安徽省性病门诊艾滋病VCT项目评价及效果分析

Effectiveness evaluation of ongoing program of providing HIV/AIDS VCT in STD clinics in Anhui province

目的对2006年安徽省性病门诊艾滋病自愿咨询检测(VCT)项目进行评价和分析。方法在全省26个性病门诊设置艾滋病咨询室,提供规范的VCT服务,并对33 708名求询者的主要信息进行统计分析和评价。结果1年内共为33 708名求询者提供VCT服务,接受艾滋病病毒(HIV)抗体检测的28 666人,检出阳性者295例,阳性率为1.03%;与我国成人总人口感染率水平0.1%比较,经u检验,P<0.005。但也存在着VCT宣传效果不理想、性乱人群覆盖率较低等问题。结论在性病门诊开展VCT服务,可以高效地发现HIV感染者,为促进此项工作的持续开展,应加强VCT网络建设和规范管理。

Objective To analyze and evaluate the effectiveness of ongoing program of HIV/AIDS voluntary counseling and testing（VCT） in STD clinics in Anhui in 2006. Methods HIV/AIDS VCT rooms were set up in 26 STD clinics, and standardized VCT service was provided to the visitors there. The information obtained from 33 708 visitors who received VCT service was statistically analyzed. Results In the past year a total of 33 708 visitors were provided with VCT service, of the 28 666 visitor who received HIV antibody testing 295 were identified as HIV positive, with a positive rate of 1.03 %. Comparcd to the HIV prevalence rate in the general population（0.1% ）, the high HIV detecting rate had statistical significance by u test （ P 〈 0. 005）, but the effectiveness of VCT advocacy was inadequate, for instance the rate of VCT coverage in FSWs and their clients was low. Conclusions Provision of VCT service in STD clinics is an effective way to identify HIV positive persons. In order to effectively promote VCT in a sustainable way, construction and management of VCT service networks should be strengthened and standardized.