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目的:对目标人群利用生殖道感染防治服务的情况和需求进行分析,提出改善生殖道感染综合防治的建议。方法:采用定性研究的方法,对云南省弥勒、陇川两个试点县的县、乡、村生殖健康服务机构的管理者、服务提供者和社区群众进行了小组访谈及个人访谈。结果:服务对象认为对现有生殖道感染防治服务利用不足,有进一步的需求;服务提供者通过项目实践知识和技能得到提升,但操作的规范性有待加强;在提供常规性病的医疗服务方面,还需加强能力建设,完善转诊制度。结论:生殖道感染的有效控制需要从政策制定、服务提供、社区参与、个人行为等方面入手,制定综合防治规划。生殖道感染防治与计划生育/生殖保健相结合的综合防治措施具有非常好的社会效益比。
OBJECTIVE: To analyze the situation and needs of target population using prevention and treatment services of genital tract infection, and to put forward suggestions to improve comprehensive prevention and treatment of genital tract infections. Methods: By means of qualitative research, we conducted group interviews and personal interviews with managers, service providers and community members of county, township and village reproductive health service agencies in two experimental counties of Maitreya and Longchuan in Yunnan Province. Results: The clients think there is a further demand for the existing utilization of prevention and treatment services for genital tract infections. The service providers are upgraded through the project practice knowledge and skills, but the normative nature of the operation needs to be strengthened. In terms of providing routine STD services, We must also strengthen capacity building and improve the referral system. Conclusion: The effective control of genital tract infection needs to formulate the comprehensive prevention and control plan from the aspects of policy making, service provision, community participation and personal behavior. Comprehensive prevention and control of reproductive tract infections and family planning / reproductive health combined with comprehensive prevention and control measures have a very good social benefit ratio.