2011—2020年湖北省梅毒防治终期评估分析

Evaluation and analysis of the effectiveness of syphilis prevention and control in Hubei in 2011-2020

目的评价湖北省2011—2020年梅毒规划实施情况和防治工作成效,总结经验做法,分析存在的问题及原因,研究提出政策和策略建议,为制定国家“十四五”规划和开展下一步防治工作提供参考借鉴。方法利用全国性病防治管理信息系统、性病防控新媒体健康服务平台、中国疾病预防控制信息系统传染病监测信息系统、全国艾滋病综合防治信息系统、国家预防艾滋病、梅毒和乙肝母婴传播管理信息系统等,对湖北省主要防治工作指标完成情况进行分析评估。结果16个评估指标中,包括各类人群梅毒宣传培训效果,监测检测工作中的孕产妇接受梅毒检测比例及梅毒防治成效等10个指标全部达到《规划》要求;5个指标中部分项目未达到《规划》要求,如部分地区梅毒防治工作机制尚需完善,城市感染梅毒孕产妇接受性病诊疗服务仍欠规范,戒毒药物维持治疗门诊的服药者接受免费梅毒检测及艾滋病自愿咨询检测点为梅毒抗体阳性者提供必要转诊服务方面有待加强。结论湖北省较好的完成了《规划》工作要求,城市感染梅毒孕产妇及其婴儿接受性病规范化诊疗服务,戒毒药物维持治疗门诊的服药者接受免费梅毒检测及艾滋病自愿咨询检测点为梅毒抗体阳性者提供必要转诊服务方面仍有待加强。

Objective To evaluate the implementation and effectiveness of syphilis prevention and control in Hubei Province from 2011 to 2020,to summarize the experience and practice,to analyze the existing problems and causes,and to study and put forward policy and strategy suggestions,so as to provide reference for formulating the national"14th five-year plan"and carrying out the next step of prevention and control work.Methods The National STD Prevention and Control Management Information System,STD Prevention and Control New Media Health Service Platform,National AIDS Comprehensive Prevention Information System,and National Management Information System for the Prevention of AIDS,Syphilis,and Mother-to-Child Transmission of Hepatitis B were used to analyze and evaluate the completion of main prevention and control indicators in Hubei Province.Results Among the 16 evaluation indexes,10 indexes including the effectiveness of syphilis promotion and training for various groups of people,the proportion of pregnant women undergoing syphilis testing in the monitoring and testing work,and the effectiveness of syphilis prevention and treatment,all met the requirements of the plan.In addition,some of the 5 indexes failed to meet the requirements of the plan.Conclusion Hubei Province has fairly fulfilled the work requirements of the Plan.It is still necessary to strengthen the syphilis prevention and control to ensure the urban pregnant women infected with syphilis and their infants to receive standardized STD diagnosis and treatment services,and the drug users in the drug maintenance treatment clinic to receive free syphilis testing,and to provide referral services for the syphilis antibody positive patients at AIDS voluntary counseling and testing points.