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目的分析2006-2008年云南省艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(HIV/AIDS病人)告知、随访工作成效及主要措施,为其他地区开展相关工作提供参考。方法对新报告的HIV/AIDS病人进行结果告知、个案流调和转介,对现住址在云南的HIV/AIDS病人开展随访,用全国“艾滋病综合防治信息系统”和专报系统数据统计个案流调、随访、CD4检测、抗病毒治疗转介、治疗和配偶检测相关指标,分析采取的主要措施。结果 2008年云南省新报告的HIV/AIDS病人的个案流调率达到93.7%,累计HIV/AIDS病人的随访率达到61.4%,CD4检测率为32.7%,较2006年和2007年分别提高了69%和41%、30%和10.6%、26%和22%,配偶检测率为63.2%,较2007年提高了24%,抗病毒治疗转介及治疗工作逐年推进。结论落实首诊负责制,提高县疾病预防控制中心的信息化管理水平,把随访工作分解和下移到社区和艾滋病相关服务平台,优化社区卫生服务机构的资源配置,在经费使用中实行目标管理,是确保告知和随访工作长期有效运转的基础。
Objective To analyze the effectiveness and main measures of informing and follow-up of HIV / AIDS patients (HIV / AIDS patients) from 2006 to 2008 in Yunnan province, and to provide reference for the related work in other regions. Methods To report the results of the newly reported cases of HIV / AIDS, flow control and referral cases, and to follow up the HIV / AIDS patients with existing addresses in Yunnan Province. Using the national AIDS Integrated Prevention and Control Information System and special reporting system data statistics Flow control, follow-up, CD4 test, anti-virus treatment referral, treatment and spouse detection related indicators, analysis of the main measures taken. Results In 2008, the newly reported rate of HIV / AIDS cases in Yunnan Province was 93.7%. The cumulative HIV / AIDS patients’ follow-up rate was 61.4% and the detection rate of CD4 was 32.7%, which was 69% higher than that in 2006 and 2007 respectively % And 41%, 30% and 10.6%, 26% and 22% respectively. The spouse detection rate was 63.2%, an increase of 24% from 2007. The referral and treatment of antiretroviral therapy progressed year by year. Conclusion Implementation of the first consultation responsibility system to improve the county CDC information management level, the follow-up work decomposition and down to the community and AIDS-related service platform, optimize the community health service agencies, resource allocation, the use of funds in the implementation of the target management , Is to ensure informed and follow-up work long-term effective operation of the foundation.