»ä¤Ï¡¢November team 2008¤Ë»²²Ã¤·¡¢
2009ǯ5·î¤«¤é11·î¤Þ¤Ç¤ÎȾǯ´Ö¡¢
¥¢¥Õ¥ê¥«¡¢¥â¥¶¥ó¥Ó¡¼¥¯¤Ç¥Ü¥é¥ó¥Æ¥£¥¢³èư¤ò¤·¤Æ¤¤Þ¤·¤¿¡£
¥×¥í¥¸¥§¥¯¥È¤Ï¡ÖChild Aid¡×
¤³¤Î¥×¥í¥¸¥§¥¯¥È¤Ë¤Ï3¤Ä¤Î¥×¥í¥°¥é¥à¤¬¤¢¤Ã¤Æ¡¢
º£Æü¤Ï¡¢¤½¤Î¤Ê¤«¤Î1¤Ä¡¢
CB-DOT¥×¥í¥°¥é¥à¤Ë¤Ä¤¤¤Æ¡¢¾Ò²ð¤·¤¿¤¤¤È»×¤¤¤Þ¤¹¡£
CB DOT
Community Based Direct Observation of Treatment
¼¤Ç¡¢¼£ÎŤÎľÀÜ´Ñ»¡¡£
²¿¤Î¡©
·ë³Ë¡£
·ë³Ë¤Ï¡¢HIV/AIDS¡¢¥Þ¥é¥ê¥¢¤Ë¤Ê¤é¤Ö¡¢
3Âç´¶À÷¾É¤Î1¤Ä¤Ç¡¢
À¤³¦¤ÇËèǯ800Ëü¿Í¤¬¿·µ¬¤Çȯ¾É¤·¡¢
Ëèǯ200Ëü¿Í¤¬»àË´¤·¤Æ¤¤¤ëɵ¤¡£
¥¢¥¸¥¢Ãϰè¤ò¤Ï¤¸¤á¤È¤¹¤ë³«È¯ÅÓ¾å¹ñ¤Ç¿¤¯È¯¾É¤·¤Æ¤¤¤Þ¤¹¡£
·ë³Ë¶Ý¤Ï¿Í¤«¤é¿Í¤Ë´¶À÷¤·¡¢·ë³Ë¤òȯ¾É¤¹¤ë¤È¡¢
Ç٤˷ê¤ò¤¢¤±¤Æ¶õƶ¤òºî¤ê¡¢µ¤´É»Ù¤äÇÙ¤òÉå¤é¤»¤Þ¤¹¡£
¿Ê¹Ô¤¹¤ë¤È¡¢·ì±Õ¤ä¥ê¥ó¥Ñ¤òÄ̤äơ¢·ë³Ë¶Ý¤¬Á´¿È¤Ë±¿¤Ð¤ì¡¢
5ǯ°ÊÆâ¤Ë50%¤¬»àË´¤¹¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£
ÆüËܤǤÏ2005ǯ¤Ë·ë³ËͽËÉË¡¤¬²þÀµ¡¢
ÆýÍÄ»ù¤Ø¤Î¥Ä¥Ù¥ë¥¯¥ê¥óÈ¿±þ¸¡ºº¤¬Çѻߤµ¤ì¤Þ¤·¤¿¡£
ÆýÍÄ»ù¤Î½Å¾É·ë³Ë¤òËɤ°¤¿¤á¡¢
BCGÀܼï¤òÀ¸¸å6¤«·î¤Þ¤Ç¤Ë¹Ô¤¦¤³¤È¤Ë¤Ê¤Ã¤Æ¤¤¤Þ¤¹¡£
WHO¡ÊÀ¤³¦ÊÝ·òµ¡¹½¡Ë¤¬Ä󾧤¹¤ë·ë³ËÂкöÀïά¤Ç¤Ï¡¢
DOTS
Directly Observed Therapy Short-care
(ľÀܴƻ벼û´ü¼£ÎÅ)
¤ò¹Ô¤Ã¤Æ¤¤¤Þ¤¹¡£
°åÎŽ¾»ö¼Ô¤Ï´µ¼Ô¤ËÌô¤ò½èÊý¤¹¤ë¤À¤±¤Ç¤Ê¤¯¡¢
´µ¼Ô¤¬ÉþÌô¤¹¤ë¤È¤³¤í¤òÌܤÎÁ°¤Ç³Îǧ¤·¡¢°û¤ß˺¤ì¤òËɤ®¤Þ¤¹¡£

