ࡴᔎأ䖰᠔㔫䮼㕸ቯि⫳᳡ࡵ䚼䮼ҹᕾ䆕Ў

(1)

a 䁍ྚᮃᑧܟ໻ᄺˈएᄺ੠⠭⾥ᄺ䰶ˈ▇໻߽Ѯ߃ᘽᮃᏖˈ৆ᆚᮃ㧆ᇨᖋऎˈ呺Ḑ䳋ៜ䏃Ǆ

b 䰓ᠬӞ㧆෎ⴷ໡Јए䰶ˈ᠔㔫䮼㕸ቯˈ偀㦅ศቯˈϰKwaioǄ

c 䁍ྚᮃᑧܟ໻ᄺˈ݀݅ि⫳ǃएᄺ੠ݑए⾥ᄺᄺ䰶ˈ▇໻߽Ѯˈ∸ᮃ㓈ᇨᏖˈ䘧Ḑᢝᮃऎ䁍ྚᮃᑧܟ໻䘧Ǆ

d ⛁ᏺعᒋ㾷އᮍḜˈ▇໻߽Ѯˈ∸ᮃ㓈ᇨᏖˈ㡒䖒߽Ѯऎˈ⾥⾥䖒㸫72োǄ

䰡

^Ԣ^HIV⮒⮙䋳ᢙҡ✊ᰃϔ乍ܼ⧗ᗻⱘᣥ៬Ǆ 㱑✊Ϫ⬠㣗ೈݙHIVᮄথᛳᶧ⮙՟᭄೼ϟ 䰡ˈԚ2013ᑈ᥂Ԅ䅵ҡ᳝190ϛᮄথᛳᶧ⮙

՟^[1]Ǆ೼໻⋟⌆ˈ᳝໮䖒51 000ৡHIVᛳᶧ㗙ˈ݊Ё㑺

᳝2100ৡЎ2012ᑈᮄᛳᶧⱘ⮙՟^[2]Ǆ೼໻⋟⌆ˈᏈᏗ Ѯᮄ޴ݙѮⱘHIV⮒⮙䋳ᢙ᳔䞡ˈԄ䅵᳝21 459՟ᛳᶧ 㗙^[3]Ǆ ᠔ 㔫䮼㕸 ቯ ⱘ + , 9 ᛳ ᶧ ⮙ ՟ ᭄ 䴲 ᐌ ᇥ ˈ 㞾 1994ᑈҹᴹা᳝22՟᡹ਞ⮙՟ˈⳂ᳝ࠡ14ৡᛳᶧ㗙 ᇮ⫳ᄬ^[4]Ǆ᠔㔫䮼㕸ቯ᳝610 800ⱘҎষˈՓ⫼63⾡䇁

㿔^[5,6]Ǆ ໻ ໮ ᭄ ሙ ⇥ ˄80%ҹ Ϟ ˅ ⫳ ⌏ ೼ ݰ ᴥ ഄ

ऎˈ14ቕҹϟⱘҎষ໻㑺ऴ40%^[7]Ǆ᠔㔫䮼㕸ቯϢᏈ ᏗѮᮄ޴ݙѮ᥹ຸˈ಴ℸϸ೑೼⼒Ӯǃ᭛࣪ǃ㒣⌢ǃ ᬓ⊏ঞि⫳㋏㒳ᮍ䴶᳝ᕜ໮݅ѿǄሙ⇥㒣ᐌ೼ϸ೑П 䯈ᮙ㸠Ǆ䖭ѯᚙމՓ᠔㔫䮼㕸ቯⱘሙ⇥໘ѢHIVᛳᶧ亢䰽Ё^[7]Ǆ

㞾2009ᑈ ҹ ᴹ ˈ ೼ أ 䖰 ⱘ 偀㦅 ศ ቯ ϰ ⍋ ኌ ⱘ Kwaioϰ䚼ഄऎˈᔧഄϔⳈ೼ࡾ࡯ᇚ䖤ㅍᄺᑨ⫼ࠄഄ

ᮍि⫳᳡ࡵЁএˈ㗠Ϩ䅽⼒ऎ乚ᇐ㗙খϢࠄ݀݅ि⫳

䯂乬ЁǄࣙᣀ䞛⫼ߚ㾷ᢚߚⱘᮍ⊩ᄺ੠খϢᓣⷨおḚ ᶊˈ䩜ᇍ݀݅ि⫳ⷨおᮍ⊩ᓔሩ⧚䆎෍䆁ҹঞᅲ䏉

ࡴᔎأ䖰᠔㔫䮼㕸ቯि⫳᳡ࡵ䚼䮼ҹᕾ䆕Ў

෎⸔ᓔሩ+,9ᑨᇍⱘ㛑࡯

David MacLaren^aˈMichelle Redman-MacLaren^aˈRelmah Timothy-Harrington^bˈRowena Asugeni^bˈ Elmah Muse^bˈEmmy Jimuru^bˈKenny Moutoa^b੠Rick Speare^cd

