2016—2021年北京市社会组织参与艾滋病防治基金随访关怀项目实施效果研究

Study on the performance of follow-up care projects funded by China AIDS Fund for Non-governmental Organizations in Beijing in 2016—2021

目的 了解北京市社会组织开展人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者和艾滋病患者随访关怀项目的效果。方法 通过“社会组织参与艾滋病防治基金项目管理系统”选取北京市2016—2021年社会组织参与HIV感染者和艾滋病患者(people living with HIV/AIDS,PLWH)随访关怀项目的相关数据,对社会组织的类型、经费、配偶/固定性伴检测比例、抗病毒治疗(antiretroviral therapy,ART)比例、治疗成功比例等进行分析。结果 2016—2021年北京市17个社会组织共实施66个社会组织参与艾滋病防治基金(China AIDS Fund for Non-governmental Organizations,CAFNGO)随访关怀项目,获得经费支持769.68万元。对29 962例PLWH开展了随访管理和关怀救助,其中配偶/固定性伴HIV检测完成比例96.85%(8 682/8 964),接受ART比例为98.78%(24 412/24 714),治疗成功比例为98.18%(22 000/22 408)。在民政登记社会组织和未登记社会组织分别对7 470例和22 492例PLWH开展了随访管理和关怀救助。在民政登记社会组织和未登记社会组织的配偶/固定性伴检测比例分别为99.66%和95.26%,治疗成功比例分别为99.35%和97.84%,两个指标差异均有统计学意义(χ^(2)=131.962、49.835,P<0.01)。结论 北京市社会组织在PLWH随访工作中发挥了重要作用,未在民政登记的社会组织承担了更多的工作量,在民政登记的社会组织项目指标完成得更好。

Objective To investigate the effect of follow-up care projects for people living with human immunodeficiency virus(HIV) and acquired immunodeficiency syndrome(AIDS) patients carried out by community-based organizations(CBOs) in Beijing. Methods The data of follow-up care projects for people living with HIV/AIDS(PLWH) patients that CBOs participated in Beijing from 2016 to 2021 were retrieved from the information management system of “China AIDS Fund for Non-governmental Organizations”(CAFNGO).The type of CBOs, funding for the projects, and the proportions of spousal/partner testing, antiretroviral therapy(ART), and treatment success were analyzed. Results From 2016 to 2021, 17 CBOs in Beijing implemented 66 follow-up care projects supported by CAFNGO, receiving total funding support of 7. 696 8 million yuan. A total of 29 962 PLWH received followed-up care and support services, 96. 85%(8 682/8 964) of their spouses/regular partners received HIV testing, 98. 78%(24 412/24 714) of them received ART, and 98. 18% achieved treatment success(22 000/22 408). A total of 7 470 and 22 492 PLWH received followed-up care and support services provided by the registered CBOs and unregistered CBOs, respectively. Compared with unregistered CBOs, the registered CBOs had significantly higher proportion of spousal/regular partner HIV testing(99. 66%vs 95. 26%) and treatment success rate(99. 35% vs. 97. 84%)(χ^(2)=131. 962, 49. 835, both P<0. 01).Conclusions CBOs in Beijing play an important role in the follow-up care for PLWH. CBOs that are not registered with the Ministry of Civil Affairs take on more workload than the registered ones, while the registered CBOs performed better in completing the indicators of projects.