Universal access the benefits and challenges in bringing integrated HIV care to isolated and conflict affected populations in the Republic of Congo 英文参考文献.docVIP

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Universal access the benefits and challenges in bringing integrated HIV care to isolated and conflict affected populations in the Republic of Congo 英文参考文献.doc

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Universal access the benefits and challenges in bringing integrated HIV care to isolated and conflict affected populations in the Republic of Congo 英文参考文献

Conflict and Health BioMedCentral Case study Open Access Universal access: the benefits and challenges in bringing integrated HIV care to isolated and conflict affected populations in the Republic of Congo Daniel P OBrien*1, Clair Mills1, Catherine Hamel2, Nathan Ford3 and Kevin Pottie2,4 Address: 1Médecins Sans Frontières Holland, Amsterdam, The Netherlands, 2Médecins Sans Frontières-Holland, Brazzaville, Republic of Congo, 3Médecins Sans Frontières South Africa, Cape Town, South Africa and 4Centre for Global Health, Institute of Population Health and Elisabeth Bruyère Research Institute, University of Ottawa, Ottowa, Ontario, Canada Email: Daniel P OBrien* - daniel.obrien@; Clair Mills - ls@; Catherine Hamel - hamelcp@yahoo.fr; Nathan Ford - nathan.ford@; Kevin Pottie - kpottie@uottawa.ca * Corresponding author Published: 7 January 2009 Received: 4 November 2008 Accepted: 7 January 2009 Conflict and Health 2009, 3:1 doi:10.1186/1752-1505-3-1 This article is available from: /content/3/1/1 ? 2009 OBrien et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Pool region of the Republic of Congo is an isolated, conflict-affected area with under- resourced and poorly functioning health care services. Despite significant AIDS-related mortality and morbidity in this area, and a national level commitment to universal HIV care, HIV has been largely neglected. In 2005 Médecins Sans Frontières decided to introduce HIV care activities. However, in this setting of high basic health care needs, limited medical resources and competing medical priorities, a vertical HIV programme was not suitable. This paper describes the process of integrating HIV care and treatment into basic health services,