䗮䆃԰㗙David MacLaren (䚂ㆅ: [email protected])Ǆ

ⷨ䅼Ӯ^[8–10]Ǆ໻䚼ߚ෍䆁೼䰓ᠬӞ㧆෎ⴷ໡Јए䰶

˄AAH˅ᓔሩˈ䆹ए䰶ᰃϔ᠔㓐ড়ए䰶ˈ᳝65ᓴ⮙

ᑞˈҹঞϔϾ䰘ሲ䰓ᠬӞ㧆ᡸ⧚ᄺ䰶˄⦄Ў໾ᑇ⋟෎

ⴷ໡Ј໻ᄺ䰓ᠬӞ㧆᷵ऎ˅ǄAAHᰃ䆹೑᳔໻ⱘ䴲 ᬓᑰए䰶ˈܼ೑޴Тϔञⱘᡸ຿ഛ⬅䆹ᄺ䰶˄⦄೼Ў

໻ᄺ˅෍ݏǄ䆹ए䰶ϡ䗮݀䏃ˈ಴ℸᴥ⇥া㛑䗮䖛⣀

᳼㟳៪ℹ㸠ࠄ䖒ए䰶Ǆ䗮䆃ᮍᓣࣙᣀ催乥᮴㒓⬉ǃ೎

ᅮ⬉䆱ǃ⿏ࡼ⬉䆱ҹঞᅮᳳⱘѦ㘨㔥䖲᥹Ǆ⬅∈߽থ

⬉ঞ᷈⊍থ⬉ᴎᦤկ⬉࡯Ǆᇍ㘠ਬǃᄺ⫳੠⼒ऎ乚ᇐ 㗙ⱘ㛑࡯ᔎ࣪ⷨおЏ㽕ᰃೈ㒩ᔧഄⱘᆘ⫳㰿⮙ǃ㒧Ḍ

˄TB˅੠HIVㄝ䯂乬^[11–14]Ǆ

ᬊ䲚᠔㔫䮼㕸ቯϡৠ᭛࣪㚠᱃ⱘ㕸ԧᇍHIVㄝع ᒋ䯂乬ⱘⶹ䆚੠ᗕᑺˈ䖭ᇍᔶ៤ᔧഄ䩜ᇍᗻⱘ݀݅ि

⫳ᇍㄪ㟇Ў䞡㽕^[15–19]Ǆ㱑✊᠔㔫䮼㕸ቯHIV⌕㸠⥛ᕜ Ԣ˄<0.01%˅ˈԚ䆹೑ϔⳈ೼ࡾ࡯䙓ܡHIV䖯ϔℹ ᠽᬷˈ಴ЎᅗӀⱘ䚏೑ᰃᏈᏗѮᮄ޴ݙѮ˄HIV⌕㸠

⥛Ў0.5%˅^[3]Ǆ೼䆹೑䆌໮ഄᮍ䛑Ꮖᓎゟњᖫᜓֱᆚ

੼䆶੠Ẕ⌟⚍˄VCCT˅ˈԚϢ䆹ऎඳ݊Ҫ೑ᆊⱘᚙމ

㉏Ԑˈ⬅Ѣ᳝䰤ⱘҎ࡯੠⠽࡯䌘⑤ҹঞᢙᖗ㔎Уֱᆚ ᗻˈVCCTҡ䴶Јњᣥ៬^[20]Ǆ

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ㄝҎᎹᡔᴃ䖯㸠㓪ⷕᑊᔦ㒇៤ϡৠⱘЏ乬ˈݡ䖯㸠ߚ ᵤǄ೼ᇚহᄤ៪↉㨑ߚ䜡㒭ϔϾЏ乬៪⫳៤ϔϾᮄЏ 乬Пࠡˈ佪ܜ೼ⷨおಶ䯳ݙ䖒៤ϔ㟈Ǆ

2011ᑈ4᳜ⷨ䅼Ӯ㒧ᴳᯊˈⷨお㗙ᇚ䇗ᶹ㒧ᵰᦤ կ㒭њए䰶੠ᴥᑘⱘ乚ᇐ㗙ˈҹᳳᐂࡽҪӀ೼ᔧഄᔶ ៤HIV乘䰆ᇍㄪǄ2014ᑈ2᳜ˈAAHⱘᡸ⧚Џӏ˄䋳䋷 ए䰶ঞ⼒ऎ໪ሩ乍Ⳃ˅੠ϔৡ▇໻߽Ѯⷨお㗙݅ৠ䅼䆎њϸϾ䯂乬ˈ䗮䖛䖭ϸϾ䯂乬䆄ᔩњ⬅ⷨお㒧ᵰ᠔ ᇐ㟈ⱘAAHⱘᬍবǄ䖭ϸϾ䯂乬ᰃ˖

1བԩᦣ䗄2011ᑈঞ2014ᑈAAHᦤկⱘHIVⳌ݇

عᒋ᳡ࡵ˛

2԰Ўᇍ+,9ⷨお㒧ᵰ᠔خⱘডᑨˈAAHᦤկⱘ HIVⳌ݇عᒋ᳡ࡵ᳝ાѯᬍব˛

ᇚಲㄨᣝ✻ᔦ㒇ᗻЏ乬䖯㸠њߚᵤǄ

㒧ᵰ

῾ᮁ䴶䇗ᶹ

݅ ᳝ ᴹ 㞾33Ͼ ᴥ ᑘ ⱘ53Ҏ ᅠ ៤ њ 䇗 ᶹ 䯂 ो ˄27ৡ ཇᗻ>51%@˅Ǆখࡴ㗙ⱘᑈ啘Ёԡ᭄ᰃ26ቕ˄㣗ೈ

18–70ቕ˅Ǆ໻໮᭄খࡴ㗙˄52%˅ҟѢ18㟇29ቕ П䯈ˈ58%ⳂࠡᏆီǄখࡴ㗙ⱘᅫᬭֵӄࣙᣀफ⍋⽣

䷇ᬭ⌒53%ǃ໽Џᬭ21%ǃ෎ⴷ໡Јᅝᙃ᮹Ӯ 17%ǃ㘊੠ढ㾕䆕Ӯ7%ҹঞ⼪Ӵᅫᬭ2%Ǆ

ᅮ䞣᭄᥂Џ㽕ᰃϸ໻ᮍ䴶˖˄1˅ᗻϢ⫳Ⅺعᒋঞ HIVⶹ䆚ˈ˄2˅HIVӴ᪁ⱘⶹ䆚˄೒1੠೒2˅Ǆ໻໮

᭄খࡴ㗙˄89%˅ⶹ䘧+,9ৃҹ䗮䖛ᓖᗻᗻ㸠ЎӴ᪁ˈ Ԛᰃা᳝ञ᭄˄49%˅ⶹ䘧HIVৃҹ೼⬋ᗻП䯈䗮䖛ᗻ 㸠ЎӴ᪁Ǆ໻㑺45%䅸ЎHIV㛑໳䗮䖛㱞ᄤӴ᪁ˈ䖬᳝

䍙䖛20%䅸Ўৃҹ䗮䖛ઇ௑៪ᠧ஋ౣӴ᪁Ǆ᳝䍙䖛ञ

᭄˄56%˅䅸Ўᅝܼ༫ৃҹֱᡸܡѢᛳᶧHIVˈ16%䅸 Ў䅵ߦ⫳㚆㥃Ќ˄ষ᳡䙓ᄩ㥃˅ৃҹ乘䰆HIVᛳᶧǄ

ᇍѢᓔᬒᓣ䯂乬Ā⼒ऎሙ⇥ᇍHIVᛳᶧ㗙ᰃҔМ ⳟ⊩˛āˈ䇗ᶹ㒧ᵰ᳝݅3ϾЏ㽕ⱘЏ乬˖˄1˅Āᇚ Ҫཌྷ䗕ࠄ݊ᅗഄᮍā˗˄2˅Āϡ㽕ᆚߛ᥹㾺üৃ㛑 ӮӴ᪁㒭݊ᅗҎā˗˄3˅ĀҎӀৃ㛑Ӯᇍᛳᶧ㗙ᛳࠄ ᛸᗦ៪ᝢᙊāǄ䖭ѯЏ乬䛑ᯢ⹂㸼䖒њҎӀᇍHIVᛳᶧ 㗙ⱘ℻㾚Ǆ

