【摘要】 目的 了解玉溪市村级艾滋病检测点运行现状及存在的问题，为推广村级检测点提供参考。方法 采用目的抽样方法，在2022年3—4月抽取符合研究纳入条件的村级检测点医务工作人员进行定性访谈，使用现象学研究中的Colaizzi 7步法对资料进行分析。结果 共29名受访者，年龄中位数为40岁，79.31%村级检测点开展检测工作，69.57%采指尖血检测，86.96%告知阴性检测结果。定性访谈结果提炼出：村级检测点医务人员对防治艾滋病认识的改变，一致认为开展HIV检测是发现艾滋病人的有效手段，82.76%能识别感染HIV的高危人群和重点人群，23人认为开展检测后对个人或本卫生室能力有所提升，17人认为有必要在本卫生室开展HIV检测。有责任心、检测补贴和检测方法多样有利于检测工作的开展，待遇较低、人员不足、能力有限、工作烦琐和成本支出不利于检测工作的开展，地理位置、人口流动和个人检测意愿也是影响检测工作开展的因素。结论 玉溪市村级检测点的建立提升了HIV检测可及性。有关部门应出台政策专门针对村级艾滋病检测点进行管理，并给予相应的财政支持，保障工作人员积极性。更多还原

【Abstract】 Objective This study was aimed at understanding the status of village-level rapid HIV testing sites in Yuxi City,Yunnan Province,and determining existing problems for further improvement,to provide a reference for promoting village-level rapid HIV testing sites.Methods From March to April 2022,staff at village-level rapid HIV testing sites were selected through purposive sampling in Yuxi City,and semi-structured in depth interviews were conducted.The data were analyzed with Colaizzi’s phenomenological method.Results A total of 29 staff were included,with a median age of 40 years.Among the village-level testing sites,79.31% conducted testing.Specifically,69.57% of these sites conducted tests by collecting fingertip blood samples,and 86.96% informed tested individuals of negative test results.The results of the qualitative interviews were as follows.The medical personnel working at village-level testing sites experienced changes in their understanding of AIDS prevention and treatment.They all agreed that HIV testing is an effective means of diagnosing patients with AIDS.Specifically,82.76% of personnel had developed abilities to identify both high-risk groups and key populations infected with HIV;23 individuals believed that their personal abilities or the capabilities of their village clinics have been enhanced after testing implementation;and 17 people believed that HIV testing within their village clinics is essential.Having a sense of responsibility,the provision of testing subsidies,and a variety of testing methods all contributed to promoting progress in testing implementation.In contrast,factors such as low salaries,staff shortages,limited capabilities,cumbersome work processes,and cost expenditures were all unfavorable factors in testing development.Geographical location,population mobility,and individuals’willingness to be tested were additional factors influencing the implementation of testing.Conclusions The establishment of village-level testing sites in Yuxi City has enhanced accessibility to HIV testing.Relevant departments are recommended to formulate and promulgate policy policies for the management of village-level testing sites and to provide corresponding financial subsidies,to ensure the enthusiasm of the staff.更多还原