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目的:了解针具交换的运行成本,为当地艾滋病防治经费的合理分配提供科学依据。方法:采用财务及业务资料的回顾性查阅收集与针具交换实施相关的直接成本及政府经费、固定资产及人员投入等;查阅历年针具交换报表获得覆盖人数、发放及回收的针具数量等核心指标。结果:总成本分析和成本构成分析结果显示针具交换受项目影响较大,比较而言此次调查结果中的2007年和2009年数据应更接近针具交换工作正常运转的实际需求成本;人均总成本分析结果显示每成功覆盖一人的成本为470~1 859元,每成功发放一支注射器的成本为2~9元,每成功回收一支注射器的成本为2~16元。结论:针具交换项目的早期启动成本高于后期的维持成本;针具交换项目在社会环境及群众基础较好的地区开展时可体现较好的成本效果;具有实践推广价值的针具交换人均总成本为789元/人,发放针具均成本为4元/个,回收针具均成本为5元/个。
Objective: To understand the operating costs of needle exchange, provide a scientific basis for the rational allocation of funds for local AIDS prevention and treatment. Methods: Retrospective review of financial and business data was used to collect direct costs related to the implementation of the exchange of needles, government funding, fixed assets and personnel inputs, etc .; check the number of needle-exchange reports obtained over the years, the number of needles issued and recovered Core indicators. Results: The results of total cost analysis and cost structure analysis showed that the exchange of needle and needles was greatly influenced by the project. In comparison, the data of 2007 and 2009 in this survey should be closer to the actual demand cost of needle exchange work. Per capita The total cost analysis shows that the cost per success of covering one person is 470-1 859 yuan, the cost of successfully dispensing one syringe is 2 to 9 yuan, and the cost of successfully recovering one syringe is 2 to 16 yuan. CONCLUSION: The early start-up cost of needle exchange items is higher than that of the latter. The needle exchange items can show better cost effectiveness when they are performed in the social environment and the mass base; the per capita exchange rate of needle exchange The total cost of 789 yuan / person, issued a needle with a cost of 4 yuan / month, the cost of recovery needle is 5 yuan / month.