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目的对尉氏县艾滋病综合防治示范区(以下简称示范区)防治效果进行评价,探索社区艾滋病综合防治的有效机制,建立以农村乡(镇)和城镇街道为基础的艾滋病防治网络,为艾滋病病人提供医疗服务和关怀,开展宣传教育、监测检测、行为干预等综合防治工作,有效地控制重点地区艾滋病病毒在人群中的传播[1]。方法收集2001年到2007年12月间艾滋病防治工作资料,包括能力建设、疫情监测、宣传教育、救治救助、行为干预等。分析比较2003年10月前和2003年11月至2007年12月综合防治效果。结果机构更加健全;能力建设进一步提高;疫情监测网络更加完善;普通人群和高危人群艾滋病防治知识知晓率、安全套使用率大幅度提高;艾滋病死亡率、新发感染率有所下降;各项救治救助措施进一步得到落实;政府主导、多部门协作、全社会共同参与的局面已初步形成。结论示范区工作虽然取得了一些成果但也存在着一些问题,艾滋病防治工作任重而道远。
Objective To evaluate the prevention and control effect of AIDS comprehensive prevention and treatment demonstration area in Weishi County (hereinafter referred to as demonstration area), explore effective mechanisms for comprehensive prevention and control of AIDS in communities, establish a network of AIDS prevention and control based on rural towns (towns) and urban streets, Provide medical care and care, carry out comprehensive prevention and control work such as propaganda and education, monitoring and testing, behavioral intervention, and effectively control the spread of HIV in the population in key areas [1]. Methods To collect information on AIDS prevention and control work between 2001 and December 2007, including capacity building, epidemic situation monitoring, publicity and education, treatment and rescue, behavior intervention and so on. Analyze and compare the effect of integrated control before October 2003 and from November 2003 to December 2007. The results of institutions to be more robust; capacity building to further improve; a better monitoring network of epidemics; the general population and high-risk groups awareness of AIDS prevention knowledge, condom use rate increased significantly; AIDS mortality, new infection rates declined; the treatment and relief Measures have been further implemented; the government-led, multi-sectoral collaboration, the whole society to participate in the situation has been initially formed. Conclusion Although some achievements have been made in the demonstration area, there are still some problems. The AIDS prevention and control work has a long way to go.