论文部分内容阅读
目的通过现状调查与问题分析,找出河南省全球基金艾滋病项目实施地区艾滋病自愿咨询检测存在的主要问题及影响因素。方法使用河南省全球基金艾滋病项目县(市、区)项目资料,查阅项目报表和综合督导报告,使用个人深入访谈、专题小组讨论等定性研究的方法,对2004-2008年项目地区自愿咨询检测进行横向、纵向、差距分析。结果河南省全球基金艾滋病项目自愿咨询检测取得了较好的成绩,完成了周期目标,咨询质量较高;网络运转正常;项目结束后,持续开展工作困难;求询者对VCT服务质量满意率为87%;VCT服务点的利用率较低;VCT服务点适宜的宣传材料不足;VCT服务质量、资料记录保存规范性不够;现有咨询人群种类集中,高危人群覆盖率较低;VCT服务点的评价工作缺乏。结论河南省全球基金艾滋病项目县自愿咨询检测网络初具规模;自愿咨询检测质量有待提高;应加大宣传力度,转变现有咨询人群的比例结构;应提高VCT服务点的利用率;制定河南省艾滋病自愿咨询检测质量控制方案是紧迫和必需的工作。
Objective To find out the main problems and influencing factors of voluntary counseling and testing on HIV / AIDS in the areas where the Global Fund AIDS Project is implemented in Henan Province through the status quo survey and problem analysis. Methods Using the project data of Henan Province Global Fund AIDS Project Counties (cities and districts), referring to the project reports and comprehensive supervision reports, using the method of qualitative research such as personal in-depth interviews and panel discussions, the voluntary counseling and testing of project areas in 2004-2008 Horizontal, vertical, gap analysis. Results Voluntary counseling and testing of the Global Fund AIDS Project in Henan Province achieved good results, completed the cycle goal, high quality of consultation, normal operation of the network, and continued difficulties in work after the project ended. Satisfaction rate of participants with VCT service was 87%; the utilization rate of VCT service points is low; the publicity materials for VCT service points are inadequate; the quality of VCT service and the normative record keeping of data are insufficient; the existing types of consultation groups are concentrated and coverage of high-risk groups is low; VCT service points Lack of evaluation. Conclusions Voluntary counseling and testing network of AIDS project counties in Henan Province has begun to take shape; the quality of voluntary counseling and testing needs to be improved; publicity efforts should be stepped up and the proportion structure of existing counseling groups should be changed; the utilization rate of VCT service points should be raised; AIDS voluntary counseling and testing quality control program is an urgent and necessary task.