受艾滋病影响儿童关爱救助政策落实情况的实证分析  

Empirical analysis of the implementation of care and support policy for HIV affected children

作　　者：陈清峰[1] 徐熙阳[2] 姜思宇[2] 李佳[1] 马建军[1] 许文青 袁建华[2] 韩孟杰[1] 黎开颜[2] 贾丽敏[2] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050 [2]北京信息控制研究所,北京100037 [3]联合国儿童基金会,北京100600

出　　处：《中国艾滋病性病》2011年第3期279-282,290,共5页Chinese Journal of Aids & STD

基　　金：联合国儿童基金会项目;Government of China-UNICEF HIV/AIDS Programme

摘　　要：目的分析受艾滋病影响儿童相关政策的落实情况。方法采用问卷调查、个案访谈、深入访谈等方法,获得我国艾滋病流行较为严重的四个省份的相关数据,通过定量、定性分析相结合的方法分析。结果共得到有效抚养人问卷149份,涉及受艾滋病影响儿童323名;有效多部门工作人员问卷23份,多部门深入访谈35次。其中县/市级深入访谈30次(含多部门研讨会7次),省级深入访谈5次(含多部门研讨会3次)。调查家庭中有57.7%的家庭儿童获得了生活救助,20.1%的家庭儿童获得了教育救助,5.4%的家庭儿童获得了医疗救助,17.6%的家庭儿童参加过心理关怀活动。但现有政策在执行过程中,仍面临缺乏资金和人员等保障条件、信息收集和共享困难等问题。结论国家及地方都出台了一系列针对受艾滋病影响儿童的关怀救助政策,为减轻艾滋病对儿童的影响发挥了积极作用,但政策落实尚不均衡,阻碍政策有效实施的因素仍然存在。Objective To analyze the implementation of care and support policy for HIV affected children.Methods Relevant data were collected in four provinces with high HIV prevalence in China by questionnaire survey,case study and focus group discussion,etc.The Data was analyzed by using an integrated approach,i.e.a combination of qualitative and quantitative analysis.Results A total of 149 questionnaires were received from valid supporters,which involved 323 HIV affected children,and 23 questionnaires were received from staff of different institutions;35 in depth interviews were conducted with related institutions,including 30 interviews with county/city-level institutions（including 7 workshops） and 5 interviews with provincial-level institutions（also workshops）.Of the households interviewed,57.7% had children receiving life supports;20.1% had children receiving education supports;5.4 % had children receiving medical supports;and in 17.6 % of the households children attended psychological support activities.However,there were still some challenges and constraints encountered in the process of implementing the policies,such as shortage of funds and human resources,poor information collection and sharing,etc.Conclusion A series of care and support policies have been established both at national and local levels,which are playing a positive role in reducing the impact on HIV affected children.However,the implementation of policies seems uneven,and there are still some constraints existing in the effective implementation of relevant policies.

关 键 词：受艾滋病影响儿童 救助 政策分析 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]