¤³¤ÎDOT¤Î¥×¥í¥°¥é¥à¤Ç¤Ï¡¢
¼¤ÎActivist¤È¤È¤â¤Ë¡¢´µ¼ÔÂð¤ËÌô¤òÆÏ¤±¡¢
ÆâÉþ¤ò¥µ¥Ý¡¼¥È¡¢Á´¿È¾õÂ֤δѻ¡¤ò¹Ô¤Ã¤Æ¤¤¤Þ¤¹¡£
¤Þ¤¿¡¢Â¼Æâ¤Ë¤Ï¥Ü¥é¥ó¥Æ¥£¥¢¤Î¿Í¤¿¤Á¤¬¤¤¤Æ¡¢
ËèÆü¡¢´µ¼Ô¤òõ¤·¤Þ¤ï¤Ã¤Æ¤¤¤Þ¤¹¡£
Áá´üȯ¸«¤¹¤ë¤³¤È¤â½ÅÍפʤ³¤È¤Ç¤¹¡£
·ë³Ë¤¬¤É¤ó¤É¤ó¹¤Þ¤Ã¤Æ¤¤¤¯¤Î¤ò¡¢Ëɤ°¤¿¤á¤Ç¤¹¡£
·ë³Ë¤«¤â¤·¤ì¤Ê¤¤¿Í¤¬¤¤¤ë¡¢
¤È¤¤¤¦¾ðÊó¤ò¡¢Â¼¤Î¥Ü¥é¥ó¥Æ¥£¥¢¤Î¿Í¤«¤é¤â¤é¤¤¡¢
»ä¤¿¤Á¤Ï¡¢¤½¤Î¿Í¤òˬÌ䤷¤Þ¤·¤¿¡£
·ë³Ë¤Îµ¿¤¤¤¬¤¢¤ê¡¢áâ¤Î¸¡ºº¤ò¤·¤Ê¤±¤ì¤Ð¤Ê¤ê¤Þ¤»¤ó¡£
»ä¤Ï¡¢¤½¤Î½÷À¤Ë¸¡ºº¤ÎɬÍ×À¤òÀâÌÀ¤·¡¢
¸¡ºº¤ò¹Ô¤¤¤Þ¤·¤¿¡£
¢¥Ü¥é¥ó¥Æ¥£¥¢¤Î¿Í¤¬¡¢áâ¤Î¸¡ºº¤ÎÀâÌÀ¤ò¤·¤Æ¤¤¤Þ¤¹¡£
¤³¤Î¥«¥Ã¥×¤Ëáâ¤ò¤È¤ê¡¢»ä¤¿¤Á¤¬É±¡¤Ø»ý¤Ã¤Æ¹Ô¤¡¢¸¡ºº¤¬¹Ô¤ï¤ì¤Þ¤¹¡£

