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目的评价嘉禾街社区卫生服务中心在辖区内嘉禾街道城中村社区开展一次有关于艾滋病、梅毒、丙肝感染“三病综合防治”(以下简称三防)工作成效,总结经验,探索一种适用性较好的社区三病防治宣教方案。方法2014年4月~2015年5月进行三病综合防治活动,通过建立多部门合作机制、选择合适的人员并进行培养、建设综合防治微信服务平台、建设三级防控与双向转诊机制。以嘉禾街道城中村社区1000户家庭,大概4000名常住以及社区流动居民作为服务对象,以公共场所为科普重点地区,通过健康教育宣传、心理行为干预及治疗关怀与生活救助、提供三病一站式及一条龙的服务。结果培训出20名教育员,入户宣教覆盖1000人左右,发送2000条三病综合防治宣传短信,在公共场所开展“三防”宣传教育工作5期共15次,发放宣教资料2000份;宣教前三病防治知识知晓占42.68%(210/492),宣教后占86.26%(427/495),差异具有统计学意义(P<0.05);转诊6例患者;宣教后调查知晓此次三防活动85.66%、关注微信平台37.53%、接受过三防宣教34.75%、看到过报刊等相应材料57.58%、知晓双向转诊机制31.11%。结论加强城中村艾滋病、梅毒、丙肝感染综合防治宣教,首先应建立一个高效的管理组织,以社区卫生服务中心为核心,选择合适的宣教员,建立一个长期的针对外来人口的宣教制度;此次活动取得了较大的影响,辖区公众知晓率较高,在主要活动场所发放或张贴报刊宣传材料覆盖率最高。
Objective To evaluate the effectiveness of Jiahe Street Community Health Service Center in the village community of Chengzhong Village, Jiahe Street, Jiahe Street, about the work on AIDS, syphilis and hepatitis C infection and prevention and control of three diseases (hereinafter referred to as “three preventions”), summarize the experience and explore a suitable Good community three disease prevention and treatment program. Methods From April 2014 to May 2015, comprehensive prevention and control of three diseases was carried out. Through the establishment of a multi-sectoral cooperation mechanism, appropriate personnel were selected and nurtured to build an integrated WeChat service platform to build a three-level prevention and control and bidirectional referral mechanism. With 1000 families in the community of Chengzhongcun in Jiahe Street, about 4,000 permanent residents and community residents as their targets, public places are key areas of science popularization. Through health education promotion, psychological intervention and treatment care and life support, Style and train service. The results of training 20 educators, home mission coverage of about 1000 people, send 2000 three disease prevention and control of publicity messages, in public places to carry out “three defenses” publicity and education work 5 a total of 15 times, the issuance of educational materials 2000 ; Knowledge of the prevention and treatment of the first three diseases accounted for 42.68% (210/492), and 86.26% (427/495) after the mission, the difference was statistically significant (P <0.05); referral of 6 patients; 85.66% of the three anti-activities, 37.53% concerned about the WeChat platform, 34.75% of the three defensive missions, 57.58% of the corresponding materials such as newspapers and magazines, and 31.11% of the two-way referral mechanism. Conclusion To strengthen the comprehensive prevention and treatment of AIDS, syphilis and hepatitis C infection in urban villages, we should first establish an effective management organization, take the community health service center as the core, select suitable missionaries and establish a long-term missionary system for migrant workers. Activities have made a greater impact, the public awareness of the area is higher, in the main venues to publish or publish the highest coverage of newspapers and publicity materials.