摘要
目的在中国-世界卫生组织-瑞典艾滋病综合防治项目支持下,探索、提高针对吸毒人群的卫生服务干预质量,建立一个艾滋病防治关怀的综合服务关联体系。方法邀请吸毒人群、感染HIV的吸毒者及其家属参加研讨会,召开有疾控机构、医院、社区、性病门诊和目标人群参加的协调会,探索建立一个针对吸毒人群的"一站式"艾滋病综合防治体系,采用SAS8.01软件分析数据。结果通过疾控机构、美沙酮门诊、医院系统之间形成的强效转介机制,通过密切转介、协调防治关系、形成服务环路,建立了针对吸毒人群的"一站式"转介服务模式,发动目标人群及其家属的参与,又使服务链的功能实现成为可能。三年的综合防治探索,该转介服务模式发挥了作用。湖南国家级哨点监测信息显示,吸毒人群的艾滋病病毒阳性率明显下降,由2006年的15.58%下降到2007年的3.60%;高危行为发生率明显下降,共用针具率由2004年的74.88%,下降到2007年57.84%,商业性性行为由2004年的32.07%,下降到2007年的20.15%。结论一站式转介服务模式是有效的。成功的持续的动态转介,是扩大吸毒人群覆盖率的关键,而对防治人员的激励机制和吸毒志愿者的不断招募需要国家加大投入,以维持该人群的有效干预的持续性。
Objective To explore and improve quality of health care for drug users （DUs） and establish an inte- grated service linkage system with the support from the China-WHO-SIDA HIV/AIDS Integrated Care Project. Method Injecting drug users infected with HIV and their families were invited to participate in workshops and coor- dination meetings attended by representatives of disease control institutions, hospitals, communitics and STD clinics as well as target population were convened with a view to exploring the establishment of an ＂one stop shop＂ integrat- ed prevention, treatment and care service linkage system targeted to drug users. SAS 8.01 software was used for data analysis. Result With three year efforts made by the Project to coordinate disease control institutions, hospi- tals and MMT clinics, the ＂one stop shop＂ integrated service linkage system was established and played a positive role in implementing effective interventions with the active participation by the target population and their families. The data from national sentinel surveillance sites showed that the HIV prevalence among DUs decreased significantly and the prevalcnce of high risk behaviour was reduced accordingly. Conclusion The successful and sustainable inte- grated service linkage system has increased the coverage of DUs intervention, whereas the sustainable incentive mechanism to the health and medical professionals need to be paid high attention and the cost caused by constant re- cruitment of DU volunteers should be regularly budgeted to maintain the sustainability of the effective intervention.
出处
《中国艾滋病性病》
CAS
2009年第3期234-236,共3页
Chinese Journal of Aids & STD
基金
中国-世界卫生组织-Sida艾滋病综合防治WP/04/CHN/HIV002-WP/06/CHN/HIV002
关键词
艾滋病
吸毒人群
干预
一站式转介
Drug users
Intervention~ One-stop-shop linkage system
