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目的了解濉溪县PLWHA基本医疗服务(ECP)实施效果,为推广ECP项目提供依据。方法以有PLWHA的村为基本抽样单位进行整群抽样,对抽取到村的所有PLWHA进行问卷调查,并与2005年基线调查结果比较艾滋病相关知识和行为的变化。结果ECP项目实施后,PLWHA的艾滋病知识和行为发生了显著变化,问题“看起来健康的人会有艾滋病病毒吗”的知晓率和安全套的坚持使用率分别为94.0%和95.7%,高于项目实施前的69.0%和52.4%,差异均有统计学意义;ECP的服务覆盖率为98%;ECP服务满意度为92%。结论濉溪县ECP项目实施较为广泛而有效,ECP项目是值得推广的医疗服务模式,但仍要进一步完善和改进,以便广泛推广使用。
Objective To understand the implementation effect of PLWHA basic medical service (ECP) in Suixi County and provide basis for promoting ECP project. Methods A cluster sampling was conducted in villages with PLWHA as the basic sampling unit. All PLWHA sampled from the villages were surveyed and compared with the 2005 baseline survey to compare changes in AIDS-related knowledge and behavior. Results After the implementation of the ECP project, there was a significant change in PLWHA’s HIV / AIDS knowledge and behavior. The awareness rate and the condom use rate of condoms were 94.0% and 95.7%, respectively, as high as “healthy people would have HIV” 69.0% and 52.4% before the implementation of the project, the differences were statistically significant; ECP service coverage was 98%; ECP service satisfaction was 92%. Conclusion The implementation of ECP in Suixi County is more extensive and effective. The ECP project is worthy of promotion. However, it still needs to be further improved and improved so as to be widely used.