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目的探索分析凉山州乡级艾滋病(AIDS)防治综合管理的效果和存在问题,为推进AIDS防治提供科学依据。方法通过核实凉山州J乡报告的HIV/AIDS病人信息,分析依托现有的县-乡-村医疗卫生保健体系,科学地开展病例管理、实验室检测和医疗救治的效果和存在的问题。结果至2011年底,凉山州J乡AIDS病人接受高效抗反转录病毒治疗(HAART)比例为10.5%(60/571),随访干预比例提高到69.5%(397/571),CD4T淋巴细胞检测率提高到47.3%(270/571)。病例建档率81.1%(361/445),96.4%(81/84)的随访依托于村干部的联系。结论乡级AIDS综合管理模式能够促进病例信息的准确性,提高病例治疗率及管理率。村干部是实行乡级综合防治管理的关键联络人,乡村医生是主要执行者。建议在HIV/AIDS病人聚集地区推广乡级综合管理防治模式。
Objective To explore the effects and existing problems of comprehensive prevention and control of AIDS in Liangshan Prefecture and to provide a scientific basis for AIDS prevention and control. Methods By verifying the information of HIV / AIDS patients reported by J Township in Liangshan Prefecture, this paper analyzes the effects and existing problems of scientific management of case management, laboratory testing and medical treatment relying on the existing county-township-village medical health care system. Results By the end of 2011, the AIDS patients in J Township, Liangshan Prefecture received 10.5% (60/571) HAART and the follow-up intervention rate increased to 69.5% (397/571). The detection rate of CD4 T lymphocytes To 47.3% (270/571). Case filing rates were 81.1% (361/445) and 96.4% (81/84) were based on village cadres’ contacts. Conclusion The township level AIDS comprehensive management model can promote the accuracy of case information and improve the case treatment rate and management rate. The village cadres are the key liaisons who implement the comprehensive prevention and management at the township level, and the village doctors are the chief performers. It is recommended to promote integrated management and prevention at the township level in areas where HIV / AIDS patients are concentrated.