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目的总结社会组织参与MSM人群的高危干预的情况,探讨如何通过政府购买服务动员社会组织参与艾滋病防控的方法。方法根据全球基金工作经验,结合当地疫情及具体情况,建立政府购买服务的量化指标,明确服务的质量、标准、规格、费用、违约责任等,与社会组织就MSM人群的高危干预签订政府购买合同,以动员检测人次数和HIV阳性检出率考核评价社会组织参与MSM人群艾滋病高危干预的效果。结果社会组织得到发展壮大,动员检测人数逐年上升,2012年较2011年增长422.95%,社会组织动员MSM人群HIV阳性检出率高于其他病例来源;2012年社会组织动员检测发现感染者来源构成比54.76%,2013年61.36%,成为市中区发现艾滋病感染者的最主要来源。结论建立健全政府购买服务的量化指标,实行绩效管理,是推动社会组织参与艾滋病防控的有效途径。
Objective To summarize the situation of high-risk intervention of social organizations in MSM population and to explore ways to mobilize social organizations to participate in AIDS prevention and control through government procurement of services. Methods According to the working experience of the global fund, combining the local epidemic situation and the specific situation, establishing the quantitative index of the government purchasing service, specifying the service quality, standards, specifications, costs and liability for breach of contract, signing the government purchase contract with the social organization on MSM crowd high risk intervention , To detect the number of mobilization and HIV positive detection rate of evaluation of social organizations to participate in MSM crowd AIDS high-risk intervention effect. As a result, the number of HIV / AIDS patients in MSM mobilized from social organizations was higher than that in other cases. In 2012, the social organization mobilization test found that the proportion of infected persons 54.76% and 61.36% in 2013, making it the most important source for finding people living with HIV in downtown areas. Conclusion Establishing and perfecting the quantitative indicators of government purchasing services and implementing performance management are effective ways to promote the participation of social organizations in AIDS prevention and control.