Abo basebenzisa amayeza amaninzi e-PrEP emarikeni, kufuneka bakhumbule ukuthatha amayeza abo yonke imihla, umceli mngeni omkhulu wokuba yintoni iyeza lothintelo.
“I-long-acting cabotegravir sisixhobo esikhuselekileyo nesisebenzayo sothintelo lwe-HIV, kodwa ayikafumaneki ngaphandle kweendawo zophononongo,” utshilo u-Meg Doherty, uMlawuli we-WHO weGlobal HIV, Hepatitis and Sexually Transmitted Programmes.
Eli chiza lamkelwa eUnited States kuDisemba ophelileyo, kunye neUnited Kingdom kwinyanga elandelayo.
Umzuzu obalulekileyo
Abemi abaphambili - kubandakanywa abathengisi ngemizimba, amadoda abelana ngesondo namadoda, abasebenzisi beziyobisi, abantu abasentolongweni, abantu abatshintshe isini, kunye namaqabane abo ngesondo-babalelwa kwi-70 pesenti yosulelo lwe-HIV kwihlabathi kulo nyaka uphelileyo.
Ngaphaya koko, usulelo olutsha angama-4,000 olwenzeka yonke imihla ngo-2021, lwaluphakathi kwelo qela.
Njengoko iinzame zokuthintela i-HIV ziye zayeka, izikhokelo ezitsha zakhululwa ngaphambi kwe-24th International AIDS Conference (AIDS 2022) - eqala ngokusemthethweni ngoLwesihlanu - kunye ne-1.5 yezigidi zosulelo olutsha lwe-HIV kunyaka ophelileyo, ngokufanayo nango-2020.
“Sinethemba lokuba ezi zikhokelo zintsha ziya kunceda ukukhawulezisa iinzame zelizwe zokuqalisa ukucwangcisa nokuhambisa i-CAB-LA kunye nezinye iindlela zothintelo lwe-HIV, kubandakanywa i-PrEP yomlomo kunye neringi ye-dapivirine efakwa ekukwini,” latsho igosa le-WHO.
Iziyobisi ezitshintsha umdlalo
I-CAB-LA sisitofu esifakwa kwi-intramuscular, ifomu esebenza ixesha elide ye-PrEP.
Iinaliti ezimbini zokuqala zikhutshwa ngokushiyana kweeveki ezine, zilandelwe yinaliti rhoqo kwiiveki ezisibhozo.
Kulingo olulawulwa ngokungenamkhethe, i-antiretroviral yaboniswa ikhuselekile kwaye isebenza kakhulu phakathi kwabasetyhini be-cisgender, amadoda e-cisgender alala namadoda, kunye nabasetyhini abagqithisayo ababelana ngesondo namadoda.
Ngokudibeneyo, olu phononongo lubalulekileyo lufumanise ukuba ukusetyenziswa kwe-CAB-LA kukhokelele ekuthotyweni komngcipheko we-HIV ngeepesenti ezingama-79 xa kuthelekiswa ne-PrEP yomlomo, apho ukubambelela ekuthatheni iyeza lomlomo lemihla ngemihla bekusoloko kungumngeni, ngokutsho kwe-WHO.
Iimveliso ezitofwayo ezisebenza ixesha elide nazo zifunyenwe zamkelekile kwaye ngamanye amaxesha zikhethwa kuphononongo oluvavanya izinto ezikhethwa ngabahlali be-PrEP.
Umbutho womanyano
I-arhente yezempilo ye-UN ikwaphehlelele imbumba entsha yokukhawulezisa ukufikelela kweli chiza.
Ibizwe yi-WHO, Unitaid, UNAIDS kunye neNgxowa-mali yeHlabathi, umfelandawonye uya kuchonga ungenelelo olufunekayo ukuqhubela phambili ukufikelela kwi-CAB-LA kwixesha elide, ukuseka inkxaso-mali kunye nokuthengwa kwechiza, kunye nokukhupha isikhokelo somgaqo-nkqubo, phakathi kwezinye izinto.
"Ukufezekisa iinjongo zothintelo lwe-UN, kufuneka sityhale ukufikelela ngokukhawuleza, ngokulinganayo kuzo zonke izixhobo zokuthintela ezisebenzayo, kubandakanywa ne-PrEP esebenza ixesha elide," utshilo uRachel Baggaley, iNkokeli ye-WHO yeQela loVavanyo, loThintelo kunye naBantu kwiGlobal HIV, Hepatitis kunye ne-STI Programs. .
"Oko kuthetha ukoyisa imiqobo ebalulekileyo kumazwe anengeniso ephantsi kunye nephakathi, kubandakanya nemiceli mngeni kunye neendleko."
Izenzo eziphambili
I-WHO iya kuqhubeka nokuxhasa izicwangciso-qhinga ezisekelwe kubungqina ukunyusa ufikelelo kunye nokuthathwa kwe-PrEP, njengokwamkela kunye nokubandakanya i-CAB-LA kwiinkqubo zothintelo lwe-HIV.
Ikwasebenzisana ne-Unitaid kunye nabanye ukuphuhlisa iiprojekthi eziphendula imiba ebalaseleyo yokhuseleko kunye nemingeni yokuphunyezwa.
Kwaye i-WHO Global PrEP Network iya kubamba ii-webinars ukubonelela ngolwazi oluhlaziyiweyo kwi-CAB-LA ukwandisa ulwazi.
Ngo-Epreli, yongezwa kuluhlu lwe-WHO lwe Iintetho Zomdla kuphononongo lokufaneleka yi-arhente yezempilo.
Ukhetho lothintelo
Zombini i-oral PrEP kunye ne-CAB-LA zisebenza kakhulu.
Izikhokelo ezitsha ze-CAB-LA zisekelwe kwindlela yezempilo yoluntu eqwalasela ukusebenza kakuhle, ukwamkeleka, ukuba nokwenzeka kunye neemfuno zobutyebi kuzo zonke iindawo.
Ziyilelwe ukunceda unikezelo lwe-CAB-LA kunye nophando olungxamisekileyo olufunekayo malunga nokuphunyezwa kweedilesi kunye nokhuseleko kwaye ziya kwazisa izigqibo malunga nendlela yokubonelela ngempumelelo kunye nokunyusa i-CAB-LA.
Izikhokelo ziqaqambisa izikhewu ezibalulekileyo kuphando, kwaye zikwaqaphela ukuba ukufikelela kwiinkonzo zangoku ze-PrEP kungumngeni kwabanye.
“Uluntu kufuneka lubandakanyeke ekuphuhliseni nasekunikezeleni iinkonzo zothintelo lwe-HIV ezisebenzayo, ezamkelekileyo kunye nokhetho lwenkxaso,” yacacisa i-WHO.
