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目的了解社区计划生育部门和卫生部门的服务人员对艾滋病自愿咨询检测(HIV voluntary counseling and testing,VCT)和自愿咨询转诊(HIV voluntary counseling&referral,VCR)的知识、态度及服务开展情况,探讨社区开展VCT&VCR服务对策。方法采取方便抽样的方法,对上海市3个社区的60名社区计划生育部门和卫生部门服务人员,进行小组访谈。结果社区服务人员的艾滋病防治知识的知晓率高,但不全面。超过70%的对象不知道转诊服务,一半的人不知道免费的VCT&VCR服务。大部分人对艾滋病存有畏惧心理,但愿意提供VCT&VCR服务。现阶段开展的VCT&VCR服务主要是宣传教育服务,其次为咨询服务,技术检测服务提供率只有21.66%。服务可及性、服务质量以及社会支持环境是影响VCT&VCR服务开展的重要因素。部门合作是社区更好地开展VCT&VCR服务的重要手段。结论应进一步开展对计划生育、卫生服务人员的全面培训;同时加强部门合作,为社区提供更好的VCT&VCR服务开展环境。
Objectives To understand the knowledge, attitudes and services of HIV voluntary counseling and testing (VCT) and voluntary counseling and referrals (VCRs) among community-based family planning departments and health service staff and to explore community-based VCT & VCR service strategy. Methods By means of convenient sampling, we interviewed 60 community-based family planning departments and health service personnel in 3 communities in Shanghai to conduct group interviews. Results The awareness rate of AIDS prevention and treatment among community service personnel was high, but not comprehensive. Over 70% of the subjects do not know the referral service and half do not know the free VCT & VCR service. Most people are afraid of AIDS, but are willing to provide VCT & VCR services. The VCT & VCR services carried out at this stage are mainly publicity and education services, followed by consulting services, providing only 21.66% of the service provided by technology testing services. Service availability, quality of service and social support environment are important factors affecting the delivery of VCT & VCR services. Sectoral cooperation is an important tool for communities to better implement VCT & VCR services. Conclusion Comprehensive training of family planning and health service personnel should be further carried out. At the same time, departments should strengthen cooperation in order to provide communities with better VCT & VCR service to carry out the environment.