㄀ϔϾЏ乬ĀᇚҪཌྷ䗕ࠄ݊ᅗഄᮍāᰃᣛϢ⮙Ҏ 䑿ԧ੠៪ഄ⧚ԡ㕂䎱⾏䖥᳝݇ˈϟ䴶䖭Ͼᑨㄨг䆎䆕 њ䖭ϾЏ乬˖Ā೼៥ⱘ⼒ऎሙԣⱘҎӀϡᏠᳯHIVᛳᶧ ᴀ ⷨ お ᰃ ि ⫳ ϧ Ϯ Ҏ ਬ ঞ ⼒ ऎ 乚 ᇐ 㗙㛑 ࡯ ᔎ

࣪ 䖭 Ͼ ໻ 乍 Ⳃ Ё ⱘ ϔ Ͼ ᄤ 䇒乬 ˈ ᰃ ᳝ ݇HIVᮍ 䴶 ⱘ

ݙᆍ^[8–10]Ǆ䇒乬ᘏⳂᷛᰃ䞛পĀᑆЁᄺāⱘᮍ⊩ˈ๲

ᔎAAHঞ਼䖍⼒ऎⱘⷨお㛑࡯Ǆ݋ԧⳂᷛᰃ˖˄1˅њ 㾷Ҏ㕸ᇍHIVӴ᪁ⱘⶹ䆚˗˄2˅䇗ᶹҎ㕸ᇍHIVӴ᪁ Ⳍ݇ⱘᗕᑺঞ㸠ЎǄ

ᮍ⊩

2011ᑈ4᳜ˈᴥ䭓ǃ݊Ҫ⼒ऎ៤ਬǃि⫳ϧϮҎਬҹ ঞᴹ㞾AAH੠▇໻߽Ѯⱘⷨお㗙݅43Ҏ೼AAHখࡴњ 㛑࡯ᔎ࣪ⷨ䅼Ӯ^[9]Ǆᴹ㞾Џ㽕㕸ԧⱘ8ৡ៤ਬ㒘៤њϔ Ͼᇣ㒘ˈᇍHIV䖯㸠䇗ᶹǄ᠔᳝Ҏ䛑䅸ЎHIVᰃҎӀ݇

⊼ⱘ䞡㽕݀݅ि⫳䯂乬Ǆ㱑✊᠔㔫䮼㕸ቯⱘHIV⌕㸠

⥛ᕜԢˈ᠔᳝ᇣ㒘៤ਬ䛑䅸Ў䚏೑ᏈᏗѮᮄ޴ݙѮ䕗 ᔎⱘ+,9⌕㸠⢊މ๲ࡴњ᠔㔫䮼㕸ቯሙ⇥ᛳᶧHIVⱘॅ

䰽Ǆᕜ໮ᴹ㞾Kwaioϰ䚼ᴥᑘⱘҎӮ೼᠔㔫䮼㕸ቯ๗ ݙᮙ㸠ˈҪӀᛣ䆚ࠄᔧഄᴥ⇥೼ᮙ㸠ᳳ䯈ᄬ೼ᛳᶧHIV ⱘ亢䰽Ǆ䆹ᇣ㒘䆒䅵ᑊᓔሩњϔ乍ⷨおˈᑨ⫼ϸ⾡ᮍ

⊩ᬊ䲚Kwaioϰ䚼ⱘҎ㕸ᇍHIVⱘⶹ䆚ǃᗕᑺঞ㸠ЎǄ 䆹ⷨお䗮䖛њ䁍ྚᮃᑧܟ໻ᄺҎ㉏ⷨおӺ⧚ྨਬӮ

˄H4002˅ҹঞAAHⷨおӺ⧚ྨਬӮAAHREC3ⱘӺ

⧚ᄺᅵᶹǄ

ⷨ お㗙 ḍ ᥂ ೼ Ꮘ Ꮧ Ѯ ᮄ ޴ ݙ Ѯ Փ ⫼ ⱘ ⶹ 䆚 ǃ ᗕ ᑺ ঞ 㸠 Ў ㄝ ᮍ 䴶 ⱘ 䯂乬 ড় ԰ 䆒䅵 њ ϔ 乍 ῾ ᮁ 䴶

䇗ᶹ^[21,22]Ǆ↣ϔϾ䯂乬䛑ࣙ৿ᰃǃ৺៪ϡ⹂ᅮ3Ͼ䗝

乍Ǆᓔᬒᓣ䯂乬ࣙᣀ˖Ā⼒ऎሙ⇥ᇍHIVᛳᶧ㗙ᰃҔМ ⳟ⊩˛āҹঞĀҎӀᜓᛣخֱᆚ੼䆶੠Ẕ⌟৫˛āǄ ᇍ⬋ᗻ㹿䇗ᶹᇍ䈵䖬䆶䯂њ⬋ᗻࣙⲂ⦃ߛᴃ乘䰆HIV ⱘ䯂乬ˈᇍℸ䯂乬䖬ᇍ݇䬂ⶹᚙ㗙䖯㸠њञ㒧ᵘᓣ䆓䇜Ǆ▇໻߽Ѯⷨお㗙णࡽᓔሩњⷨお䆒䅵ঞ᭄᥂ᬊ䲚 ᮍ䴶ⱘ෍䆁Ǆ

䞛⫼߽֓ᢑḋᮍ⊩ˈᇍAAHए䰶䰶ऎⱘᙷ㗙៪Ҫ Ӏⱘᆊᒁ៤ਬ䖯㸠њ䇗ᶹǄᇍ㹿䇗ᶹ㗙ᦤկњֵᙃ㸼 ঞⶹᚙৠᛣкᇍⷨお䖯㸠㾷䞞Ǆབ㹿䇗ᶹ㗙ⱘ᭛࣪⿟

ᑺ᳝䰤៪ϡ䆚ᄫˈⷨおҎਬӮᇍֵᙃ㸼ঞⶹᚙৠᛣк ⱘݙᆍ䖯㸠㾷䞞Ǆ✊ৢ㹿䇗ᶹ㗙Ӯ೼ⶹᚙৠᛣкϞㅒ ᄫ៪ᣝᢛᣛᣛ㒍Ǆབᵰ䳔㽕ˈⷨおҎਬӮᇚ㣅᭛䯂乬 ষ༈㗏䆥៤᠔㔫䮼㕸ቯPijin៪Kwaio䇁㿔Ǆ㹿䇗ᶹ㗙ⱘ ಲㄨӮҹ㣅᭛៪Pijin䇁ݭܹ㸼ḐǄⷨお㗙ᇚ᭄ᄫ䇁䷇

