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目的通过对市级和县两级政府部门、社会团体、非政府组织(non-governmental organizations,NGO)开展艾滋病防治工作现状调查,分析存在的问题,为今后开展防控工作提供应对策略。方法对市级和县级政府部门、社会团体、非政府组织开展调查,每个部门或组织选取1~2名负责艾滋病相关工作或宣教的工作人员,按照访谈提纲和调查表进行访谈和调查。结果政府部门、社会团体、非政府组织中制定艾滋病防控计划和开展艾滋病防控活动的组织部门数均偏少,但地市一级明显高于县区一级。未开展艾滋病防控相关活动的原因主要是因经费不足,政府部门占54.27%(127/234),非政府组织占67.12%(49/73);从已经开展艾滋病相关工作的单位看,经费来源大部分为自筹(85/106),来自上级拨款和项目支持的较少。政府部门、社会团体和非政府组织工作人员艾滋病知识知晓率差异无统计学意义(χ~2=2.199,P>0.05)。结论当前开展各种各样艾滋病防治相关活动的单位和组织偏少。应进一步完善基层艾滋病防控网络,加大对基层组织特别是非政府组织的政策和经费支持,加大艾滋病防控相关知识宣传力度并扩大覆盖面。
Objective To investigate the status quo of HIV / AIDS prevention and control in municipal and county government departments, social organizations and non-governmental organizations (NGOs) and analyze the existing problems so as to provide coping strategies for prevention and control work in the future. Methods Investigate municipal and county government departments, social organizations and non-governmental organizations. Each department or organization selects 1 or 2 staff members responsible for HIV / AIDS related work or mission, and conducts interviews and surveys according to the interview outline and questionnaire. Results The number of departments and organizations in AIDS prevention and control plan and HIV / AIDS prevention and control activities in government departments, social organizations and non-governmental organizations were all on the low side, but the level of prefecture-level cities was obviously higher than that of county-level cities. AIDS prevention and control related activities are mainly due to lack of funds, the government departments accounted for 54.27% (127/234), non-governmental organizations accounted for 67.12% (49/73); from the AIDS-related work unit has been looking from sources of funding Most of them are self-financing (85/106), with less funding and project support from superiors. There was no significant difference in AIDS knowledge among government departments, social groups and NGO staff (χ ~ 2 = 2.199, P> 0.05). Conclusions Currently, there are fewer units and organizations that carry out various activities related to AIDS prevention and control. The grassroots AIDS prevention and control network should be further improved, policies and financial support for grassroots organizations, especially non-governmental organizations should be increased, publicity on AIDS prevention and control should be stepped up and the coverage should be expanded.