in 2014, the United Nations programme on HIV/AIDS (unaids) proposed & other; In 2030 put an end to HIV/AIDS & throughout; Vision, and at the same time puts forward & other; Three 90% & throughout; Control goal, that is, 90% of the patients by detecting know their infection status, 90% has been diagnosis of the patients receiving antiretroviral treatment; 90% receive antiviral treatment people infected with the virus, be suppressed.
data diagram (for figure/visual China)
the first step in this ambitious goal, but also the most basic treatment and prevention of HIV testing project, progress is not ideal, actually. South Africa, according to a recent analysis results show that the aged 15 to 24 years old and older children and adolescents with HIV, only 14% eventually received antiretroviral therapy (ART) treatment. Top medical journal The Lancet (Lancet) ZiKan “Lancet & bull; AIDS virus” (HIV, The Lancet), according to a study published online by economic incentives could significantly improve The HIV testing of older children and adolescents.
are mentioned in the paper, ART progress in curbing HIV patients and reduce the mortality rate has played an important role. In the past ten years, however, older children and adolescents of hiv-related deaths more than tripled. It is worth mentioning that older children and adolescents and hiv-related mortality rates only also on the rise of a group.
the result is a major reason is the timely diagnosis. Because of timely diagnosis and ART coverage in older children and teenagers also far lower than adults. Even if the resulting test, the effect of late in ART therapy will far worse than early intervention.
researchers noted that brought together the global 90% of people living with HIV in sub-saharan Africa, these minors unless have independence from parents, or their HIV tests need to be guardian of informed consent. And can independently decide whether for HIV testing age varied from the provisions of the state, most of the basic orientation of 18 countries in sub-saharan Africa.
based on the reality, the researchers will older children and adolescents attack target HIV testing problem directly aim at their guardians. They launched an investigation and study, in 2015 in harare, Zimbabwe’s capital, to the ages of 8 and 17, older children and adolescents guardians of funding incentives, encourage them to lead their children to their HIV testing and counselling.
this test, if a family has one or more aged 8 to 17, older children and adolescents, and HIV status is unknown, so it is qualified to participate. Eligible households were randomly assigned in a ratio of nearly: is divided into three groups, respectively, without any fixed reward motivation, 2 dollars, primary health care center in local after HIV testing and counseling can be involved in a 1/8 chance to win $5 or $10 a lottery. Zimbabwe’s GDP per head is $1008.6.
on August 4, 2015 to December 18, a total of 2050 eligible families to register in the survey. 649 households (32%), no funds allocated to incentive groups, 740 families enjoy a fixed $2 (34%), there are 661 households (32%), join the lottery.
researchers then visit to the families. Finally eliminate some children haven’t appeared, such as child refused to family, eventually participate in the investigation and study of family respectively without any financial incentives for $477, 2 654 households, lottery incentives 562 households.
registration within 4 weeks, no motivation, 2 dollars and lottery incentives three groups of at least one child in the family for HIV tests respectively 93, 316, 316, in proportion to their respective groups were 20%, 48% and 40% respectively.
, whether incentives, $2 or lottery incentive are greatly encouraged to older children and adolescents guardian for HIV testing for their children. Researchers analysis, in the absence of any capital incentive groups, reasons for the low rate of HIV test so perhaps clinic detection can only open during work time, usually take their children to clinic means guardian to ask for leave from work, the child may also go to school, etc.
, according to researchers involved in family money to a certain extent make up the work finished off and transportation HIV testing of indirect costs. In addition, some families to different degree performance of children with HIV test results weigh the pros and cons, and economic incentives may be as a favorable factor are thrown in advance, allowing the family to make a decision.