暗娼人群外展干预单位成本研究

Study on the unit cost of outreach interventions to female sex workers

目的初步研究暗娼人群外展干预工作的单位成本,为艾滋病防治项目预算制定和资源分配提供经济学依据。方法采用Bottom-up法(自下而上法)。首先根据暗娼干预指南和实际情况将暗娼外展干预单位成本分解为可加和的各个子成本,采用现场观察法和关键人物访谈法测算各子成本,最终加和形成总的单位成本,并计算单位成本的构成。结果根据场所类别、是否抽血两个因素分层。在抽血情况下,对一名暗娼开展一次完整的外展干预的单位成本中位数为52.26元(中高档场所)和52.92元(低档场所);不抽血情况下,分别为18.07元和18.73元。结论暗娼外展干预单位成本变动范围较大,受是否采血、工作方式、地方经济水平等因素影响。下一步可对不同模式暗娼外展干预成本开展深入的比较研究。

Objective To measure the unit cost of outreach interventions among female sex worker（FSWs）,and to provide economic data for AIDS prevention project budgeting and resource allocation in the future.Methods Bottom-up method was used to collect cost data.Based on current FSWs intervention guideline and practices,the unit cost was splitted into various sub-additive ones.Participatory observation method and key informants＇ interview were used to measure each sub-cost which was added up to the final unit cost.Results The unit cost was calculated according to classification of settings（high-medium vs low） and whether blood samples was taken.In the case of taking blood samples,the unit cost of the intervention for a FSW was 52.26 RMB at high-medium class settings and 52.92 RMB for thoseat low class settings.In case of no blood sample testing,the unit cost was 18.07 RMB and 18.73 RMB respectively.Conclusion The unit cost of outreach interventions to FSWs varied greatly influencing by many factors,such as whether having blood sample taken,methods of intervention,local economic status,etc.Comparative analysis is recommended to unit cost of different models of interventions among FSWs.