摘要
目的探索监管场所内艾滋病病毒(HIV)感染者与艾滋病(AIDS)病人(HIV/AIDS病人)有效可行的综合管理模式。方法选择代表公安、司法和监狱的监管场所作为试点现场,对其2009、2010年间关押的HIV/AIDS病人开展HIV筛查、阳性结果告知、随访、CD4T淋巴细胞计数、抗病毒治疗和出所转介工作。全省其他地区监管场所为非试点区。结果经过试点,试点地区个案流调率、累计报告存活HIV/AIDS病人随访率和累计报告感染者CD4计数率分别为99.0%、80.3%、69.3%,集中关押场所分别为97.6%、88.2%、75.9%,均高于非试点区、非集中关押场所,差异有统计学意义。结论依托监管场所开展感染者与病人告知随访综合管理工作是行之有效的,是辖区综合管理工作的有效补充。有集中关押条件的场所比非集中关押场所在艾滋病综合管理工作中更显优势。如大范围实施则需全面统筹、因地制宜。出所转介不到位,"有形"与"无形"管理间的影响因素仍需进一步探索。
Objective To explore the effectiveness and feasibility of the model of integrated management for peo ple living with HIV/AIDS (PLWHA) in detention institutions. Methods Pilot sites were selected from the detention institutions including prisons under police and justice administrations where PLWHA detained between 2009 and 2010 were provided with HIV screening, notification, follow-up and CD4 cell count detection, ARV treatment and referral service. Results In the pilot sites, the rate of case epidemiological study, the follow-up rate of reported alive PLWHA and CD4 cell count detection rate of HIV carriers were 99.0X, 80.30/00 and 69.3%, respectively, while these three rates in concentrated detention institutions were 97.6%, 88.2 % and 75.9 % respectively, which was higher than in non-pilots sites and non-concentrated detention institutions, with statistically significant differences. Conclusion As a favorable supplement to the community-based management, the integrated management of PLWHA in detention institutions is effective and feasible . The concentrated detention is more favorable than non- concentrated one in terms of integrated management of PLWHA. The large-scale implementation requires systematic planning and adaptation to actual local conditions. It is necessary to further examine the ineffective referral of released PLWHA and the influence between "visible" and "invisible" managements.
出处
《中国艾滋病性病》
CAS
2011年第6期660-662,共3页
Chinese Journal of Aids & STD
基金
全球基金第四轮中英艾滋病防治试点(CHN-405-G05-H)
卫生部"艾滋病和病毒性肝炎等重大传染病防治"科技重大专项试点(课题)"云南省防治艾滋病规模化现场流行病学和试点研究"试点(2009ZX10004-902)资助
关键词
艾滋病
监管场所
羁押人员
告知
管理
AIDS
Detention institutions
Detained persons
Notification
Management