动员医疗机构参与性病艾滋病防治工作的效果评价

Effectiveness evaluation of mobilizing medical facilities to participate in STD/HIV control activities

目的评估性病门诊医务人员参与性病艾滋病干预工作,针对不同高危人群提供性病、生殖健康服务的效果。方法选择卫九、艾滋病综合防治示范区和全球基金艾滋病防治项目地区有条件的医疗机构,根据性病门诊规范服务的要求,改善门诊服务,开展针对门诊就诊者的干预服务和现场高危人群的医疗服务。结果在三个项目中,医务人员规范化服务培训率、性病门诊干预服务提供率和外展服务性病门诊医务人员参与率,均有了不同程度的提高全球基金项目中,门诊主动提供艾滋病检测咨询(PITC)服务率从基线的10.4%,上升到项目后的96.4%。示范区和全球基金项目中,高危人群性病预防知识知晓率,分别由基线的31.02%、45.52%上升到72.40%和87.86%。结论从三个项目的实施情况来看,动员医疗机构主动参与到针对高危人群的性病、生殖健康干预工作,并提供转介服务是可行的,而且取得了较好的效果。

Objective To evaluate the effectiveness of participation of medical staff from STD clinics in HIV/STD prevention activities and provision of STD and reproductive health care to high-risk population groups. Methods Eligible medical facilities in areas where Health 9, CARES and GFATM projects were implemented were selected to improve the services according to requirements of standardized STD care, and to provide clinic-based intervention services to the attendees or outreached medical services to high-risk population groups. Results The training rate of medical staff on standardized STD care, the rate of providing intervention services in STD clinics and the rate of doctors from STD clinics involved in outreached services in the 3 projects were improved. The PITC rate increased from 10.4% at baseline to 96.4% after implementation of the CARES project, and awareness rate of STD prevention knowledge increased from 31.02% and 45.52% to 72.40% and 87.86%, respectively in CARES and GFATM projects. Conclusion Based on the results from the 3 projects, it can be concluded that mobilization of medical facilities to take active part in STD and reproductive health intervention activities targeted to high-risk population groups and provision of referral services are feasible with good outcomes.