社区网格化管理模式对流动人口HIV母婴阻断的影响

Influence of community grid management pattern on interdiction of HIV maternal-neonatal transmission in floating population

目的观察社区网格化管理模式对流动人口人类免疫缺陷病毒(HIV)母婴阻断的影响。方法比较网格化模式前后2年的广州市白云区黄石社区流动人口中的孕妇对HIV母婴阻断知识知晓率及HIV检测率、接受管理的流动孕妇数的变化,随访父母之一HIV抗体阳性的婴幼儿的HIV抗体检测情况,分析HIV母婴阻断效果。结果网格化管理模式实施后,流动孕妇的HIV母婴阻断知识知晓率及HIV检测率,接受管理的流动孕妇数均明显增加(P<0.05);检出HIV抗体阳性12例,均为男性,婚育的4例中孕产妇及婴幼儿HIV均阴性。结论网格化管理模式有助于提高对流动人口的孕产妇管理,明显提高流动人口HIV母婴阻断的效果。

Objective To observe influence community grid management pattern on interdiction of human immunodeficiency virus（HIV） maternal-neonatal transmission in floating population. Methods Changes of awareness of pregnant women for interdiction of HIV maternal-neonatal transmission, HIV detection rate, floating pregnant women number under management were compared before and after 2 years of grid management pattern implement. Follow-up was made for HIV antibody detection in one of the parents with positive HIV antibody infants. Outcomes of interdiction of HIV maternal-neonatal transmission were analyzed. Results Afterimplement of grid management pattern, awareness of floating pregnant women for interdiction of HIV maternalneonatal transmission, HIV detection rate, and floating pregnant women number under management were all increased remarkably（P〈0.05）. There were 12 male infants with positive HIV antibody. There were 4 marital cases with both negative HIV in mothers and infants. Conclusion Grid management pattern is helpful for improving management of floating pregnant women and interdiction effect of HIV maternal-neonatal transmission.