四川省某少数民族地区艾滋病随访管理工作现状分析

发布时间：2018-10-05 20:00

【摘要】：目的:综合评价四川某少数民族地区艾滋病随访管理工作现状,为提高随访质量,减缓艾滋病流行提供依据。方法:选取四川省某少数民族地区及当地艾滋病报告病例数最高的两个县,采用现有资料收集,座谈、个人深入访谈和问卷调查相结合的方法对艾滋病随访工作现况进行分析。结果:由疾控中心1名专职人员负责随访管理在内的所有艾滋病相关工作,各县随访经费使用不一致;首次随访主要采用面对面,后续主要以电话随访、集中检测的方式;2012年~2014年全州随访CD4+T淋巴细胞检测率在29.35%~39.80%之间;得知感染后与配偶/固定性伴每次坚持使用安全套的比例仅32.35%。结论:该地区随访管理机制有待完善;人力不足,缺乏激励机制;随访管理工作相对滞后,得知感染HIV后,感染者/病人仍发生非保护性性行为。建议落实首诊负责制,完善转介网络,加大对医疗卫生机构人力资源投入,在经费使用上实行目标管理,提高随访质量。
[Abstract]:Objective: to evaluate the current situation of AIDS follow-up management in a minority area of Sichuan province, and to provide evidence for improving the quality of follow-up and reducing the prevalence of AIDS. Methods: two counties with the highest number of reported AIDS cases were selected from a minority area in Sichuan Province. The current situation of AIDS follow-up was analyzed by means of data collection, discussion, personal in-depth interview and questionnaire survey. Results: all AIDS-related work, including follow-up management, was carried out by a full-time staff member of CDC, and the funds used for follow-up were not consistent in each county, the first follow-up was mainly face-to-face, and the follow-up was mainly by telephone. From 2012 to 2014, the detection rate of CD4 T lymphocytes was 29.35% or 39.80%, and only 32.35% was found to insist on condom use with spouse / fixed partner after infection. Conclusion: the management mechanism of follow-up in this area needs to be improved, the manpower is insufficient and the incentive mechanism is lacking. The follow-up management work is relatively lagging behind, the infection / patient still has unprotected sexual behavior after knowing that infected with HIV. It is suggested that the system of first visit responsibility should be implemented, the referral network should be perfected, the human resource input of medical and health institutions should be increased, the management of funds should be carried out by objective, and the quality of follow-up should be improved.
【作者单位】：四川省疾病预防控制中心性病艾滋病防治所;甘孜州疾病预防控制中心艾滋病防治科;泸定县疾病预防控制中心;康定市疾病预防控制中心;广西壮族自治区疾病预防控制中心;
【基金】：四川省2016年省级财政补助“艾滋病防治”项目
【分类号】：R512.91

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