艾滋病高流行地区预防母婴传播资源投入与分配分析

Analysis of investment and resource allocation for prevention of mother-to-child transmission in certain areas of HIV high prevalence

目的：分析艾滋病高流行地区预防母婴传播资源投入与分配现状。方法：收集我国4个HIV相对高流行地区2003～2006年预防艾滋病母婴传播资源投入与流向构成,分析资源投入与当地女性HIV新发感染水平和预防措施覆盖面之间的关系。结果：研究地区预防艾滋病母婴传播资源投入逐年增长,能力建设和干预措施的支出占总投入的90%,各年间资源流向构成差异有显著性（P〈0.001）,孕产妇HIV抗体检测率逐年增加。结论：随女性HIV新发感染水平的增加,预防母婴传播资源投入增加,干预措施覆盖面扩大,但资源分配尚未形成成熟模式。

Objective： To describe the situation of investment and resource allocation for prevention of mother - to - child transmission （PMTCT） in certain areas of HIV high prevalence. Methods： PMTCT resource investment and allocation information during 2003 - 2006 in 4 counties with concentrated epidemic in China were collected. The relations between resource and female HIV prevalence rates and coverage of prevention measures were analyzed. Results： Resources for PMTCT continued to increase. A total of 90% resources were devoted into prevention measures and capability construction. There were differences among the structure of resources allocation in the years （ P 〈 0. 001 ） . Conclusion： With the rise of female HIV prevalence rates, resources for PMTCT are increased. The coverage of prevention measures are also increased. But the pattern of resources allocation is not steady.