Study on the Effectiveness and Problems in Implementing Acquired Immune Deficiency Syndrome Control and Prevention in Community Health Service Centers_West China Medical Journal

Authors：

 CHENLi-huang ^1,2 ,  LIUYi ¹ , LIULi ³

1. West China School of Public Health, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Jinjiang District Center for Disease Control and Prevention, Chengdu, Sichuan 610021, P. R. China;
3. Sichuan Center for Disease Control and Prevention, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIUYi, Email: hxliuyi@163.com

Keywords：

Human immunodeficiency virus; Infected persons; Management

DOI：

10.7507/1002-0179.20140335

Video：

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Objective To analyze the effectiveness and problems existing in implementing acquired immune deficiency syndrome (AIDS) control and prevention in community health service centers, and to provide scientific evidence for promoting AIDS control and prevention. Methods Related information on AIDS control and prevention in community health service centers in a community in the whole year of 2013 was acquired. The effectiveness and problems existing in case management, laboratory testing and highly active antiretroviral therapy (HAART) based on the current community health service system were analyzed. Results By the end of 2013, the rate of AIDS case management was from zero to 100%, the rate of CD4 T detection was from 76.60% (360/470) to 88.35% (508/575), and the rate of receiving highly active antiretroviral therapy among AIDS patients was from 81.40% (175/215) to 84.41% (287/340). But in the actual work on AIDS in community health service centers, there were still some common problems needing to be solved. Conclusion The community level management mode of AIDS can promote the accuracy of AIDS patients' information, improve the rate of case management, the rate of CD4 T detection and HAART. It is suggested that the community level management mode of AIDS should be promoted in the cities where AIDS patients are concentrated.

Citation： CHENLi-huang, LIUYi, LIULi. Study on the Effectiveness and Problems in Implementing Acquired Immune Deficiency Syndrome Control and Prevention in Community Health Service Centers. West China Medical Journal, 2014, 29(6): 1099-1101. doi: 10.7507/1002-0179.20140335 Copy

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2. 楊慧, 阮師漫, 朱艷文, 等. 濟南市艾滋病病人和艾滋病病毒感染者管理模式[J]. 預防醫學論壇, 2007, 13(7): 671-672.
3. 王百鎖, 李翔, 常文輝, 等. 陜西省HIV感染者和艾滋病患者管理模式[J]. 中國公共衛生, 2007, 23(12): 1418-1419.
4. 王召乾, 南磊, 孫研, 等. 涼山州鄉級艾滋病綜合管理模式的效果和存在的問題[J]. 中國艾滋病性病, 2013, 19(6): 434-435.
5. 汪濤, 岑永莊, 來學惠, 等. 以社區為基礎的艾滋病防制模式及效果評價[J]. 中國熱帶醫學, 2008, 8(6): 922-923.
6. 廣州市衛生局. 廣州市基本公共衛生服務包(2012年版)[EB/OL]. (2011-10-27)[2013-12-31]. http://www.gzmed.gov.cn/portal/site/site/portal/gzmed/showcontent.jsp?contentId=8991&siteName=gzmed&categoryCode=001003009008006004&categoryId=3600.
7. 成都市衛生局. 成都市城鄉基層醫療衛生機構基本公共衛生服務項目(2013版)[EB/OL]. (2013-08-28)[2013-12-31]. http://www.wsj.chengdu.gov.cn/detail.asp?ID=10214.
8. 中華人民共和國國務院. 艾滋病防治條例[EB/OL]. (2006-02-12)[2013-12-31]. http://www.gov.cn/flfg/2006-02/12/content_186324.htm.
9. 薛文娟, 王明旭, 張平川. 國外艾滋病社區支持模式的比較分析及其對我國的啟示[J]. 中國醫學倫理學, 2007, 20(3): 55-56.
10. 劉曉麗. 香港的艾滋病管理概況[J]. 解放軍護理雜志, 2006, 23(11): 100-101.
11. 李明奎, 王萬海, 張曉燕. 我國艾滋病感染者管理的實踐與思考[J]. 中國艾滋病性病, 2010, 16(1): 78-80, 92.
12. 張旭東, 寧躍猛, 張存敏, 等. 社會組織和多部門共同參與的西山區HIV感染者/病人服務管理模式探討[J]. 衛生軟科學, 2011, 25(4): 240-242.
13. 徐鐘渭, 徐紅, 金以森, 等. 低流行區HIV/AIDS管理模式探討[J]. 中國艾滋病性病, 2006, 12(3): 254-255.
14. 都佳, 申泰華, 黃磊, 等. 疾控中心、社區和HIV感染者共建社區艾滋病管理網絡模式的探討[J]. 現代預防醫學, 2012, 39(4): 865-866.

West China Medical Journal

Study on the Effectiveness and Problems in Implementing Acquired Immune Deficiency Syndrome Control and Prevention in Community Health Service Centers

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