Voluntary Counseling and Testing (VCT) is important in controlling the spread of HIV/AIDS especially among the Youths. The aim of the study was to determine the extent, to assess the level of awareness and to describe...Voluntary Counseling and Testing (VCT) is important in controlling the spread of HIV/AIDS especially among the Youths. The aim of the study was to determine the extent, to assess the level of awareness and to describe the Youths’ attitude towards VCT Service Utilization in Kapsabet Division, Nandi Central District from 1st February to 30th April 2013. A cross-sectional descriptive study was carried out among male and female Youths aged 18 - 34 years who were selected by convenience sampling, using Quantitative and Qualitative methods of data collection with mean age of 26 years. The study found that 52% of Youths had visited VCT and the majority was aware about VCT through print media, TV/radio and IEC materials. Forth-six percent (46%) said Post-Counseling was poor. Seventy seven (77%) highlighted various challengesi.e. most VCT centers were openly located within the hospital and user fee Ksh. 20 was charged. The study also found that there was high level of awareness but slightly low utilization of VCT Services with only 52% having tested. Posters in VCT rooms were stigmatizing and this could have influenced their low utilization of VCT Services. Therefore there is need for dialogue with policy-makers, Youths and Stakeholders in regards to changing strategy for future efforts to increase the uptake of services among the Youths.展开更多
目的了解南京市2008-2012年报告的HIV/AIDS感染者流行病学特征,计算病例晚发现率并分析其相关因素。方法对南京市2008-2012年在国家艾滋病防治信息系统中报告的1 833例HIV/AIDS病例资料进行整理和分析,主要包括一般人口学特征、既往感...目的了解南京市2008-2012年报告的HIV/AIDS感染者流行病学特征,计算病例晚发现率并分析其相关因素。方法对南京市2008-2012年在国家艾滋病防治信息系统中报告的1 833例HIV/AIDS病例资料进行整理和分析,主要包括一般人口学特征、既往感染性病情况、感染途径和样本来源。结果 1 833例研究对象中,男性占88.0%,平均年龄(35.6±12.0)岁,南京市籍占59.8%,50岁以上病例占12.5%。感染途径以性传播途径为主,占83.9%。报告当年为学生的病例占5.5%。样本来源以医疗机构、自愿咨询检测门诊(voluntary counseling and testing,VCT)和男男性接触人群(men who have sex with men,MSM)专题调查为主。1 833例病例中,当年发展至艾滋病(acquired immunodeficiency syndrome,AIDS)病程的病例562例,晚发现率30.7%。多因素Logistic回归分析显示,50岁以上年龄组、异性性传播途径感染和医疗机构发现来源是晚发现病例的独立相关因素。结论今后南京市应进一步加大MSM、学生和50岁以上等重点人群的艾滋病控制力度;在继续实施VCT、MSM专题调查和羁押场所体检等检测策略的同时,全面推进医疗机构主动提供艾滋病检测咨询(provider initiated HIV testing and counseling,PITC)服务,扩大检测覆盖面,提高病例早发现能力。展开更多
艾滋病(AIDS)自愿咨询检测(voluntary counseling and testing,VCT)是求询者通过咨询,在充分知情和完全保密的情况下,自愿选择是否接受HIV抗体检测、改变危险行为及获得相关服务的过程。VCT不仅有利于早发现、早诊断和早治疗,预防机会感...艾滋病(AIDS)自愿咨询检测(voluntary counseling and testing,VCT)是求询者通过咨询,在充分知情和完全保密的情况下,自愿选择是否接受HIV抗体检测、改变危险行为及获得相关服务的过程。VCT不仅有利于早发现、早诊断和早治疗,预防机会感染,还能为受检者(特别是感染者)提供心理支持。作为艾滋病预防和关怀项目的重要内容和切入点,VCT服务受到重视,2003年中国实行免费艾滋病咨询检测服务以来,现VCT服务点已遍布各省市,2008年的统计数据显示,全国有VCT服务点六千多个。影响VCT服务开展和利用的因素包括政策、社会和家庭支持环境、服务质量、服务可及性及服务对象的认知水平等。为推进VCT服务的开展,建议进一步完善立法和工作标准,强化服务人员的能力培养,广泛宣传相关知识,消除社会歧视,营造社会支持环境。展开更多