ᔩ䷇ヨЁⱘ䆓䇜ݙᆍ䖯㸠᭛ᄫ䕀ᔩǄ

AAHⱘⷨおಶ䯳ᇍ᭄᥂䖯㸠ߚᵤǄᅮ䞣䌘᭭㹿䕧

ܹMS Excel㸼ˈᑊ䞛⫼ᦣ䗄ᗻ㒳䅵ߚᵤǄᓔᬒᓣ䯂乬 ⱘ᭄᥂㹿䕧ܹMS Word᭛ḷǄᇍ᭛ḷՓ⫼ᠧॄॳ᭛ǃ ᇚॳ᭛ߚࡆ៤হᄤ៪↉㨑ǃҹঞᣝ✻Џ乬䖯㸠ᭈ⧚

(3)

㄀ ϝ Ͼ Џ 乬 Ā Ҏ Ӏ ৃ 㛑 Ӯ ᇍ ᛳ ᶧ 㗙 ᛳ ࠄ ᛸ ᗦ៪ᝢᙊāᰃফ䆓㗙ᇍϢHIVᛳᶧ㗙ϔ䍋⫳⌏ⱘডᑨ ⱘ∛ᘏǄফ䆓㗙᠔㸼䖒ⱘᛳᚙࣙᣀ⫳⇨ǃᆇᗩǃᝢ ᙊҹঞ݀ᓔⱘւ䖅˄ࣙᣀఆュঞ⌕㿔㳮䇁˅Ǆϔԡ ফ䆓㗙᡹ਞ⿄ˈĀ⼒ऎ䞠ⱘҎӀӮ䇜䆎䆟↕˄ষ༈

༮㨑˅ᛳᶧ㗙ˈ⫮㟇ᇍᛳᶧ㗙ⱘ⠊↡гᰃབℸāǄ 㗠㹿䇗 ᶹ 㗙 ᳔ ᔎ ⚜ ⱘ ᑨ ㄨ㸼 ᯢ ᛳ ᶧ 㗙 ᳝ ৃ 㛑 ಴ ݊ HIV䰇 ᗻ 㗠㹿 ᴔ ⅏ ˖ Ā Ҫ Ӏ ᑨ 䆹㹿 ᴔ ⅏ ˈ 䖭 ḋ Ҫ Ӏ ህϡӮݡӴ᪁HIV/AIDSāˈĀҪӀℷ೼䍄৥⅏ѵˈ᠔ ҹ㋶ᗻ䅽៥Ӏᴔ⅏ҪӀདњǄā໻䚼ߚᑨㄨ䛑ᰃ䖭Ͼ Џ乬Ǆ

㗙ሙԣ೼ᴥᄤЁˈ಴ЎҪৃ㛑Ӯᇚ⮒⮙Ӵ᪁㒭⼒ऎЁ ⱘ݊ҪҎˈ಴ℸҪӀᠧㅫ˄⫼ϔᡞᔃߔ˅এⷡᴥᄤЁ ⱘHIVᛳᶧ㗙āǄ

㄀ѠϾЏ乬Āϡ㽕ᆚߛ᥹㾺üৃ㛑ӮӴ᪁㒭݊ᅗ Ҏā㸼䖒њHIVᛳᶧ㗙Ӵ᪁㒭݊ᅗҎⱘ┰೼亢䰽ǄĀҎ ӀⳳⱘϡᛇϢHIVᛳᶧ㗙೼ϔ䍋៪⫳⌏ǄҎӀϡ୰⃶Ϣ ᛳᶧ㗙ҹӏԩᮍᓣ݅໘Ǆā䖬᳝ϔѯⳟ⊩䅸ЎHIVᛳᶧ 㗙ৃ㛑Ӯᬙᛣᛳᶧ݊ҪҎǄĀ᳝ѯᛳᶧ㗙᳝ᇚ⮒⮙Ӵ ᪁㒭݊ᅗҎⱘᛇ⊩ˈ䖭ህᰃҎӀϡᜓᛣ᥹ফᛳᶧ㗙ⱘ ॳ಴Ǆā

೒

1. 2011

ᑈ᠔㔫䮼㕸ቯ݇Ѣ䗮䖛ᗻঞ⫳Ⅺ⌏ࡼӴ᪁

HIV

䯂乬ⱘℷ⹂ಲㄨ↨՟

0% 20% 40% 60% 80% 100%

ᅚᕈนએㅢ䖛ਈ↵ᕈ⊛ᕈⴕЎᗵᨴHIV

↵ᕈนએㅢ䖛ਈᅚᕈ⊛ᕈⴕЎᗵᨴHIV

↵ᕈนએㅢ䖛ਈ↵ᕈ⊛ᕈⴕЎᗵᨴHIV HIVนએ੼Უ҆Ӵ᠞⥋బ┬

䅵ೄ↢⢒㥃ਣน乘㒐HIVᗵᨴ

቟ోᅃน乘㒐HIVᗵᨴ ᱜ⎭

ᱜ⎭ ਇ⎭ቯਇ⎭ቯ ਇᱜ⎭ਇᱜ⎭

೒2. 2011ᑈ᠔㔫䮼㕸ቯ݇ѢHIV݊ҪӴ᪁䗨ᕘ䯂乬ⱘℷ⹂ಲㄨ↨՟

0% 20% 40% 60% 80% 100%

䩜༈䇮ೠ乏ᚗಾ೥ᎿౕนӴ᠞HIV ⰆሶนӴ᠞HIV ຕ༿ᚗᛂ஋ྐนӴ᠞HIV ᢹᛴนӴ᠞HIV

౒੨㘩‛นӴ᠞HIV ᄖ⴫ஜᐽ⊛ੱนએᤚHIVᗵᨴ⠪

ᱜ⎭

ᱜ⎭ ਇ⎭ቯਇ⎭ቯ ਇᱜ⎭ਇᱜ⎭

(4)

