论文部分内容阅读
目的了解广东省基层助产机构预防艾滋病、梅毒和乙肝母婴传播项目整合服务(Integrated Prevention of Mother-toChild Transmission of HIV,Syphilis and HBV,i PMTCT)管理现状,为广东省i PMTCT管理工作持续改进提供参考依据。方法根据项目整合服务工作特点,制定《预防艾滋病和梅毒母婴传播服务调查表》,调查广东省87个国家项目区(县)级医疗保健机构预防艾滋病和梅毒母婴传播整合服务的情况,采用定性研究与定量研究相结合的方法进行资料分析。结果项目效果评估指标显示,广东省HIV阳性孕产妇抗病毒用药率为73.42%,其所娩儿童抗病毒用药率为87.82%;梅毒阳性孕产妇治疗率为74.90%,其所娩儿童预防性治疗率为60.57%。各项干预率均不达标,其主要原因包括:1基层配套政策制定率不高;2物资供应管理中供应方与使用方的沟通机制未建立;3项目相关信息共享机制未建立;4相关管理部门间沟通转诊机制未建立;5督促考核机制不健全等。结论广东省项目整合服务管理仍有不足。建议:1各基层机构结合当地实际工作,制定适合本地特点的相关配套方案;2加强相关部门之间以及助产机构与妇幼系统、疾控系统、皮防系统等的沟通、转介和信息共享;3建立健全基层督促考核机制等。全面提高基层助产机构整合服务管理能力。
Objective To understand the status quo of management of HIV / AIDS prevention, syphilis and hepatitis B virus infection (HIV / AIDS, HIV / AIDS, HIV / AIDS, HIV / AIDS, PMTCT) in Guangdong midwifery. Provide a reference basis. Methods According to the characteristics of project integration services, the questionnaire on preventing HIV / AIDS and mother-to-child transmission of syphilis was formulated to investigate the HIV / AIDS and syphilis mother-to-child transmission integration services in project area (county) level hospitals in 87 provinces in Guangdong Province. Qualitative analysis and quantitative analysis of a combination of methods for data analysis. Results The results of project evaluation showed that the anti-virus rate of HIV-positive pregnant women in Guangdong Province was 73.42%, the rate of anti-virus drug use in their children was 87.82%, that of syphilis-positive pregnant women was 74.90%, and the preventive treatment The rate is 60.57%. The main reasons include: 1 The formulation rate of basic supporting policies is not high; 2 The communication mechanism between supplier and user is not established; 3 The relevant information sharing mechanism of project is not established; 4 Related management Inter-departmental communication and referral mechanism has not been established; 5 supervision and evaluation mechanism is not perfect. Conclusion There are still inadequacies in project integration service management in Guangdong Province. Suggestions: 1 All grass-roots organizations should formulate relevant supporting programs that are suitable for local characteristics according to their local actual work; 2 Enhance communication, referral and information sharing among relevant departments and midwifery institutions and women’s and children’s systems, disease control and prevention systems, ; 3 establish and improve grassroots supervision and assessment mechanism. We will comprehensively improve the ability of primary midwifery institutions to integrate service management.