缅甸艾滋病防治亟须平等的国际援助
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本报驻仰光记者 李志强 发布时间: 2009-06-22 07:39 来源:光明日报
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根据缅甸卫生部的最新数字,缅甸政府2006年出台艾滋病防治国家战略五年计划以来,艾滋病病毒携带者和艾滋病患者比例已从高峰期2000年的1.5%下降到6.7‰。但是,缅甸仍为当前亚洲艾滋病情最为严重的国家之一,亟须来自国际社会平等有效的资金和技术援助。
自从1991年发现第一例艾滋病患者以来,缅甸政府的工作力
度呈逐年加大的趋势,艾滋病防治人员日益扩大,在国际援助之下,缅方在抗逆转病毒药物治疗、避孕套推广使用、避免母婴传染、性病治疗,以及预防宣传和学校技能教育方面都开展了许多工作。2006年,缅政府专门委任卫生部长担任新成立的艾滋病防治协调委员会主席,并由卫生部高管担任下属的行动和技术小组负责人,该小组25名成员分别来自政府部门、联合国驻缅机构,以及国际和本地非政府组织成员,为加强管理,缅政府还吸收了部分艾滋病患者相对集中的社区的代表。
联合国艾滋病署驻仰光代表孙刚日前接受本报专访时表示,2007年的一项综合研究数据显示,缅甸67%的性工作者、14.7%的男性同性恋者和14%的吸毒人员为艾滋病病毒携带者和感染者。在取得部分成绩的同时,此间艾滋病的防治工作,还存在盲点,比如在监狱和特别偏远的少数民族地区等,艾滋病的防控工作尚需加强。
联合国艾滋病署缅甸代表处在艾滋病政策开发、研究、技术支持、宣传倡导和协调等方面协同缅甸政府做了很多工作。孙刚代表指出,目前近40个国际和本地非政府组织从事艾滋病救助和预防等工作,但远远不够。2007年8月起,缅甸政府连同联合国艾滋病协调署在内的有关机构和非政府组织共同开展的一项调查显示,约有24.2万人感染艾滋病,占人口总数的6.7‰,较高峰期的2000年(15%)有所降低。但是接受治疗的患者仅为15%,初步估计每年死于艾滋病有关疾病的人数仍有2万例。
分析人士普遍认为,当前缅甸艾滋病防治中的最大问题是资金捉襟见肘和资源的高度匮乏,尤其是来自外界的国际援助少得可怜。据估计,缅甸政府每年用于艾滋病防治的专款仅为20万美元左右。同亚非其他欠发达的发展中国家一样,外援对缅甸的艾滋病防治不仅是雪中送炭,而是根本依靠。就国际援助而言,根据联合国发展计划署2007/2008年度公布的数字,中南半岛邻国越南、老挝、柬埔寨2005年人均获得的外援额度分别为23美元、49.9美元和38.2美元,而同期的缅甸仅为人均2.9美元。按援助规定,越老柬缅四国用于艾滋病、结核病和疟疾3大区域重点防治疾病的专项援助金额,必须接近全部外援总额的40%。如按三种疾病一比一的比例粗算,在缅甸人均艾滋病防治的国际援助仅为30美分左右。这显然与实际需要相去甚远。
联合国的内部资料显示,缅甸获得的各项国际援助少得可怜,在艾滋病方面的获赠人均仅为柬埔寨的八分之一,柬埔寨在艾滋病方面的一项援助就超过了缅甸获得的全部外援之和。资金的严重匮乏,基本药物的难以保障将使缅甸艾滋病的防治之路更加漫长和艰辛。缅甸艾滋病防治亟须平等的国际援助。
(本报仰光6月20日电)
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Myanmar the urgent need for AIDS prevention and control of international aid equal
Li Zhiqiang newspaper reporter in Yangon Published: 2009-06-22 07:39 Source: Guangming Daily
According to the latest figures of the Ministry of Health of Myanmar, Myanmar government in 2006 introduced the five-year National Strategy for AIDS prevention and control program, HIV carriers and AIDS patients from the peak of the ratio in 2000 dropped to 1.5 percent of 6.7 ‰. However, Myanmar is still the current AIDS situation in Asia one of the most serious, urgent need for effective social equality from the international financial and technical assistance.
Since 1991, the first cases of AIDS since the Government of Myanmar to the work force
Degrees was increasing year by year trend, the growing AIDS staff in the international assistance, the Burmese in antiretroviral drug treatment, to promote the use of condoms to prevent mother-to-child transmission, sexually transmitted diseases treatment, and prevention campaigns and skills education in schools have carried out a lot of work. In 2006, the Burmese government has appointed as the new Minister of Health set up to coordinate AIDS prevention and control of the Chairman of the Committee by the Ministry of Health as a subordinate executives and technical team, the team members from 25 government departments, United Nations agencies in Myanmar , as well as international and local non-governmental organizations, to strengthen the management, the Myanmar government has to absorb some of the relative concentration of AIDS in communities.
United Nations AIDS representative of the Department in Rangoon a few days ago, Sun said in an exclusive interview with this newspaper, in 2007 a comprehensive study of the data showed that 67 percent of Myanmar's sex workers, 14.7 percent of male homosexuals and 14% of drug users for HIV carriers and infected persons. Some results obtained at the same time, AIDS prevention and control work here, there are blind spots, such as in prisons and in particular the ethnic minorities in remote areas, AIDS prevention and control work needed to strengthen.
Department of Myanmar, the United Nations AIDS office in AIDS policy development, research, technical support, advocacy and coordination in Myanmar Collaborative Government has made a lot of work. Sun pointed out that, at present nearly 40 international and local non-governmental organizations engaged in relief and prevention of AIDS, but far from enough. August 2007, the Myanmar Government, together with UNAIDS co-ordination of relevant agencies including the Department and non-governmental organizations to carry out a survey, about 242,000 new cases of HIV infection, accounting for the total population of 6.7 ‰, than the 2000 peak years (15%) decreased. However, patients receiving treatment only 15% die each year from a preliminary estimate of the number of AIDS-related diseases are still 20,000 cases.
Analysts generally agreed that the current AIDS in Myanmar, the biggest problem is inadequate funding and lack of resources, a high degree, especially from the outside world little international assistance. It is estimated that each year the Government of Myanmar to the special funds for AIDS prevention and control of only about 200,000 U.S. dollars. With other less developed Asian and African developing countries, foreign aid to Myanmar is not only temporary relief for AIDS, but simply to rely on. On international assistance, according to the United Nations Development Program, 2007/2008 annual figures published by neighboring Indochina Vietnam, Laos, Cambodia, in 2005 the amount of foreign aid per capita was 23 U.S. dollars respectively, 49.9 U.S. dollars and 38.2 U.S. dollars, while the same period in Myanmar only 2.9 U.S. dollars per capita. In accordance with the provisions of assistance, Myanmar and Cambodia and the older four countries for AIDS, Tuberculosis and Malaria 3 major regional focus on disease prevention and control of the amount of special assistance, must be within reach of all the 40% of the total foreign aid. If the three diseases in accordance with the proportion of one-to-one rough count, the per capita AIDS in Myanmar's international assistance was only about 30 cents. This is obviously a far cry from the actual needs.
Internal information of the United Nations, Myanmar received little international assistance, in per capita AIDS receive only one-eighth of Cambodia, Cambodia in an AIDS assistance to more than the total foreign aid to Myanmar's和. Severe lack of funds, basic drugs will make it difficult to guarantee the prevention of AIDS in Myanmar more long and difficult road. Myanmar the urgent need for AIDS prevention and control of international assistance equality.
(Yangon our power June 20)
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