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目的比较全球基金艾滋病项目社区组织项目和武汉中盖艾滋病项目,在男男性行为人群(MSM)中的投入与产出。方法收集、整理两个项目2012-2013年在MSM中的投入和产出数据,经处理分析后进行比较。结果全球基金艾滋病项目社区组织项目与武汉中盖艾滋病项目2年间,在MSM中分别投入83.3万元和135.8万元,干预17 539人次、14 246人次,动员检测2232人、7132人,发现艾滋病病毒(HIV)抗体阳性52例和228例;前者相应的干预成本、HIV检测成本和新发现阳性成本分别为24.4元/人次、192.3元/人和7371.2元/例;后者的相应成本依次为45.5元/人次、77.5元/人和2496.8元/例。结论在干预效果因严重知行分离现象而乏力的情况下,调整经费投入标准,注重对目标人群的HIV动员检测和阳性发现;而在阳性检出率较低的目标人群中,应继续以有效干预为主,兼重动员检测和阳性发现,实现艾滋病的三级预防。
Objective To compare the inputs and outputs of MSF HIV / AIDS community projects and MSG HIV / AIDS in MSM. Methodology The inputs and outputs of the two projects in MSM for 2012-2013 were collected and collated, which were compared after processing and analysis. Results During the two years of the Global Fund AIDS Community Project and the project of Wuhan-Gansu Aids Project, they invested 83.3 thousand yuan and 1.358 million yuan in MSM respectively, intervened 17 539 and 14 246 respectively, mobilized and tested 2232 and 7132 HIV-AIDS patients, (HIV) positive 52 cases and 228 cases; the former intervention costs, HIV testing costs and newly found positive costs were 24.4 yuan / person, 192.3 yuan / person and 7371.2 yuan / case; the latter the corresponding costs were 45.5 Yuan / person, 77.5 yuan / person and 2496.8 yuan / case. Conclusions In the case of weakness due to the phenomenon of serious separation of knowledge and practice, the government adjusted the input standard of funding and focused on the detection and positive detection of HIV in the target population. In the target population with a low positive detection rate, the intervention should continue with effective intervention Based, mobilized detection and positive findings, to achieve the tertiary prevention of AIDS.