河北省2016—2020年预防孕产妇艾滋病母婴传播实施情况分析

Implementation Analysis on Prevention of Mother-to-Child Transmission of HIV among Pregnant Women from 2016 to 2020 in Hebei Province

目的分析河北省2016—2020年实施预防艾滋病母婴传播工作取得的成效及存在问题,为进一步完善实施措施提供依据。方法通过分析国家预防母婴传播(prevention of mother-to-child transmission,PMTCT)管理信息系统中2016—2020年河北省预防艾滋病母婴传播工作数据,回顾性分析全省预防艾滋病母婴传播工作服务措施落实情况。结果2016—2020年,河北省孕产妇艾滋病检测率呈逐年上升趋势,由97.53%上升至99.97%,孕期检测率由78.56%上升至98.90%;艾滋病阳性孕产妇治疗率由57.89%上升至84.37%;艾滋病阳性孕产妇所生婴幼儿抗病毒用药率由75.00%上升至90.63%;HIV暴露儿童早期诊断率由56.40%上升为86.21%。人工喂养率波动于76.92%和92%之间。结论河北省孕产妇艾滋病检测率高,达到95%的项目目标要求,阳性孕产妇用药率逐年上升,成效显著。但阳性孕产妇用药率与项目90%的目标仍存在一定差距,是今后干预措施落实关注的重点。

Objective To analyze the achievements and existing problems of prevention of mother-to-child transmission of AIDS in Hebei Province from 2016 to 2020,and to provide basis for further improving the implementation measures.Methods By analyzing work data of the national prevention of mother-to-child transmission(PMTCT)management information system in Hebei Province for the prevention of mother to child transmission of AIDS from 2016 to 2020,a retrospective analysis of the implementation of measures to prevent mother to child transmission of AIDS in the province was conducted.Results In 2016-2020,the detection rate of AIDS among pregnant women in Hebei Province increased year by year,from 97.53%to 99.97%,and the detection rate during pregnancy increased from 78.56%to 98.90%.The treatment rate of AIDS positive pregnant women increased from 57.89%to 84.37%.The rate of antiviral medication among infants born to HIV positive pregnant women increased from 75.00%to 90.63%.The early diagnosis rate of HIV exposed children increased from 56.40%to 86.21%.The artificial feeding rate fluctuated between 76.92%and 92.00%.Conclusion The HIV detection rate of pregnant women in Hebei Province is high,reaching 95%of the project target requirements.The drug use rate of positive pregnant women has increased year by year with remarkable results.However,there is still a certain gap between the drug use rate of positive pregnant women and the target of 90%of the project,which is the focus of future intervention measures.