Ҏ䇈ҪӀ≵᳝⧚⬅੠៪݈䍷خࣙⲂߛࡆˈĀ಴Ў៥ϡ ᛇᤳണ៥ⱘ䑿ԧˈ᠔ҹ៥≵᳝݈䍷خࣙⲂߛࡆāǄ

ि⫳᳡ࡵᴎᵘᇍ 2011 ᑈⷨお㒧ᵰⱘডᑨ

2011ᑈ4᳜ˈᓔྟњHIVⷨお乍Ⳃᑊ᡹ਞњⷨお㒧ᵰˈ Ң2011ᑈ4᳜㟇2014ᑈ2᳜ᳳ䯈ˈ೼AAHᑨᇍHIVᮍ 䴶ˈᰒ⼎ߎ໻䞣ⱘᣥ៬੠ᴎӮǄ

ᡸ⧚Џӏ㾷䞞䇈˖೼2011ᑈˈAAH䮼䆞䚼ϔԡ

᳝䌘䋼ⱘVCCT੼䆶ਬᦤկHIV᳡ࡵǄ䖭ৡVCCT੼䆶 ਬᰃϔԡཇᗻ⊼ݠᡸ຿ˈ೼ᐌ㾘ѻࠡㄯᶹЁᇍѻࠡ↡

҆ᦤկ᳡ࡵ˗AAHᅲ偠ᅸՓ⫼ᖿ䗳Ẕ⌟䆩ࠖⲦᓔሩẔ

⌟Ǆ䰇ᗻ㒧ᵰⱘᙷ㗙Ӯ䕀䆞㟇䳡ሐѮᢝ᥹ফ⹂䅸ঞ䖯 ϔℹẔ⌟Ǆ݀ӫ˄໮᭄ᰃཇᗻ˅يᇨӮⳈ᥹㽕∖VCCT

᳡ࡵǄ䖭乍᳡ࡵᑊ≵᳝ᑓ⊯ᅷӴ಴ℸা᳝ᕜᇥⱘᴥ⇥

ⶹ䘧䖭乍᳡ࡵǄ೼2011ᑈᑈᑩˈ䖭ԡVCCT੼䆶ਬ⾏

ᓔњAAHˈ㞾䙷ᯊᓔྟˈݡг≵᳝ཇᗻVCCT੼䆶ਬǄ 2011ᑈˈϔԡ⬋ᗻTBᡸ຿᥹ফњ෍䆁ˈᑊ㦋ᕫᦤկ VCCT᳡ࡵⱘ䌘䋼ǄⳂࠡᇍTBẔ⌟䰇ᗻⱘᙷ㗙Ӯᐌ㾘䖯㸠HIVẔ⌟Ǆ㞾2011ᑈᑈ᳿㟇Ҟˈᇍѻࠡⱘ↡҆ϡ ݡخᐌ㾘HIVㄯᶹˈᑊϨAAHгϡᓔሩҹ⼒ऎЎ෎⸔ⱘ HIV᳡ࡵǄ

᳝݇HIVⱘֵᙃ㹿ࣙ৿೼⼒ऎعᒋᬭ㚆乍ⳂЁˈ⬅

߱㑻ि⫳ֱع໪ሩಶ䯳Ӵ䖒ֵᙃǄ✊㗠ˈ⬅ѢHIVⱘԢ

⌕㸠⥛ǃ㓈ᣕܡ⭿㽚Ⲫ⥛ⱘ䳔㽕ঞ㊪ሓ⮙Ϣ催㸔य़ᙷ

⮙๲ࡴˈHIVϡݡᰃᎹ԰䞡⚍Ǆℸ໪ˈ೼AAH≵᳝ϧ䮼 ⱘᗻӴ᪁ᛳᶧ˄STI˅ⱘ᳡ࡵǄ䖭ᛣੇⴔᔧᴥ⇥ᗔ⭥থ

⫳STIᯊˈҪӀ䳔㽕ᡒ㞾ᏅֵӏⱘǃϡӮᧁ䴆ҪӀSTI

⢊ᗕⱘए䰶ᡸ຿এ䖯㸠䆞ᮁ੠⊏⭫Ǆ೼䖭⾡ᚙމϟˈ

޴Т≵᳝᥹㾺㗙䗑䏾៪ৠԈ⊏⭫Ǆ㔎УSTI/HIV᳡ࡵǃ ᇍSTI/HIVᬓㄪⱘ᳝䰤њ㾷ǃҎਬⷁ㔎ҹঞ݊Ҫ⮒⮙ⱘ ゲѝᗻ䳔∖ˈ䛑ᛣੇⴔ೼Kwaioϰ䚼ᇍSTI/HIVⱘᑨᇍ

াᰃϔ⾡Јᯊᗻ䋼ⱘᑨᇍǄ

೼ᇍHIVⱘᑨᇍ㔎У䖯ሩ䖯㸠ডᗱৢˈᡸ຿䭓䇈ᖙ 乏ᇚ+,9᳡ࡵ䞡ᮄ԰Ў䞡⚍Ꮉ԰ǄĀ↣ӊџ䛑ಲࠄњⴵ

⳴⢊ᗕˈᖙ乏ᡞᅗӀ૸䝦āǄAAHㅵ⧚䚼䮼䅵ߦ೼⦄

᳝ⱘЈᯊᗻᑨᇍП໪ˈݡ⹂ᅮϔৡSTIᡸ຿䋳䋷ᔧഄࣙ

ᣀHIV೼ݙⱘSTIⱘᑨᇍǄĀ៥Ӏϡᛇㄝࠄॅᴎথ⫳ᯊ ݡ᳝᠔㸠ࡼāǄ

䅼䆎

ᴀⷨお㸼ᯢ⫳⌏೼أ䖰ⱘ偀㦅ศቯϰ䚼ⱘҎӀᇍHIVӴ ᪁䗨ᕘⱘ⧚㾷ϡܼ䴶Ǆ݇ѢᓖᗻӴ᪁੠↡၈Ӵ᪁ⱘ䅸䆚∈ᑇᕜ催ˈԚᰃᇍѢ⬋⬋ᗻ㸠ЎৃҹӴ᪁߭ⶹ䘧ⱘ ሑㅵᄬ೼䖭ѯಲㄨˈ໻໮᭄ফ䆓㗙᡹ਞ⿄ҪӀᜓ

