预防艾滋病母婴传播项目长效工作机制研究

目的通过对深圳市预防艾滋病母婴传播项目工作,与卫生系统多部门常规工作相整合的运行机制进行系统的研究,为其他地区提供有益的借鉴。方法采用定性研究和定量研究。通过文献检索和现有资料收集的方法,了解2008-2010年深圳市孕产妇艾滋病病毒(HIV)抗体检测情况和感染HIV孕妇抗病毒治疗情况。通过小组访谈方法,了解项目运行机制。结果深圳市预防艾滋病母婴传播项目的覆盖率为100%,孕产妇检测率超过95%,孕妇和分娩儿童抗病毒治疗率超过90%。HIV感染孕产妇的产前保健和助产服务整合入妇幼保健常规工作,母婴随访整合入疾控系统HIV感染者随访工作,孕期抗病毒治疗整合入医政系统抗病毒治疗工作。结论与卫生系统多部门的常规工作相整合的工作机制,能够明显提高项目的运行质量,有助于建立高标准的长效运作机制。

Study on long-term effect mechanism of prevention of mother-to-child transmission of HIV

Objective To systematically investigate the mechanism of Shenzhen Prevention of Mother-to-Child Transmission(PMTCT) Program through integrating the program works into routine responsibilities of health care system and provide basis for developing strategy for other regions.Methods Qualitative and quantitative research methods were adopted.Information on HIV testing and antiretroviral prophylaxis of pregnant women was collected by searching for literature and existing statistics.Group interview method was adopted for the implementation mechanisms of the program.Results The coverage of Shenzhen PMTCT Program was 100%.More than 95% of the pregnant women who came for antenatal care(ANC) and delivery services received HIV testing.More than 90% of the HIV positive women and their babies received antiretroviral prophylaxis.The antenatal care and delivery services were integrated into the mother-child health care system.The follow-ups of the HIV positive mothers and their children were integrated into the follow-up system of CDCs for reported cases of HIV infection.The antiretroviral prophylaxis of HIV positive women were integrated into the antiretroviral treatment system of infectious disease hospitals.Conclusions The integration of PMTCT program into the routine works of multi-sectoral health care institutions can help the establishment of high-quality and long-term effect mechanism of the program.