第四轮中国全球基金艾滋病项目2005-2007年艾滋病自愿咨询检测服务的比较分析  

Comparison and analysis on performance of voluntary counseling and testing (VCT) in China from 2005 to 2007

作　　者：马丽萍[1] 曾婷婷[2] 鲍彦平[3] 胡虹[1] 

机构地区：[1]中国疾病预防控制中心中国全球基金项目中央执行机构监督与评估部,北京100050 [2]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [3]北京大学中国药物依赖性研究所,北京100083

出　　处：《中华疾病控制杂志》2011年第3期199-202,共4页Chinese Journal of Disease Control & Prevention

基　　金：第四轮中国全球基金艾滋病项目(CHN-405-G05-H)

摘　　要：目的了解2005-2007年第四轮中国全球基金艾滋病项目(GF4)一期7个省76个项目县艾滋病自愿咨询检测(voluntary counseling and testing,VCT)工作开展情况,为下一步管理和决策提供有价值的信息。方法对7个省76个项目县VCT工作指标报表及相关资料进行汇总,分析VCT服务点建设、运转使用、高危人群服务利用和HIV检测情况。结果 2005年7月～2007年6月7个省76个项目县支持建设VCT服务点169个,接受VCT服务总人数为379 689人;单个VCT服务点每季度接受服务人数中位数为372人;接受咨询检测服务者中吸毒人群、暗娼、性病人群、其他人群分别占16.17%、15.25%、6.34%和62.23%;吸毒人群和暗娼人群VCT服务利用率分别为17.35%和76.74%;接受咨询检测服务者中HIV总检出率为3.44%,吸毒人群、暗娼、性病人群和其他人群HIV检出率分别为13.88%、0.89%、2.64%和1.44%,不同人群和省份HIV检出率差异有统计学意义(P<0.001)。结论 2005-2007年GF4项目一期7个省76个项目县VCT服务发展迅速,服务利用较好,对暗娼等高危人群的覆盖率较高,对推动项目县VCT工作的开展、监测艾滋病疫情和落实关怀、治疗等措施具有重要意义;但各项目县存在单个VCT点服务利用逐渐下降、吸毒人群利用率较低和地区间工作差异明显等问题。Objective To explore the process of voluntary counseling and testing（VCT） in 76 counties in seven project provinces of The Global Fund AIDS China Program Round 4（GF4） from 2005 to 2007,so as to provide useful advice for the next management and strategic decision.Methods VCT related data in 76 counties from monitoring and e-valuation forms of GF4 and other sources were arranged,collated and analyzed.The coverage of VCT sites,operating condition,utilization of high-risk groups,and HIV testing were described and compared among the quarters and Provinces.Results The total 169 VCT sites were founded in 76 counties from July 2005 to June 2007,accumulatively 379 689 people received VCT services.The median of people receiving services from each VCT every quarter was 372;The percentage of drug users,sex workers,sexually transmitted diseases（STD） groups and the other groups receiving VCT services accounted for 16.17%,15.25%,6.34% and 62.23% respectively;The median of the services utilization for drug users and sex workers was respectively 17.35% and 76.74%;the HIV positive rate was 3.44% in total VCT services,with the drug uses,sex workers,STD groups and the other groups respectively 13.88%,0.89%,2.64% and 1.44%.There was significant difference between groups and Provinces in HIV positive rate（P0.001）.Conclusions The rapid development in VCT had been showing constantly in 76 counties in 7 provinces of GF4 from 2005 to 2007 with the better utilization and the coverage of VCT in sex workers and other high-risk groups was higher.It is important to carry out the VCT in counties and monitor the HIV/AIDS epidemic and implement care and treatment services.Howev-er,there were also some problems and challenges,including decreasing utilization of each VCT site in country and for drug users,as well as the significant inter-provincial diversity of the performance of VCT.

关 键 词：获得性免疫缺陷综合征 自愿咨询检测 HIV 

分 类 号：R181[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]