ᛣ೼AAH᥹ফHIVẔ⌟Ǆ೼53ԡᑨㄨ㗙Ёˈ64%ಲㄨ ҪӀᜓᛣ᥹ফHIVẔ⌟ˈ26%ϡᜓᛣ᥹ফẔ⌟ˈ6%߭

ᇍℸϡ⹂ᅮǄফ䆓㗙ᇍℸ䯂乬ⱘ㾷ㄨ⎉ⲪϾЏ㽕Џ 乬˖˄1˅ᜓᛣ᥹ফHIVẔ⌟˗˄2˅ϾҎᇍѢHIVᛳᶧ

⢊ᗕঞẔ⌟㒧ᵰⱘᛳফ˗ҹঞ˄3˅ᇍ᳝݇HIVֵᙃⱘ 䳔∖Ǆ

ফ䆓㗙᠔㒭ߎⱘᜓᛣ᥹ফẔ⌟ⱘॳ಴᮶ࣙᣀϾҎ ⱘ݇⊼Āᰃⱘˈ಴Ў៥ᛇẔ⌟ϔϟ៥ⱘ㸔⎆ˈ䖭ḋ៥ Ӯⶹ䘧៥≵᳝ᛳᶧHIVāˈгࣙᣀᇍҪӀⱘҎ䰙݇㋏

⼒Ӯ݇㋏ⱘ㗗㰥˖Ā៥ϡ⹂ᅮᰃ৺៥ⱘϜ໿䖬ᇍ៥ᖴ ᅲˈ಴ℸ៥ⳳᛇⶹ䘧㞾Ꮕᰃ৺ᛳᶧāǄ

ফ䆓㗙㸼⼎ˈ؛བHIVᛳᶧ⢊ᗕ㹿߿Ҏⶹ䘧њˈ ҪӀӮᢙᖗ߿ҎབԩᇍᕙҪ˖Āॳ಴ᰃüüҪӀৃ㛑 Ӯপュ៥˗ҎӀᇚᘼ៥˗ϡϢ៥Ѹ䇜˗ࠄ໘䛑ᇚ䇜䆎 ៥ⱘৡᄫǄāℸ໪ˈফ䆓㗙г㸼⼎ᇍֱᆚᗻг᳝ᢙ ᖗˈ݊Ё᳝ѯҎᦤࠄབᵰϡ೼ᔧഄخẔ⌟ˈ䙷Мᇍ+,9 Ẕ⌟ⱘ᥹ফ⿟ᑺህ᳈催ϔѯ˖Ā؛བ೼䳡ሐѮᢝ˄佪䛑˅ৃҹ䖯㸠Ẕ⌟ⱘ䆱ˈ៥ህӮএ䙷䞠Ẕ⌟ˈ಴Ў䙷䞠䖰⾏៥᠔೼ⱘ⼒ऎˈ䖭ḋህϡӮ᳝Ҏⳟ㾕៪⊼ᛣࠄ ៥Ǆā

޴ ԡ ফ 䆓㗙 ᛇ 㽕 њ 㾷 ᳈ ໮ ⱘ ݇ ѢHIVⱘ ֵ ᙃ ˖ Ā៥ᛇᕫࠄℷ⹂ⱘֵᙃˈ䖭ḋ៥ህৃҹՓ㞾ᏅܡѢᛳ ᶧHIVāˈĀ؛བ៥ᛳᶧњHIVˈ៥ᇚӮᴹ䖭䞠ᕫࠄ᳈

໮ֵᙃāǄ

ᇍ⬋ᗻᅲᮑࣙⲂ⦃ߛᴃҹ乘䰆 HIV ᛳᶧ

᳔ৢϔϾ䯂乬˄াᇍ⬋ᗻ䆶䯂˅њ㾷݇Ѣ⬋ᗻࣙⲂ⦃

ߛᴃⱘᚙމǄ26ԡ⬋ᗻফ䆓㗙Ё᳝ԡخњࣙⲂ⦃ߛˈ Ҫ䇈ᰃߎѢि⫳ঞ೷㒣ⱘॳ಴˖ĀЎ䙓ܡ᳝ᓖੇˈ г಴Ў೼ᨽ㽓˄㘊⿷˅ⱘᯊҷϞᏱህਞ䆝ҎӀᑨ䆹خ

⦃ߛᴃˈ䖭ህᰃЎҔМ៥ᖙ乏خ⦃ߛᴃǄ಴ℸ៥ߛࡆ њࣙⲂāǄ

ᕜ໮݊Ҫᑨㄨ㗙гᧈᓩњᅫᬭⱘॳ಴ˈԚ⧚⬅

ᙄདⳌডˈҪӀ䅸Ў᮶✊ϞᏱ߯䗴њ៥Ӏˈ៥Ӏህϡ 䆹ᇍ៥Ӏⱘ䑿ԧخӏԩᬍবǄд֫੠៪᭛ֵ࣪ӄ㹿䅸Ўᰃއᅮ⬋ᗻࣙⲂ⦃ߛⱘ䞡㽕಴㋴Ǆϔԡ⬋ᗻᑨㄨ㗙ᓩ⫼њᴹ㞾Ҫ᠔೼䚼㨑ⱘ⬋ᗻᇍࣙⲂ⦃ߛⱘ݅ৠއ ᅮ˖Ā៥ᰃϔϾᓖᬭᕦˈ಴ℸϡ⹂ᅮࠄᑩ᳝ҔМ⧚⬅

៥ᖙ乏ߛࡆࣙⲂǄ䖭⾡џᚙՓ៥Ӏⱘ䚼㨑䛑ϡߛࡆࣙ

ⲂǄ؛བ᳝ҎخњߛࡆˈҪᇚӮ⅏এˈ಴ℸ៥Ӏ䚼㨑 ⱘ᠔᳝⬋ᗻ䛑ϡӮߛࡆࣙⲂāǄ݊ҪϡߛࡆࣙⲂⱘॳ

಴ࣙᣀعᒋǃ㕲㘏ҹঞ≵᳝ҎЎҪӀߛࡆࣙⲂǄ᳝ѯ

(5)

㹿㒭ќ᳈໮ⱘ݇⊼Ǆ✊㗠ˈབ2014ᑈ᡹ਞᰒ⼎ˈ೼

偀㦅ศቯϰ䚼ഄऎᇍSTI˄ࣙᣀHIV˅ⱘᑨᇍ䖬䳔㽕ᬍ 䖯ˈᴀⷨおⱘ㒧ᵰৃҹЎѻࠡ䆞᠔ᦤկHIVᬭ㚆ঞẔ

⌟ǃTB᳡ࡵঞ䞡ᮄ䆒䅵ⱘSTI᳡ࡵㄝᮍ䴶ᦤկֵᙃǄ ᴀⷨおᄬ೼ҹϟሔ䰤ᗻˈࣙᣀ㹿䇗ᶹ㗙᭄䞣䕗 ᇥǃ߽֓ᢑḋᮍ⊩ǃҹঞ᳝ѯⷨお㗙೼ᓔሩᴀⷨお ᯊℷ໘Ѣᄺд䰊↉Ǆ㣅᭛⠜ⱘ㒧ᵘᓣ䯂ो㹿䆓䇜㗙ষ

