论文部分内容阅读
目的了解广东省预防艾滋病母婴传播整合服务的现状及影响因素,为提高整合服务能力提供政策依据。方法采用问卷调查的方式调查广东省21个地市预防艾滋病母婴传播整合服务现状,用Epi Data 3.1录入调查数据,使用SPSS 13.0软件对调查结果进行描述性分析。结果整合服务管理中存在的主要问题包括:1项目管理小组的核心职能未能有效落实;2各相关机构未建立定期沟通反馈机制,尤其是助产机构与供应商、管理部门及卫生行政部门间沟通反馈;3各相关部门的信息未能完全共享;4各相关部门间转介随访机制未完全建立。预防艾滋病母婴传播整合服务能力评估结果显示:实验室服务管理能力与医疗机构的级别及所在区域的经济条件有关,级别越高,经济条件越好的地区整合服务能力越好;乡镇级和广东西部地区实验室服务能力较差。此外,评估还显示整合服务的人力资源配置比例不协调,培训覆盖率不高。整合服务效果指标显示:2014年广东省孕期HIV抗体检测率为76%,仍有24%在产时检测;HIV感染孕产妇的用药率为73%;所生儿童的用药率为88%。与90%的目标仍有差距。结论预防艾滋病母婴传播整合服务能力还有待提高,建议加强整合服务的管理,建立各相关部门定期沟通反馈机制,完善信息共享机制、转诊机制及相关工作指标的督促考核机制,以促进多部门的整合协调合作,有效提高整合服务能力。
Objective To understand the current situation and influential factors of HIV / AIDS prevention and treatment of mother-to-child transmission in Guangdong and to provide policy basis for improving service capability. Methods A questionnaire survey was conducted to investigate the status of HIV / AIDS prevention and treatment of mother-to-child transmission in 21 cities of Guangdong Province. Epi Data 3.1 was used to record the survey data and SPSS 13.0 software to descriptively analyze the survey results. Results The major problems in integrated service management include: 1 The core functions of the project management team have not been effectively implemented; 2 The relevant agencies have not established regular communication and feedback mechanisms, especially between midwifery and suppliers, management and health administrations Communication and feedback; 3 the relevant departments of the information can not be fully shared; 4 the relevant departments referral mechanism is not fully established. The results of assessment on the ability of preventing HIV / AIDS mother-to-child transmission integration service show that the ability of laboratory service management is related to the level of medical institutions and the economic conditions in the region where they live. The higher the level and the better the integrated service ability in the regions with better economic conditions, Western laboratory service capacity is poor. In addition, the assessment also shows that the proportion of manpower resources in integrated services is not coordinated and training coverage is not high. The results of integrated services showed that in 2014, the detection rate of HIV antibody in Guangdong during pregnancy was 76%, while 24% were still detected during labor; the rate of pregnant women taking HIV infection was 73%; the rate of children taking the drug was 88%. There is still a gap of 90% from the goal. Conclusion The capacity of preventing mother-to-child transmission and integration of HIV / AIDS needs to be improved. It is suggested to strengthen the management of integrated services, set up regular communication and feedback mechanisms among relevant departments, improve supervision mechanism of information sharing mechanism, referral mechanism and relevant work targets to promote multi-sector The integration of coordination and cooperation, effectively improve the ability to integrate services.