依托社区卫生服务机构对目标人群实施艾滋病预防和优先干预的探索

目的探索依托社区卫生服务机构,对小足浴房、小洗头房、小卡拉OK厅(三小场所)的从业人员和流动人口,实施预防和优先干预的可行性和可接受性。方法采用横断面调查的方法,对上海市6个区的360名"三小场所"工作人员,3个区的720名流动人口进行问卷调查,并对目标人群实施艾滋病预防和优先干预的可行性和可接受性进行评价。结果依托社区卫生服务中心对目标人群实施艾滋病预防和干预后,"三小场所"人员和流动人口的艾滋病知识知晓率分别为82.22%(296/360)和79.58%(573/720);最近一年接受过社区卫生服务中心开展的艾滋病预防和干预工作的分别为75.28%(271/360)和41.11%(296/720)。两类目标人群更容易接受社区卫生服务中心提供的预防和干预服务,且表示满意;对于服务方式和宣传资料持肯定态度且易于接受。结论依托社区卫生服务机构对目标人群实施艾滋病预防和优先干预是可行的,目标人群是容易接受的,在因地制宜的基础上,艾滋病预防和优先干预的工作策略和重点,可以考虑下沉到社区卫生服务机构。

Exploration of implementing HIV/AIDS prevention and priority interventions by community health service institutions

Objective To explore the feasibility and acceptability of implementing HIV/AIDS prevention and priority interventions to target population(employees from three sorts of entertainment venues and migrant populations) by community health service institutions.Methods Questionnaire survey was conducted to investigate 360 employees from three sorts of entertainment venues in 6 districts and 720 migrant people in 3 districts of Shanghai to evaluate the feasibility and the acceptability of implementing HIV/AIDS prevention and priority interventions to target population by community health service institutions.Results After implementing HIV/AIDS prevention and intervention by community health service centers,the rates of HIV/AIDS awareness among employees from three sorts of entertainment venues and migrant populations were 82.22%(296/360) and 79.58%(573/720) respectively,and the rates of accepting HIV/AIDS prevention and intervention services provided by community health service centers among the above two group populations were 75.28%(271/360) and 41.11%(296/720) respectively in one year.These two group populations accepted the prevention and intervention services delivered by community health service centers more easily and were satisfied with the services.They also were satisfied with and maintained affirmative attitude to the service delivery models and the educational materials.Conclusion To implement the HIV/AIDS prevention and priority interventions by community health service institutions is feasible and acceptable to the target populations,the priority interventions for HIV/AIDS prevention can be decentralized to community health service institutions according to different local conditions.