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目的了解四川省凉山彝族聚居区艾滋病母婴传播干预实施的影响因素。方法采用个人深入访谈的定性研究方法,围绕影响当地艾滋病母婴传播控制工作实施的影响因素,对凉山州某彝族聚居县妇幼卫生工作负责人、妇产科医务人员、村妇幼保健员、村医生、HIV阳性妇女和HⅣ阴性育龄妇女进行访谈。结果研究共对101名调查对象开展个人深入访谈,影响当地艾滋病母婴传播干预的因素主要包括交通不便、阳性孕产妇家庭经济困难和育龄妇女自身对艾滋病母婴传播危害认识不足等8个方面,其中超生与新农合报销之间的矛盾、喂养卫生问题为相对特殊的原因。结论应加强乡镇卫生院妇幼卫生资源配置,增强服务可及性,对阳性孕妇家庭开展特殊医疗补助,加强艾滋病母婴传播危害宣传。
Objective To understand the influential factors of intervention on mother-to-child transmission of HIV / AIDS in Liangshan Yi people in Sichuan Province. Methods Based on the qualitative research methods of personal in-depth interviews, focusing on the influencing factors of the implementation of mother-to-child transmission and control of HIV / AIDS in the local community, the author took charge of the work of maternal and child health workers, obstetrics and gynecology workers, village maternal and child health workers, village doctors , HIV-positive women and H IV-negative women of childbearing age. Results The study conducted in-depth interviews with 101 interviewees. The main factors that affected the intervention of mother-to-child transmission of HIV / AIDS in the local area mainly included 8 aspects of traffic inconvenience, the economic difficulties of positive maternal families, and the lack of awareness of the dangers of mother-to-child transmission among women of child-bearing age. One of the contradictions between the surrogate and the new rural cooperative reimbursement, feeding health problems for a relatively special reason. Conclusion The allocation of maternal and child health resources in township hospitals should be strengthened, service accessibility should be enhanced, special medical subsidies should be paid to positive pregnant women families, and HIV / AIDS mother-to-infant transmission should be strengthened.