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目的了解和分析影响湖南省针具交换工作开展的政策环境因素。方法采用定性研究的方法,对34个开展针具交换工作的县卫生行政部门、公安禁毒部门和相关针具交换点工作人员进行面对面访谈。结果在接受访谈对象中,卫生行政部门84.4%认为针具交换工作对控制艾滋病有效,60.7%认为针具交换工作投入产出合理,42.9%认为与公安部门协调难度大,62.5%认为吸毒人员管理难;公安禁毒部门43.8%认为针具交换工作利大于弊,64.3%同意继续开展针具交换工作;针具交换点工作人员41.9%愿意继续从事针具交换工作,55.8%认为针具交换工作可以持续开展下去。结论湖南省针具交换工作政策环境有待改善,需要转变策略和采取新的措施。
Objective To understand and analyze the policy environmental factors that affect the exchange of needle and needles in Hunan Province. Methods A qualitative research method was used to conduct face-to-face interviews with 34 county health administrative departments, public security and anti-narcotics departments, and staff members involved in needle exchange. Results Among the interviewees, 84.4% of the health administrative departments thought that the exchange of needles was effective in controlling AIDS, 60.7% thought that the input and output of needle exchange work were reasonable, 42.9% thought it was very difficult to coordinate with the public security department, 62.5% 43.8% of the Public Security Narcotics Division considered that the exchange of needles was more beneficial than the unfavorable ones, 64.3% agreed to continue the exchange of needles, 41.9% of the staff with exchange of points were willing to continue the exchange of needles, and 55.8% thought that the exchange of needles could Continue to carry on. Conclusions The policy environment of needle exchange in Hunan needs to be improved, and strategies and new measures need to be changed.