促进云南农村妇女孕早中期VCT综合干预研究

Comprehensive intervention for improving pregnant women's acceptance of VCT in their early and middle gestation in rural Yunnan

目的探索适合云南农村地区孕妇的艾滋病自愿咨询检测(VCT)的干预措施,促进农村孕妇尽早获得艾滋病VCT服务。方法采用流行病学准实验方法。结果干预后,干预组孕妇HIV自愿咨询检测率、孕28周前自愿咨询检测率分别由21.3%、15.0%上升到85.7%、83.0%,而对照组相应指标分别由21.3%、15.5%上升到59.7%、36.6%。干预组孕产妇核心知识明显高于干预前,对艾滋病及VCT的态度发生了正向变化,而对照组干预前后的差异无统计学意义。结论利用三级妇幼网络作依托提供方便可及的VCT服务,同时以社区为基础开展参与性健康教育活动,能有效提高农村妇女怀孕早、中期的HIV抗体自愿咨询检测率。

Objective To explore effective interventions to promote HIV/AIDS voluntary counseling and testing(VCT)among pregnant women in rural Yunnan,so as to improve their early acceptance of VCT service.Methods Epidemiological quasi-experiment was applied in this study.Results The rate of receiving VCT service among pregnancy women and women before 28 week gestation increased from 21.3% and 15.0% to 85.7% and 83.0%,respectively in the intervention group,whereas the corresponding figure in the control group rose from 21.3% and 15.5% to 59.7% and 36.6%,respectively.The level of core knowledge related to HIV/AIDS in the intervention group was higher than in the control group,and the attitude to VCT underwent positive changes among pregnant women after the intervention,but the knowledge and the attitude had no significant difference in the control group.Conclusion Accessible VCT services and participatory community health cducation based on the current three tier MCH networks will be effective in improving acceptance of VCT among pregnant women of early and middle gestation.