云南省边境县艾滋病实验室检测能力和人力资源分析

Testing capacity and human resources of HIV laboratories in border counties of Yunnan province

目的对云南省25个边境县艾滋病实验室检测能力和人力资源现状进行分析,查找存在问题,进一步提升艾滋病防控能力。方法根据"云南省艾滋病检测实验室质量管理系统"内实验室信息数据对艾滋病检测能力进行分析,对实验室人员数量进行统计。结果25个边境县共有37家实验室具备CD4^(+)T淋巴细胞检测能力,覆盖24个县。共有25家(覆盖25个县)实验室开展蛋白印迹试验,65家实验室开展快速检测替代试验。可开展酶联免疫吸附试验/化学发光免疫分析的艾滋病检测实验室24家,覆盖13个县。25个边境县共有1284家快速检测点,平均每县51.4家,高于全省平均的42.7家,每万人1.8家,高于全省平均的1.1家。村级快速检测点833家,平均每县33.3家,高于全省平均的24.5家,每万人1.2家,高于全省平均的0.7家。25家县级艾滋病中心实验室检测人员平均为4.0人,略低于4.2人的全省平均水平。艾滋病检测实验室检测人员平均为5.2人,高于全省平均的2.2人。快速检测点检测人员平均为2.1人,低于全省平均的2.5人,10个边境县不足2人。村级快速检测点检测人员平均1.7人,低于全省平均的1.8人,15个边境县不足2人。结论云南省边境县检测能力略高于全省平均水平,但艾滋病实验室人力资源不足,快速检测点(尤其是村级检测点)实验室人员数量亟需提升。

Objective To analyze the current situation of HIV laboratories’testing capacity and human resources in25 border counties of Yunnan province,and find out the existing problems for further improvement.Methods According to the laboratory information data of"Yunnan provincial HIV testing laboratory quality management system",the HIV laboratory testing capacity and the number of laboratory personnel were analyzed.Results A total of 37 laboratories had the ability of CD4^(+)T lymphocytes testing,covering 24 counties.All the border counties had the ability of HIV confirmatory testing.Western Blot testing was available in 25 laboratories,and the alternative strategy of rapid detection could be carried out in 65 laboratories.There were 24 laboratories in 13 counties with the ability of enzyme-linked immunosorbent assay/chemiluminescence immunoassay.There were 1284 rapid testing sites in 25 border counties,with an average of 51.4 in each county,higher than the provincial average of 42.7.Border counties had 1.8 rapid testing sites per 10000 persons,higher than the provincial average of 1.1 per 10000 persons.There were 833 village-level rapid testing sites,33.3 per county on average,higher than the provincial average of 24.5.Border counties had 1.2 village-level rapid testing sites per 10000 persons,higher than the provincial average of 0.7 per 10000 persons.The average number of staff in the 25 county-level AIDS central laboratories was 4.0,slightly below the provincial average of 4.2.The average number of staff in the AIDS testing laboratories was 5.2,higher than the provincial average of 2.2.The average number of staff at the rapid testing sites was 2.1,lower than the provincial average of 2.5,and there were 10 border counties with less than 2 persons.The average number of staff at village-level rapid testing sites was 1.7,lower than the provincial average of1.8,and there were 15 counties with less than 2.Conclusion The testing capacity in border counties of Yunnan province is slightly higher than the average level of the whole province.However,HIV laboratory human resources are insufficient,and the number of laboratory personnel at rapid testing sites(especially at the village level)needs to be increased.