基于供需双方视角的台州市艾滋病扩大检测策略的影响因素分析

Influencing factors of expanded HIV testing strategy from supply-demand perspective

【目的】探讨浙江省台州市HIV扩大检测策略的影响因素,为完善当前HIV扩大检测策略提供依据。【方法】选取HIV扩大检测策略涉及的供需双方人员作为访谈对象,通过焦点组访谈和个体深入访谈的方式收集数据和信息,利用Nvivo 8.0软件分析影响因素。【结果】影响台州市需方进行HIV扩大检测的因素包括社会歧视、HIV检测内涵和有关政策知晓率低、HIV相关知识宣传滞后等;影响供方提供HIV扩大检测策略的因素包括资源投入不足、检测部门缺乏合作、隐私保护不充分、宣传不足等。【结论】应通过完善资源投入与配置机制,注重检测效率机制构建,动员社会参与,创新HIV检测技术等促进HIV扩大检测策略的实施,提高检测率。

[Objective] To explore the influencing factors of strategy of expanded HIV testing on both sides of supply and demand ,so as to provide evidence for improving the current strategy of expanded HIV testing and improving the testing rate of HIV.[Methods] HIV patients,HIV high-risk groups,HIV testing providers,agencies and department heads were selected as the interviewees.Through focus group interviews and individual in-depth interviews were collected related data and information.Nvivo 8.0 was used to analyze the influencing factors.[Results] The factors affecting the demander were found to be social discrimination ,low awareness of secrecy policy, and delayed HIV related knowledge publicity,etc.The factors affecting providers were insufficient input of resources,lack of cooperation among testing departments,inadequate privacy protection and insufficient publicity,etc.[Conclusion] It is suggested to improve the mechanism of resource input and allocation,pay attention to the construction of detection efficiency mechanism,mobilize social participation,and innovate HIV detection technology .