“中国江苏/WHO 100%安全套推广使用项目”效果评价与分析

Evaluation of the “Jiangsu/WHO 100% condom use programme in China”

目的评价“安全套推广使用项目”在目前政策和法制环境下的推广模式。方法在76家娱乐场所选择提供性服务女性服务人员(FSWs)和业主各2组,每组6～8人;以访谈形式了解FSWs的知识、态度、行为等方面信息,同时对部分调查对象采集标本检测衣原体感染情况,在项目开始、进行中、结束时进行三次重复横断面调查,评价干预工作效果。结果FSWs报告最近一次提供商业性性服务时使用安全套比例从基线调查时的74.9%上升到终期评估时的92.2%;性传播疾病(STD)感染率从25.1%下降到14.1%;社会市场安全套发放量从2001年的每季度5万只上升到2003年的每季度10多万只;FSWs的STD/AIDS预防知识知晓率明显提高。结论“100%安全套推广使用项目”试点工作取得明显效果,在目前的政策环境下完全可行,应在娱乐场所大力推广。

Objective To evaluate the effect and to explore the feasible model of 100%condom use programme (100% CUP) under existing policy and law milieu, so as to provide information for the adjustment of HIV/AIDS policy and intervention strategies. Methods Information on knowledge, attitude and behavior of female sex workers (FSWs) in entertainment establishments were collected and followed by qualitative and quantitative analysis including: samples tested for Chlamydia; a repeated cross-investigation and the final evaluation on the effect of the programme. Results The reported rate of condom use at the last sex activity with clients increased from 74.9 % to 92.2 % while the rate of sexually transmitted disease(STD) prevalence droped from 25.1 % to 14.1 % after three year’s intervention program. The number of condoms distributed increased from 50 000 per quarter of a year in 2001 to over 100 000 in 2003. The rates of awareness on the knowledge of STD/AIDS prevention increased obviously. Conclusion The 100% CUP was proved to be feasible and effective in the pilot site, and should be expanded in entertainment establishments.