摘要
目的评价浙江省第三轮9个国家级和3个省级艾滋病综合防治示范区(示范区)指标完成情况及艾滋病综合防治效果,为预防和控制艾滋病疫情提供依据。方法通过检索数据库和现场专题调查收集资料,根据《第三轮全国艾滋病综合防治示范区终期评估方案》要求,对9个国家级示范区和3个省级示范区2014年和2018年23项指标进行评价,并对示范区与其他地区艾滋病疫情和检测发现等工作资料进行比较,综合评估示范区工作成效。结果12个示范区23项指标达标率在91.30%~100.00%之间。组织保障和探索创新领域的6项指标均达标。艾滋病防治工作方面的17项技术指标,达标数均在15个以上;未达标指标主要是人群艾滋病知晓率和预防干预指标;宣传教育、监测检测、预防干预和治疗随访达标率分别从2014年的55.56%、79.17%、79.76%和65.00%提升到2018年的91.67%、100.00%、90.48%和100.00%;2018年示范区HIV抗体检测人次占所在地常住人口的30.94%,高于其他地区的20.70%(P<0.05)。示范区2014—2018年新报告HIV/AIDS病例占全省总数的50.87%,平均增幅为4.48%,低于其他地区的9.95%。结论浙江省第三轮艾滋病综合防治示范区创建工作成效明显,对预防和控制艾滋病疫情起到积极作用。
Objective To evaluate the third round of Zhejiang Comprehensive AIDS Response(CARES)program(nine national areas and three provincial areas)and the control effect of AIDS,so as to provide reference for AIDS prevention and control.Methods According to the final assessment protocol of the third round of China CARES,the data of 23 assessment items which were collected from online database and field investigation for 12 response areas of Zhejiang in 2014 and 2018 were evaluated.The endemic situation and detection of AIDS in CARES areas was compared with those in non-CARES areas,in order to evaluate the achievement of Zhejiang CARES areas.Results The rates of reaching the standard ranged from 91.30%to 100.00%in 12 CARES areas.Six indexes in leadership and innovation,fifteen(seventeen in total)indexes in HIV/AIDS control and prevention reached the standard.The items that failed included the awareness rates of AIDS and indicators in“prevention and intervention”.The rates of of reaching the standard in“publicity and education”,“monitoring and testing”,“prevention and intervention”,and“treatment and follow-up”increased from 55.56%,79.17%,79.76%and 65.00%in 2014 to 91.67%,100.00%,90.48%and 100.00%in 2018,respectively.The proportion of HIV testing people in permanent residents was 30.94%in CARES areas in 2018,which was significantly higher than 20.70%in non-CARES areas(P<0.05).The proportion of new reported HIV/AIDS in CARES areas was 50.87%,and the average increase was 4.48%,which was lower than 9.95%in non-CARES areas.Conclusion The third round of Zhejiang CARES program has remarkable achievement and plays a positive role in the prevention and control of AIDS.
作者
陈卫永
潘晓红
杨介者
蒋均
姜婷婷
陈琳
陈婉君
王憓
周欣
马瞧勤
CHEN Weiyong;PAN Xiaohong;YANG Jiezhe;JIANG Jun;JIANG Tingting;CHEN Lin;CHEN Wanjun;WANG Hui;ZHOU Xin;MA Qiaoqin(AIDS and STDs Prevention and Control Institute,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)
出处
《预防医学》
2020年第3期240-243,247,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
浙江省医药卫生科技计划创新人才支持项目(2020RC051)
关键词
艾滋病
综合防治
示范区
评估
acquired immune deficiency syndrome
comprehensive control
Comprehensive AIDS Response areas
evaluation