DOT¥³¥ß¥å¥Ë¥Æ¥£¤Î·ë³Ë¤ÎÆÃħ¤Ï¡¢
HIV/AIDS¤ÇÌȱ֤¬Äã²¼¤·¤ÆÈ¯¾É¤·¤Æ¤¤¤ë¤³¤È¤¬Â¿¤¤¤Ç¤¹¡£
HIVÍÛÀΨ¤Ï26.5¡ó¤È¹â¤¤¡£
»ä¤¿¤Á¤Î¥¿¡¼¥²¥Ã¥È´µ¼Ô¤Î¿¤¯¤ÏHIVÍÛÀ¥×¥é¥¹·ë³Ë¡£
·ë³Ë¤Î¼£ÎŤϡ¢6¥«·î¡¢¹³·ë³ËÌô¤ÎÆâÉþ¤ò¹Ô¤¤¤Þ¤¹¡£
¤³¤³¤Ç½ÅÍפʤ³¤È¤Ï¡¢Ìô¤ÎÂÑÀ¶Ý¤òºî¤é¤Ê¤¤¤³¤È¡£
ÆâÉþ³«»Ï¸å¡¢2¥«·î¤¹¤ë¤È¡¢Â¿¤¯¤Î¿Í¤¬¾É¾õ¤¬¾Ã¼º¤·¡¢
¤¢¤¿¤«¤â¡¢·ë³Ë¤¬¼£¤Ã¤¿¤«¤Î¤è¤¦¤ËÂÎÄ´¤¬¤è¤¯¤Ê¤ê¤Þ¤¹¡£
¤³¤³¤Ç¡¢ÆâÉþ¤òÃæÃǤ·¤Æ¤·¤Þ¤¦¿Í¤¬Â¿¤¤¤Î¤Ç¤¹¡£
¤Ç¤â¡¢ÂΤÎÃæ¤Ë¤Ï¡¢¤Þ¤À·ë³Ë¶Ý¤¬½»¤ß¤Ä¤¤¤Æ¤¤¤Þ¤¹¡£
Ìô¤ò°û¤ó¤À¤ê°û¤Þ¤Ê¤«¤Ã¤¿¤ê¤¹¤ë¤³¤È¤ÇÂÑÀ¶Ý¤¬ºî¤é¤ì¡¢
·ë³Ë¤Î¼£ÎŤ¬º¤Æñ¤È¤Ê¤ê¤Þ¤¹¡£
ÂÑÀ¶Ý¤¬¤Ç¤¤Æ¤·¤Þ¤Ã¤¿¤³¤È¤Ç¡¢·ë³Ë¤ÎÌô¤¬¸ú¤«¤Ê¤¯¤Ê¤ê¡¢
¼ê½Ñ¤»¤¶¤ë¤ò¤¨¤Ê¤¤¥±¡¼¥¹¤âÌܤˤ·¤Þ¤·¤¿¡£
¼¤Îɱ¡¤Ç¤Ï¡¢ÀßÈ÷¤¬ÉÔ¤·¤Æ¤¤¤ë¤¿¤á¡¢
¤½¤Î¿Í¤Ï»Ô¤ÎÂ礤Êɱ¡¤Þ¤Ç¹Ô¤¯¤³¤È¤Ë¤Ê¤Ã¤Æ¤·¤Þ¤¤¤Þ¤·¤¿¡£
¤³¤Î6¥«·î¤ÎÆâÉþ¼£ÎŤǤϡ¢
´µ¼Ô¤Î¥â¥Á¥Ù¡¼¥·¥ç¥ó¤ò°Ý»ý¤·¤¿¤ê¡¢
ÃæÃǤ·¤¿¿Í¤Ë¼£ÎźƳ«¤òÂ¥¤·¤¿¤ê¤¹¤ë¤³¤È¤â
»ä¤¿¤Á¤Î½ÅÍפÊÌòÌܤǤʤΤǤ¹¡£
¢·ë³Ë¤Î½÷À¤ËÌô¤ÎÀâÌÀ¤ò¤·¤Æ¤¤¤Þ¤¹¡£

