探索以社区为基础的艾滋病防治关爱模式

Explore the community based model of HIV/AIDS prevention and care

[目的]探索以社区为基础的艾滋病防治关爱模式,减少社区居民、家庭对吸毒者和HIV感染者的歧视。[方法]建立目标人群(静脉吸毒者)档案、入户随访和例会制度;组织社区居民、目标人群及其家属开展丰富多彩的宣教、联谊活动;对吸毒者和HIV感染者实施情感交流、生活照顾、转介就业等。[结果]通过项目干预,吸毒人群建档率达70%以上,111个吸毒者和HIV感染者获得了生活救助;转介目标人群就业人数达75人;社区居民对艾滋病知识的知晓率达80%以上;新婚登记人员中接受艾滋病自愿咨询率和婚检时进行HIV检测率分别达67%和36%。[结论]利用社区资源,在社区内大力宣传艾滋病防治知识,对目标人群实施关怀和救助,营造社会对HIV/AIDS的支持性环境,是防治艾滋病的有效措施之一。

Objective： To explore the community based model of HIV/AIDS prevention and care, to reduce the discrimination from community and households against drug users and people with HIV/AIDS （PLHA）. Methods： To establish the file system of target population （drug users） and the system of the household visiting and routine meeting; to organize the colorful activities and gathering for knowledge dissemination among the community; to provide the assistance for drug users and PLHA on emotional support, living aid and employment referral. Results： Through project intervention, the files cover 70% drug users, 111 drug users and PLHA obtain living assistance, 75 people have been employed by the referral; the awareness rate of HIV/AIDS knowledge reaches over 80%; the rate of HIV/AIDS voluntary counseling is 67% among the people registering marriage, and the rate of HIV test is 36% among the people conducting pre-marriage exam. Conclusions： One of the key measures against HIV/AIDS is to apply the community resource to the dissemination of prevention and care knowledge, to the provision of care and aids for the target population, and to the establishment of supportive surroundings.