༈㗏䆥៤Pijin៪Kwaio䇁㿔ˈ䖭ৃ㛑Ӯᇍ㒧ᵰѻ⫳ᕅ ડˈ঺໪ᇍᓔᬒᓣ䯂乬ⱘಲㄨгৃ㛑᳝㒚ᖂⱘᏂ߿Ǆ

✊㗠ˈᴀⷨお݋᳝ϔᅮⱘӬ࢓ˈࣙᣀए䰶Ϣᴥᑘ乚ᇐ 㗙䴲ᐌ䞡㾚䆹ⷨおˈᇚ݊԰ЎӬܜᎹ԰ᓔሩˈᑊϨ䗮䖛Փ⫼ϢᔧഄᚙމⳌ݇ⱘḍ᥂ᗻ߿ߚ㉏ⱘᮍ⊩ˈ៤ࡳ

ᇍ᭄᥂䖯㸠њᬊ䲚Ǆ䇗ᶹ㒘ᇍᬊ䲚ⱘ᭄᥂䖯㸠њ݅ৠ ߚᵤˈᇍⷨおಶ䯳Ёᴀഄ੠໪ഄⱘ៤ਬᴹ䇈ˈߚᵤ㒧 ᵰ䛑ߌᰒњ䆹䯂乬ⱘ䞡㽕ᗻǄᴀⷨお佪⃵᡹ਞњ偀㦅 ศቯϰ䚼ഄऎⱘҎ㕸ᇍHIVⶹ䆚ⱘᥠᦵ∈ᑇҹঞᏠᳯ೼

AAH㦋ᕫHIV᳡ࡵⱘᛣᜓᚙމǄ

㒧䆎

ᴀⷨお೼᠔㔫䮼㕸ቯأ䖰ⱘKwaioϰ䚼ᓔሩˈⷨお㒧 ᵰᰒ⼎ˈҎӀᇍᓖᗻ䯈Ӵ᪁HIVҹঞ↡၈HIVӴ᪁ⱘ䅸䆚䴲ᐌޚ⹂ˈԚᰃᇍ⬋⬋ᗻ㸠ЎৃӴ᪁+,9ঞᅝܼ༫ⱘ

԰⫼ैњ㾷ᕜᇥǄ䖭ѯ䯂乬䳔㽕ᕫࠄ㾷އˈࣙᣀᅝܼ

༫ᇍ乘䰆HIVᛳᶧⱘ䞡㽕԰⫼Ǆि⫳᳡ࡵᴎᵘ᳝ᴎӮᇚ HIVϢ⦄᳝៪ᮄⱘعᒋ乍Ⳃ䖯㸠ᭈড়ˈҹ᳔໻䰤ᑺഄ߽

⫼Ҏਬǃ䌘⑤੠݀݅ि⫳䳔∖Ǆ঺໪ᇮ䳔㽕ᣕ㓁ᓔሩ 䖤ㅍᄺⷨおˈҹᰒ⼎HIV᳡ࡵ⢊މҹঞ䌘⑤᳝䰤ഄऎᓔ ሩि⫳ᑨᇍ᠔䳔ⶹ䆚ⱘᬍবǄᴀⷨおᰒ⼎ˈሑㅵأ䖰 ⱘ໾ᑇ⋟ቯ೑ഄऎⱘᎹ԰ᴵӊঞᓔሩⷨおㄝᮍ䴶ᄬ೼

ᕜ໻ᣥ៬ˈԚᰃˈ೼ϔ乍ᣕ㓁ⱘ㛑࡯ᔎ࣪乍ⳂЁᓔሩ ϔϾ䕗ᇣ㾘῵ⱘ䇗ᶹҡ㛑Ўᔧഄᔶ៤HIVᴀഄᑨᇍᦤկ Ⳍֵ݇ᙃǄ

߽Ⲟކさ

᮴Ǆ

㒣䌍䌘ࡽ

೼AAHᓔሩⱘ㛑࡯ᔎ࣪乍Ⳃ˄гࣙᣀᴀⷨお೼ݙ˅ⱘ 㒣䌍⬅䁍ྚᮃᑧܟ໻ᄺ䗮䖛ⷨお෎⸔䆒ᮑᭈԧ㸹ࡽℒ 䅵ߦ䌘ࡽǄ

㟈䇶

ᛳ䇶Kwaioϰ䚼⼒ऎ៤ਬRex Fo’olegoǃWallace Arifa- naboo੠Silas Laubeu೼ᴀⷨおⱘ䆒䅵ǃ᭄᥂ᬊ䲚ǃߚ ᕜᇥǄ݇Ѣᅝܼ༫ৃҹ乘䰆HIVӴ᪁ⱘⶹ䆚гњ㾷ᕜ

