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目的探索新形势下南阳市卧龙区艾滋病综合防制工作模式。方法夯实一个基础(政府主导、多部门参与),建设二个体系(预防控制与医疗救治体系和督导评估体系),强化三个关注(疫情流行态势、经费管理使用、全民健康教育),提高四个能力(自愿咨询、实验室检测、综合干预、医疗救治),全面开展艾滋病防治工作。结果村民艾滋病相关知识知晓率由宣传前的32.02%上升至90.01%;孕妇HIV检测率达99.21%,单阳配偶HIV检测率达90.68%,母婴阻断率达100%;艾滋病病人服药依从性由最初的62.13%提高至97.66%,患者治疗12个月存活并支持治疗的人群比例达86.35%,艾滋病救治工作收到了事半功倍的效果;全区高危场所的干预覆盖率达94.97%。结论该艾滋病综合防制工作模式效果显著,为积极探索建立适合我国国情的预防艾滋病工作模式和服务方式提供了科学依据。
Objective To explore the comprehensive prevention and control of AIDS in Wolong District in Nanyang City under the new situation. Methods A solid foundation (government-led, multisectoral participation), building of two systems (prevention, control and medical treatment system and supervision and evaluation system), strengthening of three concerns (epidemic situation, funding management and universal health education) A capacity (voluntary counseling, laboratory testing, comprehensive intervention, medical treatment), comprehensive AIDS prevention and control work. Results The awareness rate of HIV / AIDS among villagers increased from 32.02% to 90.01%. The detection rate of HIV in pregnant women reached 99.21%, the detection rate of HIV in single male couples was 90.68% and the rate of maternal and infant HIV was 100%. The HIV compliance From the initial 62.13% to 97.66%. The proportion of patients surviving and supporting treatment for 12 months reached 86.35%, and the AIDS treatment work received a multiplier effect. The intervention coverage of high-risk places in the whole region reached 94.97%. Conclusions The HIV / AIDS prevention and control work mode has a significant effect, which provides a scientific basis for actively exploring a working mode and service mode for AIDS prevention that is suitable for China’s national conditions.