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目的:评估在艾滋病高流行地区实施促进孕产妇及早进行艾滋病检测策略干预的有效性。方法:以2009~2011年云南省艾滋病高流行的13个县(市、区)全部孕产妇为研究对象,分析实施促进孕产妇及早进行艾滋病检测策略干预的有效性,并与云南其他县进行比较。结果:实施干预后13个县(市、区)的孕产妇HIV抗体检测率、孕期HIV抗体检测率、感染孕产妇孕28周前确认率和孕14周前确认率逐年提高,至2011年分别为98.72%、87.46%、69.53%、33.69%,高于同期云南省其他县的水平,较实施前分别上升了7.56%、38.36%、12.09%、15.92%。结论:孕情联动报告、知情不拒绝检测、定时定点社区采血及规范告知服务是促进孕产妇及早检测策略的关键。
PURPOSE: To assess the effectiveness of early intervention HIV testing strategies in HIV / AIDS-endemic areas. Methods: Taking all the pregnant women in 13 counties (cities and districts) with high prevalence of AIDS in Yunnan Province from 2009 to 2011 as the research object, the effectiveness of intervention strategies to promote early detection of AIDS among pregnant women and mothers was analyzed and compared with other counties in Yunnan Province . Results: The detection rate of HIV antibody in pregnant women, detection rate of HIV antibody in pregnancy, confirmation rate of pregnant women before 28 weeks of pregnancy and confirmation rate of pregnancy 14 weeks before implementation after intervention were increased year by year in 2011, respectively Which was 98.72%, 87.46%, 69.53% and 33.69%, respectively, higher than the levels of other counties in Yunnan Province in the same period, up by 7.56%, 38.36%, 12.09% and 15.92% respectively compared with that before implementation. Conclusion: The key to promoting maternal premature detection strategy is that pregnancy-seizure linkage report, informed consent refusal detection, regular fixed-point community blood collection and normative notification service are the two main methods.