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目的探讨农村地区艾滋病病毒感染者和病人规范化管理模式。方法选择罗定市龙湾镇等四个乡镇为试点,采取市、镇级卫生部门分级管理方式,结合基本公共卫生服务工作对辖区确诊的艾滋病病毒感染者和病人进行管理。结果 CD4细胞检测率由2012年的66.50%提高到了2012年的90.51%;配偶检测率由2012的83.33%提高到了2014年的96.07%;治疗覆盖率由2012的81.66%提高到了2014年的85.19%;结论对于农村地区,这种市、镇二级管理模式是可行的。
Objective To explore the standardized management of HIV-infected persons and patients in rural areas. Methods Four towns (Longwan Town, Luoding City) were selected as pilot projects. The municipal and township health departments were supervised by different levels and combined with basic public health services to manage HIV-infected persons and patients diagnosed in their respective jurisdictions. Results The detection rate of CD4 cells increased from 66.50% in 2012 to 90.51% in 2012; the spouse detection rate increased from 83.33% in 2012 to 96.07% in 2014; the treatment coverage increased from 81.66% in 2012 to 85.19% in 2014, ; Conclusions For rural areas, such secondary management mode of cities and towns is feasible.