思茅区CSW艾滋病干预和服务效果比较

目的]为了充分利用有效的卫生资源，探讨女性性工作者艾滋病干预服务的有效途径，评价项目实施的效果。方法]比较思茅区基线调查与综合监测女性性工作者艾滋病知识知晓率、获得艾滋病知识信息主要来源以及接受预防艾滋病服务情况。结果]思茅区通过第四轮全球基金项目的实施，2007年与2005年相比，女性性工作者艾滋病知识知晓率、获得艾滋病知识信息主要来源、接受预防艾滋病服务情况均有明显提高，CSW获得性病／艾滋病免费咨询和性病检查治疗的比例2007年比2005年有所下降，说明这两项工作没有实质性改变。结论]利用项目工作的开展，加强了项目地区多部门的交流与合作，以妇女健康中心为平台，通过开展外展工作、同伴教育、VCT、性病诊疗、转介、安全套推广等对女性性工作者开展综合干预活动取得了明显效果，但今后的项目工作中还应进一步加大VCT、规范性病诊疗服务的工作力度。

Comparing the service effects on HIV intervention among commercial sex workers in Simao County

Objective In order to take full advantage of limited health resource, to explore the effective way of HIV services for female commercial sex workers （FCSWs） and evaluate the effectiveness of the project. Methods To compare the awareness rate of HIV knowledge, the information resource and status of service receiving between the baseline survey and comprehensive surveillance among the FCSWs. Results After the implementation of Global Fund AIDS Program Round 4, the awareness rate of HIV knowledge, the information resource and status of service receiving among the FCSWs were higher in 2007 than 2005. And the services of HIV/STDs counseling and STDs testing ＆ treatment were lower in 2007 than 2005.Conclusion With the project implementation, the cross-sector communication and cooperation have been improved; by the platform of Women Health Center, developing the comprehensive activities, including out-reach, peer education, VCT, STDs management and referral, condom promotion have had obvious effect. The VCT and standardized STDs management services should be improved further.