ᇥǄᇍ݊ҪӴ᪁䗨ᕘⱘ䅸䆚гᕜ᳝䰤ˈᇸ݊ᰃ᳝ѯҎ 䅸Ў㱞ᄤǃઇ௑੠ᢹᢅгৃҹӴ᪁HIVǄ໻໮᭄㹿䇗 ᶹ㗙ᇍHIVᛳᶧ㗙ᣕ䋳䴶ᗕᑺǄ䖭⾡⦄މᰃ⬅Ѣᔧഄ

HIVⱘԢ⌕㸠⥛ҹঞ᳝䰤ⱘHIVᬭ㚆᠔㟈Ǆ໻໮᭄খࡴ

㗙≵᳝៪ᕜᇥ᳝ϢHIVᛳᶧ㗙Ѹᕔⱘ㒣ग़Ǆᴀ⃵೼偀㦅 ศቯϰ䚼ⱘ䇗ᶹ㒧ᵰϢᴹ㞾᠔㔫䮼㕸ቯⱘ݊Ҫ䇗ᶹ᭄

᥂ϔ㟈ˈሩ⼎њᇍHIVⱘⶹ䆚ᥠᦵϡ໳ҹঞᇍHIVᛳᶧ 㗙ⱘ䋳䴶ᗕᑺ^[7,23]Ǆ

ᴀ ⷨ お ⱘ ᭈ ԧ Ⳃ ᷛ ᰃ 䗮䖛 Ϣ ▇ ໻ ߽ Ѯ ⷨ お㗙

੠ᔧഄ⼒ऎ݅ৠড়԰๲ᔎAAHⱘⷨお㛑࡯ˈ㋏㒳ഄ

ᓔሩϢᔧഄⳌ݇ⱘعᒋⷨおˈЎᔧഄᑨᇍㄪ⬹ᦤկ

ֵᙃ^[24–30]Ǆᴀ乍HIVⷨお㸼ᯢˈϢ䚏೑ᏈᏗѮᮄ޴ݙ

Ѯ㉏Ԑ^[19,31]ˈഄᮍⱘᑨᇍᗻⷨおৃҹ䗮䖛ᴹ㞾݇䬂ए

䰶ঞ⼒ऎӭԈⱘᡩܹࡴҹᓔሩˈᑊϨৃҹᇍϢHIV᳝݇

ⱘᬣᛳⱘᗻعᒋЏ乬ࣙᣀ⬋ᗻࣙⲂ⦃ߛᴃㄝᚙމ䖯㸠 ᬊ᥂ᬊ䲚Ǆ

ᴀⷨおߌᰒњ೼᠔㔫䮼㕸ቯⱘأ䖰ഄऎᦤկHIV ঞSTI᳡ࡵ᠔䴶Јⱘ䆌໮ᣥ៬ǄԢHIV⌕㸠⥛ǃҎਬ⌕

ࡼǃ㓈ᣕᡔᴃ∈ᑇǃᙷ㗙ᇏ∖ϧ䮼Ҏਬ᳡ࡵᯊⱘ⼒Ӯ ঞ᭛࣪ᳳᳯǃҹঞӴᶧ⮙Ϣ䴲Ӵᶧᗻ⮒⮙ⱘゲѝᗻ 䳔∖ˈ䛑ᇐ㟈њৃⳈ᥹ЎSTI/HIVᑨᇍᦤկֵᙃⱘⷨ

お䴲ᐌᇥ^[16,32,33]ǄⳌ↨Пϟˈᘏ䇒乬ЁTBᄤ乍Ⳃⱘ

ⷨお㒧ᵰᇍAAHⱘTB᳡ࡵ߭ᔶ៤њᯢᰒⱘ੠ḍᴀᗻ

ⱘᬍব^[12,13,25]ˈ䖭⾡Ꮒ߿᳔ৃ㛑ᰃ⬅ѢTB݋᳝䕗催

⌕㸠⥛᠔㟈Ǆ㗗㰥ࠄⷨお㒧ᵰᰒ⼎ҎӀᇍHIVᛳᶧ㗙ᄬ

೼Ϲ䞡ⱘ℻㾚ঞᥦ᭹ˈ᠔ҹᇍѢ䙷ѯᏠᳯ೼AAH䖯㸠 HIVẔ⌟ⱘҎгᄬ೼ᕜ໻亢䰽ǄHIVϢSTI᳡ࡵ䳔㽕⹂ֱ

㛑໳ֱᆚˈᇍHIVᛳᶧ㗙ⱘ℻㾚гᰃϔ乍ᣕ㓁ϡᮁⱘᣥ

៬Ǆ

ᇣ㾘῵ⱘⷨお㛑ᦤկ䆕᥂Ⳉ᥹ᔶ៤䩜ᇍᗻⱘع ᒋֵᙃᑊ೼ᔧഄথᏗߎএǄ೼AAHᑇ㸠ᓔሩⱘTBⷨお Ёˈ㒧ᵰᰒ⼎Փ⫼ᔧഄKwaio䇁㿔ᦤկⱘϢ᭛࣪Ⳍ䗖 ᑨⱘعᒋֵᙃৃҹޣᇥҎ㕸Ё䅸ЎTBᰃ⬅Ꮏᴃᓩ䍋 ⱘ↨՟^[13]Ǆ⬅Ѣ೼Kwaioϰ䚼ഄऎᕜ໮Ҏⱘ᭛࣪⿟ᑺ

᳝䰤ˈ㗠Ϩعᒋֵᙃ䌘⑤г䴲ᐌᇥˈए䰶໪ሩᇣ㒘ህ

೼ᓔᬒⱘᴥᑘӮ䆂Ϟᅮᳳخষ༈᡹ਞǄ಴ℸˈए䰶໪

ሩᇣ㒘䗮䖛ϧ䮼ⱘᅷӴৃҹ⍜䰸ҎӀᇍ㱞ᄤǃઇ௑੠

ᢹᢅৃҹӴ᪁HIVⱘ䫭䇃䅸䆚ˈ㗠Ϩ䩜ᇍ⬋⬋ᗻ㸠Ў੠

ᅝܼ༫ⱘֱᡸᬜᵰᦤկޚ⹂ⱘֵᙃˈ䖭ѯخ⊩䛑䴲ᐌ 䞡㽕Ǆ

೼2011ᑈᓔྟᴀⷨおᯊˈ᳝᳒乘⌟䅸ЎHIVӮ೼

᠔㔫䮼㕸ቯ੠䚏೑ᏈᏗѮᮄ޴ݙѮߎ⦄ᖿ䗳ᠽᬷˈᑊ Ϩ䳔㽕೼AAHᔶ៤ᴀഄᑨᇍㄪ⬹Ǆ✊㗠ˈ⌕㸠ᑊ᳾থ

⫳ˈि⫳᳡ࡵгϧ⊼೼݊Ҫ݀݅ि⫳䯂乬ϞǄབᵰHIV

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14. Harrington HA et al. A practical strategy for responding to a case of lymphatic filariasis post-elimination in Pacific Islands. Parasites and Vectors, 2013, 6:213. doi:10.1186/1756-3305-6-218 pmid:23880226

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16. MacLaren D et al. Incorporating sociocultural beliefs in mental health services in Kwaio, Solomon Islands. Australasian Psychiatry, 2009, 17 Suppl 1;S125–127. doi:10.1080/10398560902948381 pmid:19579125

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91. doi:10.2149/tmh.34.83

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A summary of research evidence and recommendations for public health. Papua New Guinea Medical Journal, 2011, 54:91–108.

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560585 pmid:21590584

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doi:10.1186/1471-2458-13-818 pmid:24015786

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27. Harrington H et al. Is lymphatic filariasis still in Shortland Is- lands? Noumea, Atoifi Adventist Hospital, Atoifi Health Research Symposium, 2015 (http://www.atoifiresearch.org.sb/node/92, accessed 27 April 2015).

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ऎ៤ਬ㞾ᜓখࡴᴀⷨおǄᛳ䇶䁍ྚᮃᑧܟ໻ᄺ䗮䖛ⷨ

お෎⸔䆒ᮑᭈԧ㸹ࡽℒ䅵ߦᇍᴀⷨおᦤկⱘ䌘ࡽˈℸ

໪ˈ៥Ӏгᛳ䇶AAHϢ䰓ᠬӞ㧆ᡸ⧚ᄺ䰶ᦤկⱘᅲ⠽

ᬃᣕՓᴀⷨお乎߽ᓔሩǄ

ᓩ⫼ᴀ᭛ഄഔ˖

MacLaren D et al. Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health settings. Western Pacific Surveillance and Response Journal, 2015, 6(2):58–

65. doi:10.5365/wpsar.2015.6.1.015

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