2007-2010年江油市艾滋病项目评估

Assessment of HIV / AIDS Prevention Project in Jiangyou City,2007-2010

目的了解江油市2007-2010年实施以社区为基础的艾滋病综合干预、治疗、关怀项目,评估控制艾滋病项目实施效果。方法通过访谈、观察、调查问卷等定性资料,评估项目对政策的影响;通过对目标人群中行为和生物学监测等定量资料,了解项目实施后有关人群艾滋防治知识的变化及行为改变等。结果艾滋病项目实施后注射吸毒人群HIV流行率从20.01%下降到1.85%,共用注射器的比例由2007年67.71%下降到2010年9.49%;暗娼人群对艾滋病预防知识知晓率由63.9%上升到96.04%,暗娼人群最近1年接受过HIV检测比例为80.12%,最近1次使用安全套的比例由87.80%上升到91.50%,最近1月使用安全套的比例由37.3%上升到62.01%;接受规范性病艾滋病(STI)服务性病正确诊断与有效治疗指标由58.90%上升到82.05%,预防性服务指标由46%上升到95.5%,综合的性病病例管理30.87%上升到82.05%;全市建立检测咨询点2个、咨询点17个,22个医疗机构中已将术前、产前等HIV检测做为常规检测项目;接受抗病毒治疗12个月后仍存活的艾滋病患者比例达91%。结论江油市实施艾滋病项目后,静脉注射吸毒、暗娼等高危人群的行为发生了改变,降低了艾滋病病毒感染的危险性;扩大了HIV检测咨询的范围和深度,艾滋病得到了遏制。

Objective To assess the community - based comprehensive - measure AIDS projects in Jiangyou city. Methods By methods of interviews, observations and questionnaires, the impact of projects on policy, changes of awareness on HIV/AIDS and related behavior were appraised. Results After the implementation of AIDS project among injection drug users, the HIV infection rate dropped from 20. 1% to 1.85% ; needle sharing rate dropped from 67.71% to 9.49%. Awareness rate of AIDS prevention among illicit female sex workers （IFSW） increased from 63.9% to 96.04% ; rate of IFSWs undergone HIV testing was 80. 12% ; condom using rate rose from 87.80% up to 91.50% in the last sex trade and 1 month condom use rate ascended from 37.3% to 62.01% ; acceptance rates of the standard STI services, STD diagnosis and effective treatment rose from 58.90% up to 82.05% ; preventive service indicators rose from 46% to 95.5% ; integrated case management rate of STDs rose from 30. 87% to 82.05%. Two counseling and testing sites, 17 counseling sites were established in the period; totally 22 medical institutions established antenatal HIV testing as a routine. The proportion of HIV survivors treated with 12 month of antiviral therapy was91%. Conclusion The implementation of HIV/AIDS projects in Jiangyou city is effective from 2007 to 2010.