艾滋病防治重点工作联系点中央财政艾滋病防治专项资金分配状况

Allocation analysis of central government AIDS special funding in priority sites of HIV/AIDS prevention and control

目的分析4个艾滋病防治重点工作联系点（简称联系点）中央财政艾滋病防治专项资金（简称专项资金）的分配及各年度重点领域资金分配的变化趋势。方法收集截至2013年，Z市、D州、L州和Y州4个联系点历年专项资金各领域分配及HIV感染者和艾滋病患者累计存活数，其中Z市和D州收集2004-2013年，L州和Y州收集2009-2013年数据，分析各领域专项资金分配情况及各年度与疫情相关的重点领域资金分配的变化趋势。结果Z市2004-2013年专项资金投入11015万元，分配资金占专项资金投入比例最大的3个领域依次为重点人群防治（29％，3190／11015）、监测检测（23％，2535／11015）、人力资源（13％，1498／11015），占比最小的领域为随访和预防配偶传播（2％，251／11015）。D州2004-2013年专项资金投入10977万元，分配资金占专项资金投入比例最大的3个领域依次为治疗关怀（25％，2691／10977）、随访和预防配偶传播（17％，1843／10977）、监测检测（15％，1656／10977），占比最小的领域是血液安全（1％，135／10977）。L州2009-2013年专项资金投入5500万元，分配资金占专项资金投入比例最大的3个领域依次为监测检测（占60％，3298／5500）、高危人群干预（占14％，768／5500）、随访和预防配偶传播（占12％，675／5500），占比最小的领域是血液安全（占0．1％，8／5500）。Y州2009-2013年专项资金投入5500万元，分配资金占专项资金投入比例最大的3个领域依次为项目管理及其他（占28％，1527／5500）、重点人群防治（占19％，1046／5500）、高危人群干预（占17％，922／5500），占比最小的是血液安全（占2％，106／5500）。在与疫情相关的监测检测、随访和预防配偶传播及治疗关怀3个重点领域中，2004-2013年，Z市各年度专项资金分配分别介于（296～336）、（0．37）、（37～197）万元，D州各年度专项资金分配分别介于（64～235）、（0～300）、（200～470）万元；2009-2013年，L州各年度专项资金分配分别为（267～885）、（41～239）、（35～184）万元，Y州专项资金分配范围分别介于（118～284）、（70～105）、（46～89）万元。结论4个联系点专项资金在各领域的分配重点各不相同；在与疫情相关的3个重点领域中，各联系点各年度专项资金的分配相对稳定。

Objective To analyze the allocation and trend of central government AIDS special funding in 4 priority sites of HIV/AIDS prevention and control across calendar years. Methods Information about the allocation of central government special AIDS funding and cumulative HIV/AIDS survivor numbers of Z city, D prefecture, L prefecture and D prefecture were collected until 2013. Data were collected from 2004-2013 for Z city and D prefecture, and data from 2009-2013 were collected for L and Y prefecture. Funding allocation among all working areas and their trend over time were analyzed. Results From 2004-2013, the total amount of special funding in Z prefecture was 110.15 million RMB. The largest three areas of allocation were key population response（29%, 3 190/11 015）, surveillance and testing（23%,2 535/11 015） and human resource（13%, 1 498/11 015）. The least area of allocation was follow-up and prevention of discordant couple transmission（2%, 251/11 015）. The total amount of special funding in D prefecture from 2004-2013 was 109.77 million RMB. The largest three areas of allocation were treatment and care（25%, 2 691/10 977）, follow-up and prevention of discordant couple transmission （17%, 1 843/10 977） and surveillance and testing（15%, 1 656/10 977）. The least area was blood safety（l%, 135/10 977）. From 2009 to 2013, the total amount of special funding in L prefecture was 55 million RMB. The largest three areas of allocation were surveillance and testing（60%, 3 298/5 500）, high risk population intervention（14%, 768/5 500） and follow up and prevention of discordant couple transmission （12%, 675/5 500）. The least area was blood safety（0.1%, 8/5 500）. From 2009-2013, the total amount of special funding in Y prefecture was 55 million RMB and the largest three areas of allocation were project management and others（28%, 1 527/5 500）, key population response（19%, 1 046/5 500） and high risk population intervention（17%, 922/5 500）. The least area of special funding was blood safety（2%, 106/5 500）. Among three HIV/AIDS epidemic related key areas （surveillance and testing, follow-up and prevention of discordant couple transmission, treatment and care）, 2004-2013, allocated funds were between 2.96-3.36,0- 0.37,0.37-1.97 million RMB in Z city; 0.64-2.35, 0.00-3.00, 2.00-4.70 million RMB in D prefecture; 2009-2013, allocated funds were between 2.67-8.85, 0.41-2.39, 0.35-1.84 million RMB in L prefecture, 1.18-2.84, 0.70-1.05, 0.46-0.89 million RMB in Y prefecture. Conclusion The allocation patterns of central government AIDS special funding among key working areas were different across 4 different sites; in each individual site, the trend of special funding allocation was stable among HIV epidemic related key areas over calendar years.