文摘Voluntary Counseling and Testing (VCT) is important in controlling the spread of HIV/AIDS especially among the Youths. The aim of the study was to determine the extent, to assess the level of awareness and to describe the Youths’ attitude towards VCT Service Utilization in Kapsabet Division, Nandi Central District from 1st February to 30th April 2013. A cross-sectional descriptive study was carried out among male and female Youths aged 18 - 34 years who were selected by convenience sampling, using Quantitative and Qualitative methods of data collection with mean age of 26 years. The study found that 52% of Youths had visited VCT and the majority was aware about VCT through print media, TV/radio and IEC materials. Forth-six percent (46%) said Post-Counseling was poor. Seventy seven (77%) highlighted various challengesi.e. most VCT centers were openly located within the hospital and user fee Ksh. 20 was charged. The study also found that there was high level of awareness but slightly low utilization of VCT Services with only 52% having tested. Posters in VCT rooms were stigmatizing and this could have influenced their low utilization of VCT Services. Therefore there is need for dialogue with policy-makers, Youths and Stakeholders in regards to changing strategy for future efforts to increase the uptake of services among the Youths.
文摘目的了解南京市2008-2012年报告的HIV/AIDS感染者流行病学特征,计算病例晚发现率并分析其相关因素。方法对南京市2008-2012年在国家艾滋病防治信息系统中报告的1 833例HIV/AIDS病例资料进行整理和分析,主要包括一般人口学特征、既往感染性病情况、感染途径和样本来源。结果 1 833例研究对象中,男性占88.0%,平均年龄(35.6±12.0)岁,南京市籍占59.8%,50岁以上病例占12.5%。感染途径以性传播途径为主,占83.9%。报告当年为学生的病例占5.5%。样本来源以医疗机构、自愿咨询检测门诊(voluntary counseling and testing,VCT)和男男性接触人群(men who have sex with men,MSM)专题调查为主。1 833例病例中,当年发展至艾滋病(acquired immunodeficiency syndrome,AIDS)病程的病例562例,晚发现率30.7%。多因素Logistic回归分析显示,50岁以上年龄组、异性性传播途径感染和医疗机构发现来源是晚发现病例的独立相关因素。结论今后南京市应进一步加大MSM、学生和50岁以上等重点人群的艾滋病控制力度;在继续实施VCT、MSM专题调查和羁押场所体检等检测策略的同时,全面推进医疗机构主动提供艾滋病检测咨询(provider initiated HIV testing and counseling,PITC)服务,扩大检测覆盖面,提高病例早发现能力。
文摘艾滋病(AIDS)自愿咨询检测(voluntary counseling and testing,VCT)是求询者通过咨询,在充分知情和完全保密的情况下,自愿选择是否接受HIV抗体检测、改变危险行为及获得相关服务的过程。VCT不仅有利于早发现、早诊断和早治疗,预防机会感染,还能为受检者(特别是感染者)提供心理支持。作为艾滋病预防和关怀项目的重要内容和切入点,VCT服务受到重视,2003年中国实行免费艾滋病咨询检测服务以来,现VCT服务点已遍布各省市,2008年的统计数据显示,全国有VCT服务点六千多个。影响VCT服务开展和利用的因素包括政策、社会和家庭支持环境、服务质量、服务可及性及服务对象的认知水平等。为推进VCT服务的开展,建议进一步完善立法和工作标准,强化服务人员的能力培养,广泛宣传相关知识,消除社会歧视,营造社会支持环境。
