全国艾滋病综合防治示范区艾滋病防治机构与人员能力调查分析

A survey of institutional and personnel capability in China comprehensive AIDS Response(the first round)

目的了解第一轮艾滋病综合防治示范区(示范区)启动以来,艾滋病防治机构和人员从事艾滋病综合防治能力的现状,判断机构和人员能力与综合防治需求之间"需求-满足"关系,提供机构与人员能力建设与发展的建议。方法 2008年在全国示范区管理办公室的组织下,依示范区地区和类型的代表性,从127个示范区中,分类抽取10个示范区,对其工作人员和利益相关方用访谈、问卷、评估表的方式进行调查。结果示范区通过4-5年的工作,基本形成了艾滋病综合防治体系,防治机构已具备艾滋病综合防治能力,工作人员从事艾滋病综合防治的能力得到较大提升。对执行机构的资源动员、部门协调、项目管理、实验检测及应对能力等方面的评分均在4分以上(满分为5分)。结论示范区建设提高了所在地区艾滋病综合防治能力,为今后更好地开展防治工作奠定了基础。艾滋病防治专业机构的协调能力和人员防治能力的提升,促成了全面动员的防治模式。但艾滋病防治能力仍有提高空间。

Objective To understand the current institutional and personnel capability in China Comprehensive AIDS Response （China CARES） since its initiation,to estimate the ＂demand-satisfaction＂ relation between this capability and comprehensive prevention and cure demand from the beginning of its first round,and provide suggestions for improving personnel capability and institutional development. Methods Ten model districts from China CARES as well as staff and other related people from 127 different districts and types were selected to be investigated by interview,questionnaires,and assessment tables under the organization of China CARES office and the basis of China CARES. Results AIDS comprehensive prevention and cure system were formed basically after 4-5 years work. The institutions had ability in comprehensive prevention and cure with AIDS,their working ability was greatly improved. The per-formance of the implementing agencies for resource mobilization,sector coordination,project management,laboratory testing and response capabilities and so on were scored at least 4 points （out of 5 points）. Conclusion China CARES has promoted the capability of AIDS comprehensive prevention and cure in local districts,thus establishing a foundation for future work. Capability promotion of the institutions and personnel with AIDS prevention and cure helped to bring about the all-round mobilization pattern. At the same time,there is space for further promoting the capability of comprehensive prevention and cure with AIDS.