云南省社会组织参与艾滋病综合防治示范区HIV筛查检测现状分析

目的 了解云南省第三轮全国艾滋病综合防治示范区社会组织提供人类免疫缺陷病毒（human immunodeficiency virus，HIV）筛查检测服务的现状，为社会组织提供HIV筛查检测服务提供建议。方法 采用网络问卷调查收集信息，利用SPSS 19.0进行数据汇总和分析。结果 云南省第三轮全国艾滋病综合防治示范区有50个社会组织参与示范区艾滋病防治工作，100.0%（50/50）的社会组织均提供HIV动员检测服务，64.0%（32/50）的社会组织提供HIV筛查检测服务，血HIV快速检测服务占81.3%（26/32），唾液检测服务占53.1%（17/32）。100.0%（32/32）的社会组织接受过HIV快速检测技术培训。40.0%（20/50）的社会组织可直接提供HIV快速检测服务。卫生行政部门、疾病预防控制中心以及医院对其开展HIV筛查检测服务的态度差异有统计学意义（χ²=15.309，P=0.004）。结论 社会组织在提供HIV筛查检测和发现HIV感染者有重要作用，云南省第三轮全国艾滋病综合防治示范区应充分发挥社会组织提供HIV筛查检测服务的优势，结合外展干预服务提供HIV筛查检测服务，扩大HIV检测覆盖面。

The situation analysis of community-based organizations providing HIV testing services in Yunnan Province

Objective To understand the human immunodeficiency virus (HIV) testing provision of community-based organizations (CBOs) in the 3rd round China-care program in Yunnan Province and provide suggestions for HIV testing promotion. Methods Data was collected by online questionnaires and analyzed with SPSS 19.0. Results 50 CBOs participated in the 3rd round China-care Program in Yunnan Province.100.0% (50/50) could provide referred HIV testing services. 64.0%(32/50) of them could provide HIV testing service, 81.3%(26/32) could provide blood HIV rapid testing services and 53.1%(17/32) could provide oral fluid HIV rapid testing services. All 32 CBOs received HIV rapid testing training. 40.0%(20/50) of CBOs could provide HIV rapid testing. The attitudes for HIV rapid testing services in different Health departments were significantly different (χ2=15.309, P=0.004). Conclusions It is important for CBOs to provide HIV rapid testing service and identify HIV infections. Thus, it is necessary to strength potentials of CBOs in providing HIV rapid testing service in the 3rd round China-care program in Yunnan Province. Providing HIV rapid testing service and behavioral intervention at the same time could extend coverage of HIV testing.