Omwe amagwiritsa ntchito mankhwala ambiri a PrEP pamsika, ayenera kukumbukira kumwa mankhwala awo tsiku ndi tsiku, vuto lalikulu la mankhwala opewera.
"Long-acting cabotegravir ndi chida chotetezeka komanso chothandiza kwambiri chopewera HIV, koma sichinapezekebe kunja kwa maphunziro," adatero Meg Doherty, Mtsogoleri wa Global HIV, Hepatitis and Sexually Transmitted Infections Programmes.
Mankhwalawa adavomerezedwa ku United States mu Disembala watha, komanso ku United Kingdom mwezi wotsatira.
Nthawi yovuta
Anthu ofunikira - kuphatikizapo ogonana, amuna omwe amagonana ndi amuna, ogwiritsa ntchito mankhwala osokoneza bongo, anthu omwe ali m'ndende, osinthana ndi amuna, ndi ogonana nawo - adatenga 70 peresenti ya anthu omwe ali ndi kachilombo ka HIV padziko lonse chaka chatha.
Kuphatikiza apo, matenda atsopano 4,000 omwe amapezeka tsiku lililonse mu 2021, anali mgululi.
Pamene ntchito zopewera kupewa HIV zayimitsidwa, malangizo atsopanowa adatulutsidwa msonkhano wa 24 wa International AIDS Conference (XNUMXth International AIDS Conference).AIDS 2022) - yomwe ikuyamba Lachisanu - ndi kachilombo ka HIV kokwana 1.5 miliyoni chaka chatha, mofanana ndi 2020.
"Tikukhulupirira kuti malangizo atsopanowa athandiza kufulumizitsa zoyesayesa za dziko kuti ayambe kukonzekera ndikupereka CAB-LA pamodzi ndi njira zina zopewera HIV, kuphatikizapo oral PrEP ndi mphete ya dapivirine," adatero mkulu wa WHO.
Mankhwala osintha masewera
CAB-LA ndi jekeseni wa intramuscular, wa nthawi yayitali wa PrEP.
Ma jakisoni awiri oyamba amaperekedwa motalikirana milungu inayi, kenako ndi jekeseni pakadutsa milungu isanu ndi itatu iliyonse.
M'mayesero oyendetsedwa mwachisawawa, ma antiretroviral adawonetsedwa kuti ndi otetezeka komanso ogwira mtima kwambiri pakati pa akazi a cisgender, amuna a cisgender omwe amagonana ndi amuna, komanso azimayi omwe amagonana ndi amuna.
Pamodzi, kafukufuku wodziwika bwinowa adapeza kuti kugwiritsa ntchito CAB-LA kudapangitsa kuti chiwopsezo cha kachilombo ka HIV chichepe ndi 79% poyerekeza ndi oral PrEP, komwe kumamatira kumwa mankhwala apakamwa tsiku lililonse kumakhala kovuta, malinga ndi WHO.
Ma jakisoni okhalitsa kwa nthawi yayitali apezekanso kuti ndi ovomerezeka ndipo nthawi zina amakondedwa m'kafukufuku wofufuza zomwe anthu ammudzi amakonda PrEP.
Coalition Force
Bungwe la UN la zaumoyo linakhazikitsanso mgwirizano watsopano kuti afulumizitse kupezeka kwa mankhwalawa padziko lonse lapansi.
Wopangidwa ndi WHO, Unitaid, UNAIDS ndi The Global Fund, mgwirizanowu udzazindikiritsa njira zomwe zikufunikira kuti apititse patsogolo mwayi wofikira ku CAB-LA kwa nthawi yaitali, kukhazikitsa ndalama ndi kugula mankhwala, ndi kupereka malangizo a ndondomeko, pakati pa zochitika zina.
"Kuti tikwaniritse zolinga za UN zopewera, tiyenera kuyesetsa kupeza njira zopewera zopewera mwachangu komanso moyenera, kuphatikiza PrEP yomwe yakhala ikugwira ntchito kwa nthawi yayitali," adatero Rachel Baggaley, Mtsogoleri wa WHO wa Gulu Loyesa, Kuteteza ndi Kuchuluka kwa Anthu pa Global HIV, Hepatitis and STI Programs. .
"Izi zikutanthauza kuthana ndi zopinga zovuta m'maiko otsika komanso opeza ndalama zapakatikati, kuphatikiza zovuta ndi ndalama zomwe zimagwiritsidwa ntchito."
Zochita zazikulu
WHO idzapitiriza kuthandizira njira zowonetsera umboni zowonjezera mwayi wopeza PrEP ndi kutenga, monga kutengera ndi kuphatikizapo CAB-LA mu mapulogalamu oletsa HIV.
Ikugwiranso ntchito ndi Unitaid ndi ena kuti apange mapulojekiti omwe amayankha zovuta zachitetezo komanso zovuta zokhazikitsa.
Ndipo bungwe la WHO Global PrEP Network lidzakhala ndi ma webinars kuti apereke zambiri za CAB-LA kuti adziwe zambiri.
Mu Epulo, zidawonjezedwa pamndandanda wa WHO wa Zosonyeza Chidwi kuwunika koyenera ndi bungwe la zaumoyo.
Zosankha zopewera
Oral PrEP ndi CAB-LA ndi othandiza kwambiri.
Malangizo atsopano a CAB-LA amachokera ku njira ya umoyo wa anthu yomwe imawona kuti ndi yothandiza, yovomerezeka, yotheka komanso yofunikira pazinthu zosiyanasiyana.
Zapangidwa kuti zithandize CAB-LA kutumiza ndi kufufuza kwachangu kofunikira pa kukhazikitsa maadiresi ndi chitetezo ndipo adzadziwitsa zisankho za momwe angathandizire ndi kukulitsa CAB-LA.
Maupangiri akuwunikira mipata yofunikira pakufufuza, ndikuzindikiranso kuti kupeza chithandizo chamankhwala cha PrEP ndizovuta kwa ena.
"Madera ayenera kutengapo gawo popanga ndi kupereka chithandizo chopewera HIV chomwe chili chothandiza, chovomerezeka komanso chothandizira," WHO idatero.
