云南省德宏州2010年艾滋病经费支出综合评价  

Comprehensive evaluation of AIDS spending in Dehong prefecture of Yunnan province in 2010

作　　者：单多[1] 孙江平[1] Yakusik Anna 陈仲丹 袁建华[4] 李涛[4] 张广[1] 杨杏 韦梅 段松[1] 项丽芬[1] 叶润华[1] 杨跃诚[1] 

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,北京102206 [2]联合国艾滋病规划署白俄罗斯办事处 [3]联合国艾滋病规划中国办事处 [4]北京信息控制研究所财经分析与系统工程部 [5]云南省德宏傣族景颇族自治州卫生局防治艾滋病委员会办公室

出　　处：《中华预防医学杂志》2013年第11期991-995,共5页Chinese Journal of Preventive Medicine

基　　金：联合国艾滋病规划署资助项目（2010）

摘　　要：目的 基于利用国家艾滋病经费支出评估（NASA）方法测算的云南省德宏州2010年艾滋病经费支出情况,对艾滋病经费支出的合理性进行综合评价.方法 通过德宏州统计局发布的相关公报收集德宏州芒市、盈江县、陇川县、瑞丽市、梁河县、畹町开发区2010年的人口学及经济学指标,通过全国艾滋病综合防治数据信息年报收集艾滋病疫情指标.采用NASA方法测算和评估各县（市）艾滋病经费的实际支出情况,采用需求指数法计算艾滋病经费需求情况.分析各县（市）2010年艾滋病经费支出与其人口学、经济学、艾滋病疫情流行指标的相关性,及艾滋病预防干预经费支出与主要传播途径所占比例的相关性.结果 2010年德宏州5县（市）艾滋病经费支出合计为28 752 772元人民币、人口数为1211400名、人均GDP为11693元,瑞丽市吸毒、性传播、母婴传播人群干预经费的支出额分别为130345、71484、164100元,HIV感染者构成比分别为23.9％（49/205）、73.7％（151/205）、0.5％ （1/205）；梁河县支出额分别为141665、257142、99961元,感染者构成比分别为17.1％ （6/35）、80.0％（28/35）、0.0％（0/35）,两地各项干预经费支出金额与对应人群HIV感染者构成比均呈正相关（r值均为0.99,P值均＜0.05）,其他4个县（市）及开发区均无相关性（P＞0.05）.各县（市）的国内政府部门、国际项目、国内科研课题、个人和家庭白付的艾滋病经费支出金额与人口数均呈正相关关系（r值分别为0.94、0.83、0.99、0.88,P值均＜0.05）；除个人和家庭自付部分的经费外,其他来源的经费支出均与艾滋病病例报告数呈正相关（r值分别为0.94、0.89、0.81,P值均＜0.05）.结论 2010年德宏州艾滋病经费支出基本考虑了人口和疫情流行等相关指标的情况,经费支出基本符合不同地区的经费需求.Objective To comprehensive evaluate the rationality of Acquired Immune Deficiency Syndrome （AIDS） expenditure through the analysis of AIDS expenditure circumstances based on the application of National AIDS Spending Assessment in Dehong prefecture in 2010.Methods Demographic and economic indicators of Mang City,Yingjiang,Longchuan,Ruili City,Lianghe and Wanting zone in Dehong prefecture of Yunnan province were collected from the reports issued by Dehong Statistical Bureau of 2010,and HIV/AIDS epidemic indicators were collected from the annual report of national AIDS prevention and control data.NASA method was used to analyze the actual spending and demand index was used to calculate the demand of AIDS funding in these counties （cities）.The correlations between HIV/AIDS expenditures and demographic,economic and HIV/AIDS epidemic index were analyzed,respectively,as well as the correlation between the expenditures of AIDS prevention and control and proportion of major transmission approaches.Results In 2010,the actual expenditures on HIV/AIDS in the 5 counties （cities）of Dehong prefecture was ￥ 28752772,the population was 1211400,and Gross Domestic Product （GDP） was ￥ 11693.The intervention expenditures in injection drug users,sexually transmitted people,and prevention of mother to child transmission in Ruili county were ￥ 130345,￥71484 and ￥ 164100,the proportions of HIV transmission in these groups were 23.9％ （49/205）,73.7％ （151/205）,and 0.5％（1/205）,respectively; and in Lianghe county was ￥141665,￥257142,and ￥99961,and the proportions of HIV transmission were 17.1％ （6/35）,80.0％ （28/35） and 0.0％ （0/35）,respectively.The intervention expenditures in Ruili and Lianghe counties were positive related to the proportion of corresponding people with HIV infection （both r values were 0.99,all P values ＜ 0.05）.In the other 4 counties （cities） and the development zone,no correlations.The expenditures of government departments,international projects,

关 键 词：获得性免疫缺陷综合征 卫生经费支出 HIV感染 NASA方法 评价 

分 类 号：R512.91[医药卫生—内科学]