycou ntries/russia_2010_country_progress_report_en.pdf (data obrashcheniya: 19.12.2011). [in Russian]
- O provedenii povedencheskogo nadzora sredi bol'nykh VICh-infektsiei. Metodicheskie rekomendatsii Ministerstva zdravookhraneniya i sotsial'nogo razvitiya RF [Implementation of behavioral control among HIV patients. Methodical recommendations of Ministry of Health and Social Development RF] // Sbornik normativno-pravovykh aktov i metodicheskikh dokumentov po voprosam diagnostiki, lecheniya, epidemiologicheskogo i povedencheskogo nadzora VICh/SPID i soputstvuyushchikh zabolevanii. M., 2009. T. 2. S. 49-109. [in Russian]
- Onishchenko G. G. Rezul'taty realizatsii prioritetnogo natsional'nogo proekta v sfere zdravookhraneniya [Results of realization of priority national project in public health]: doklad na soveshchanii “Profilaktika VICh-infektsii, gepatitov V i S, vyyavlenie i lechenie bol'nykh VICh”. Suzdal, 3-4 dekabrya 2009 g. (Programma konferentsii vylozhena na saite: http:// www.biograd.ru/conference/attachments/0165_0003.htm (data obrashcheniya: 19.12.2011). [in Russian]
- Onishchenko G. G. O merakh po protivodeistviyu rasprostraneniya VICh-infektsii v RF [Measures for resistance to HIV infection expansion in RF]: pis'mo 01/3240-1-32. M. 23.03.201 1. 8 s. [in Russian]
- Pokrovskii V. V. Epidemiologiya i profilaktika VICh-infektsii i SPIDa [HIV-infection and AIDS epidemiology and prevention]. M.: Meditsina, 1996. 245 s. [in Russian]
- Pokrovskii V. V., Ladnaya N. N., Buravtsova E. V. VICh-infektsiya [HIV infection]: Informatsionnyi byulleten' № 34. M., 2010: FGUN Tsentral'nyi NII epidemiologii, 2010. 52 s. [in Russian]
- Pokrovskii V. V. Obshchie svedeniya o VICh-infektsii i podkhodakh k preduprezhdeniyu ee rasprostraneniya [Overview of HIV infection and approaches to its expansion prevention] // Informatsionno-analiticheskoe posobie “Effektivnye strategii razrabotki i realizatsii regional'nykh programm protivodeistviya rasprostraneniyu VICh-infektsii”. M., 2009. S. 18-19. [Elektronnyi resurs]. URL: http://www. hivpolicy.ru/upload/Effective-2010.pdf (data obrashcheniya: 19.12.2011. [in Russian]
- Smolskaya T. T., Tretyakova V. I., Ogurtsova S. V., Shilova E.A. Dozornyi nadzor za VICh-infektsiei sredi potrebitelei narkotikov in"ektsionnym sposobom [HIV infection sentinel surveillance among UDUs]: posobie dlya vrachei. SPb.: Sankt-Peterburgskii NIIEM im. Pastera, 2002. 43 s. [in Russian]
- Smolskaya T.T., Tretyakova V. I., Ogurtsova S. V., Shilova E. A., Yakovleva A. A., Gurvich I. N., Rusakova M. M. Epidemiologicheskii nadzor za VICh-infektsiei: organizatsiya i soderzhanie kompleksnykh seroepidemiologicheskikh i povedencheskikh issledovanii v uyazvimykh gruppakh naseleniya [HIV infection epidemiological surveillance: organization and content of integrated seroepidemiological and behavioral studies in vulnerable population groups]: metodicheskie rekomendatsii. SPb.: Sankt-Peterburgskii NIIEM im. Pastera, 2009. 76 s. [in Russian]
- Smolskaya T. T., Yakovleva A. A., Shegai M. M., Fedotova G. A., Chernov A. S., Rusakova M. M., Tretyakova V. I., Balueva L. L., Shipovskaya N. V., Konovalova N. V. Issledovanie rasprostranennosti VICh/IPPP i povedencheskikh faktorov riska sredi seks-rabotnits i muzhchin, imeyushchikh seks s muzhchinami [Study of HIV/STI prevalence and behavioral risk factors among commercial female sex workers and men having sex with men] // Kruglyi stol. 2004. Oktyabr', spetsvypusk. S. 37-38. [Elektronnyi resurs]. URL: http:// www.infoshare.ru/pdf/Special_04.pdf (data obrashcheniya: 19.12.2011). [in Russian]
- Smolskaya T. T., Ogurtsova S. V. VICh-infektsiya v Severo-Zapadnom federal'nom okruge RF v 2009 g.[HIV infection in RF North-Western Federal District in 2009]: analiticheskii obzor. SPb.: Sankt-Peterburgskii NIIEM im. Pastera, 2010. 43 s. [in Russian]
- Sovmestnye deistviya dlya dostizheniya rezul'tatov. Rabochii dokument s opisaniem tselei YuNEIDS na 2009-2011 g. [United actions for result achievement. Working document with description of UNAIDS goals in 2009-201 1] YuNEIDS, 2010. S. 6-11. [in Russian]
Supplementary files