¢¤³¤Î½÷À¤Ï¡¢6¥«·î¤Î¼£ÎŤò̵»ö½ª¤¨¤Þ¤·¤¿¡£
¤ª¤á¤Ç¤È¤¦¤´¤¶¤¤¤Þ¤¹¡ù

¢·ë³Ë¤Î½÷¤Î»Ò¤Ç¤¹¡£¸½ºß¡¢ÆâÉþÃæ¤Ç¤¹¡£

¢¡ÖËèÆü¡¢Ìô¤ò°û¤ò°û¤ó¤Ç¤¤¤Þ¤¹¤«¡©¡×ÆâÉþɽ¤Î³Îǧ¤ò¤·¤Æ¤¤¤Þ¤¹¡£


¤½¤·¤Æ¡¢¤â¤¦£±¤Ä¡¢
»ä¤Î»Å»ö¤Ë¤Ï¡¢Supervision¡Ê´ÆÆÄ¡¦´ÉÍý¡Ë¤¬¤¢¤ê¤Þ¤¹¡£
´µ¼Ô¤¬¡¢¼«Ê¬¤Îɵ¤¤ËÂФ¹¤ëÃ챤ò¤¤Á¤ó¤È»ý¤Ã¤Æ¤¤¤ë¤«¡¢
ÆâÉþ¼£Îŷѳ¤Î½ÅÍ×À¤ò¤¤Á¤ó¤ÈÍý²ò¤·¤Æ¤¤¤ë¤«¡¢
¤Ê¤É¤Î³Îǧ¤ò¹Ô¤¦¤³¤È¤Ç¤¹¡£
¢¡Ö·ë³Ë¤Ï¡¢¤É¤¦¤ä¤Ã¤Æ´¶À÷¤¹¤ë¤«ÃΤäƤ¤¤Þ¤¹¤«¡©¡×

ɱ¡¤Î¥Ê¡¼¥¹¤ÈϢư¤·¤Æ¡¢´µ¼Ô¥Ç¡¼¥¿¡¼¥Ù¡¼¥¹¤Î´ÉÍý¤â¤·¤Æ¤¤¤Þ¤¹¡£
´µ¼Ô¤Î¥Ç¡¼¥¿¡¼¥Ù¡¼¥¹¤Ï
̾Á°¤ÎµÆþ¥ß¥¹¤ä¹¹¿·¤·Ëº¤ì¤Æ¤¤¤¿¤ê¡¦¡¦¡¦
¥×¥í¥¸¥§¥¯¥È¾åÁØÉô¤Î¤ÎSupervision¤¬Íè¤ëÁ°¤Ï
·è¤Þ¤Ã¤ÆÂç¹²¤Æ¤Ç¡¢
¥Ç¡¼¥¿¡¼¥Ù¡¼¥¹¤ò
½¤Àµ¤¹¤ë·«¤êÊÖ¤·¤Ê¤Î¤Ç¡¢
Æüº¢¤«¤é¤·¤Ã¤«¤ê´ÉÍý¤·¤Ê¤¤¤È¡£¡£¡£
¤½¤Î¤Û¤«¡¢Â¼¤ÎActivist¤Î»Å»ö¤Ë¤Ï¡¢
ɱ¡¤ä¥Ø¥ë¥¹¥»¥ó¥¿¡¼¤Ç¡¢ÂÔ¤Á¹ç¤¤´µ¼Ô¤ËÂФ·¤Æ¡¢
¥×¥ì¥¼¥ó¥Æ¡¼¥·¥ç¥ó¤ò¹Ô¤¤¡¢
¥³¥ì¥é¤ä¡¢¥Þ¥é¥ê¥¢¡¢¥Ï¥ó¥»¥óɤʤɤÎ
¼À´µ¤ËÂФ¹¤ëÃ챤ÈͽËÉË¡¤ò»ØÆ³¤·¤Æ¤¤¤Þ¤¹¡£
¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦
¢Â¼¤Î¥Ü¥é¥ó¥Æ¥£¥¢¤Î¿Í¤È¡¢´µ¼Ô¤µ¤óÂðˬÌäÆü¤ÎÂǤÁ¹ç¤ï¤»Ãæ¤Ç¤¹¡£

¢¼«Å¾¼Ö¤Ç¼¤òˬÌ䤷¤Þ¤¹¡£


¢»þ¤Ë¤ÏÊ⤤¤Æ¡£

¢Æî¥¢¥Õ¥ê¥«¿Í¤ÎDI¡Ê¥Ü¥é¥ó¥Æ¥£¥¢¡Ë¤Ç¤¹¡£°ì½ï¤Ë¼¤ò¤Þ¤ï¤Ã¤Æ¤¤¤Þ¤·¤¿¡£

Æüº¹¤·¤¬¤¤Ä¤¯¡¢Â¼¤ò²ó¤ë¤Î¤Ï¡¢ÂçÊѤǤ¹¤¬¡¢
6¥«·î¤Î¼£ÎŤò½ª¤¨¤¿¤È¤¤Î´µ¼Ô¤µ¤ó¤Î¾Ð´é¤ò¤ß¤ë¤³¤È¤¬
¤È¤Æ¤â³Ú¤·¤ß¤Ç¤·¤¿¡£
kiyo, November team 2008