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. 杨慧, 阮师漫, 朱艳文, 等. 济南市艾滋病病人和艾滋病病毒感染者管理模式[J]. 预防医学论坛, 2007, 13(7): 671-672.
3. 王百锁, 李翔, 常文辉, 等. 陕西省HIV感染者和艾滋病患者管理模式[J]. 中国公共卫生, 2007, 23(12): 1418-1419.
4. 王召乾, 南磊, 孙研, 等. 凉山州乡级艾滋病综合管理模式的效果和存在的问题[J]. 中国艾滋病性病, 2013, 19(6): 434-435.
5. 汪涛, 岑永庄, 来学惠, 等. 以社区为基础的艾滋病防制模式及效果评价[J]. 中国热带医学, 2008, 8(6): 922-923.
6. 广州市卫生局. 广州市基本公共卫生服务包(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. 成都市卫生局. 成都市城乡基层医疗卫生机构基本公共卫生服务项目(2013版)[EB/OL]. (2013-08-28)[2013-12-31]. http://www.wsj.chengdu.gov.cn/detail.asp?ID=10214.
8. 中华人民共和国国务院. 艾滋病防治条例[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, 张平川. 国外艾滋病社区支持模式的比较分析及其对我国的启示[J]. 中国医学伦理学, 2007, 20(3): 55-56.
10. 刘晓丽. 香港的艾滋病管理概况[J]. 解放军护理杂志, 2006, 23(11): 100-101.
11. 李明奎, 王万海, 张晓燕. 我国艾滋病感染者管理的实践与思考[J]. 中国艾滋病性病, 2010, 16(1): 78-80, 92.
12. 张旭东, 宁跃猛, 张存敏, 等. 社会组织和多部门共同参与的西山区HIV感染者/病人服务管理模式探讨[J]. 卫生软科学, 2011, 25(4): 240-242.
13. 徐钟渭, 徐红, 金以森, 等. 低流行区HIV/AIDS管理模式探讨[J]. 中国艾滋病性病, 2006, 12(3): 254-255.
14. 都佳, 申泰华, 黄磊, 等. 疾控中心、社区和HIV感染者共建社区艾滋病管理网络模式的探讨[J]. 现代预防医学, 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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