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目的:了解江苏省艾滋病自愿咨询检测(VCT)网络建设和工作现状,为国家“四免一关怀”政策的有效落实提供科学依据。方法:对2005～2007年全省各级医疗机构设立的VCT点的分布及咨询检测情况进行分析。结果:2005～2007年VCT门诊点由80家发展到307家,检测人数依次为5402人次、53149人次、49012人次。求询者中,以异性性途径的求询者所占比例最高,同性性行为、静脉吸毒的求询者所占比例较低。检测初筛阳性者以异性性途径者、同性性行为者和静脉吸毒者3种类型为主。与哨点监测和公安司法筛查系统发现感染者相比,VCT每年的投入经费最少,而阳性检出率与哨点监测接近,远高于公安司法大筛查。结论:VCT门诊点数量已经满足国家要求,网络建立发挥的工作成效日益显现,是一项成本低,效果较好的防控措施。
OBJECTIVE: To understand the construction and working status of VCT network in Jiangsu Province and provide a scientific basis for the effective implementation of the national “Four Frees and One Care” policy. Methods: The distribution of VCT points established by medical institutions at all levels of the province from 2005 to 2007 and the status of consulting and testing were analyzed. Results: From 2005 to 2007, the number of outpatient VCTs increased from 80 to 307, with 5402 person-times, 53,149 person-times and 49012 person-time respectively. Inquirers, heterosexual approach to the highest proportion of inquiries, same-sex sex, intravenous drug users seeking a lower proportion. Detection of positive screening positive heterosexual pathways, homosexuals and intravenous drug users are the three types. Compared with sentinel surveillance and public security judicial screening system, VCT has the least annual investment, while the positive detection rate is close to sentinel surveillance, which is much higher than that of public security and judicial screening. Conclusion: The number of VCT outpatient sites has met the requirements of the state, and the effectiveness of network establishment has become increasingly apparent. It is a low cost and effective prevention and control measure.