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目的评估性病门诊医务人员参与性病艾滋病干预工作,针对不同高危人群提供性病、生殖健康服务的效果。方法选择卫九、艾滋病综合防治示范区和全球基金艾滋病防治项目地区有条件的医疗机构,根据性病门诊规范服务的要求,改善门诊服务,开展针对门诊就诊者的干预服务和现场高危人群的医疗服务。结果在三个项目中,医务人员规范化服务培训率、性病门诊干预服务提供率和外展服务性病门诊医务人员参与率,均有了不同程度的提高全球基金项目中,门诊主动提供艾滋病检测咨询(PITC)服务率从基线的10.4%,上升到项目后的96.4%。示范区和全球基金项目中,高危人群性病预防知识知晓率,分别由基线的31.02%、45.52%上升到72.40%和87.86%。结论从三个项目的实施情况来看,动员医疗机构主动参与到针对高危人群的性病、生殖健康干预工作,并提供转介服务是可行的,而且取得了较好的效果。
Objective To evaluate STD clinic staff’s participation in STD and AIDS intervention and provide STD and RH services to different high-risk groups. Methods Weijiu, comprehensive AIDS prevention and control demonstration area and the global fund AIDS prevention and treatment project area qualified medical institutions, according to STD service requirements, improve outpatient services, carry out intervention services for outpatient visits and on-site medical services for high-risk groups . Results Among the three projects, the training rate of standardized services for medical staff, the rate of service provision for STD clinic outpatient service and the attendance rate of STD clinic staff for outreach service all increased to some extent. Among the global fund projects, outpatient clinics offered HIV testing counseling actively PITC) service rate rose from 10.4% at baseline to 96.4% after the project. In demonstration areas and global fund projects, the awareness rate of STD prevention knowledge among high-risk groups increased from 31.02% and 45.52% of the baseline to 72.40% and 87.86% respectively. Conclusion From the implementation of the three projects, mobilization of medical institutions to actively participate in interventions for STD and reproductive health for high-risk groups and to provide referral services is feasible and has achieved good results.