流入地流动人口中的HIV感染者管理:原则和框架

Case management of floating HIV infected populations in inflowing areas:principles and frameworks

随着流动人口中艾滋病病毒(HIV)感染者和艾滋病病人的不断增加,完善感染者和病人管理已刻不容缓地摆在我们面前。流动人口中的感染者管理重点和难点在流入地,而资料表明广东省是中国最主要的流动人口流入地,积极探讨流入地流动人口中的HIV感染者管理模式对广东省具有非常迫切的现实意义。该文在文献回顾和综述的基础上,从感染者管理的角度对该问题进行了一定的探讨,提出了流入地流动人口中HIV感染者管理的六大原则和框架,并制定了关键的工作流程和模式,以期找到解决问题的突破口。

Case management of floating HIV infected people still remained unresolved since the state issued ＂four free, one care＂ policy. HIV/AIDS prevention and control among floating populations may have greatest value in inflowing areas such as Guangdong, where more than 25 % of the total country floating population occurred each year. Although attempts are under way to address this problem, for various reasons of policy, cost and insufficient infrastructure, floating population was likely to remain a major public health problem. On top of this problem there is management the HIV positive cases. If we continue to neglect this issue and exclude them in local treatment and care system, these inflowing cases would certainly accelerate HIV/AIDS epidemic. Based on systematic review of literatures on HIV/AIDS control for floating people, we proposed basic principle and a conceptual framework targeting HIV infection cases among floating population. The framework contained 6 aspects including developing supportive policy and environment, establishing community-oriented infrastructure , strengthening public health measures, building care and support system, considering aid and support plan, as well as initiating dynamic monitoring information share between outflowing and inflowing areas.