艾滋病低流行区社区工作人员防治宣传能力现状及促进效果评价

Ability to provide HIV education and the effectiveness of training local community agencies in Changshan county,Zhejiang

目的探索提高社区工作人员艾滋病防治宣传能力的方法,开展试点研究并评价效果。方法 对浙江省某县3个乡镇的的卫生院/社区卫生服务中心防保人员,村/社区主任、书记、公共卫生联络员、健康宣传员、计生干部进行集中自填式匿名问卷调查,并给予现场培训,3个月后进行内容、方法相同的问卷调查,了解艾滋病知识、防治政策等知晓变化。结果经过培训,艾滋病基本知识、防治政策、传播学知识知晓率分别从培训前的75.8%、83.4%、65.0%提高到92.0%、94.3%、84.9%,认为艾滋病疫情增长很快、比较快的由70.2%增加到95.8%,参加过艾滋病宣传教育工作的由84.1%提高到98.6%,差异均有统计学意义。结论 幻灯讲座、解答调查内容、播放公益广告、发放传单相结合的培训方式对促进社区工作人员艾滋病防治宣传能力是十分有效的。

Objective To explore the ability of communities to provide HIV education and the effectiveness of training local community agencies.Methods An anonymous self-reported questionnaire was distributed among the health care staff of rural hospitals/communities and public health administrative employees including secretaries,directors,public health coordinators,health education workers and etc.A total of 151 individuals mailed their responses and attended the training of HIV related knowledge and policies with Microsoft PowerPoint presentation,video,question review and leaflets.A proportion of 94.7%（143/151） participants joined a re-evaluation investigation 3 months later.Results The percentages of correct responses for AIDS related knowledge,policy and communication significantly increased from 75.8%,83.4% and 65.0% to 92.0%,94.3% and 84.9%,respectively after training（P0.05）.A proportion of 95.8% participants thought that HIV was spreading fast after training versus 70.2% before.The training of HIV related knowledge,policies and communication significantly increased the involvement of HIV related activities among participants（from 84.1% to 98.6%）.Conclusion HIV training improves the ability of communities to provide HIV education and training.