【摘要】 目的:为探讨提高农村艾滋病母婴传播阻断服务的可及性、可获得性和可接受性策略,制订农村艾滋病母婴传播阻断有效运转机制,增强其可持续性发展。方法:2005~2006年在云南6个县市开展现场研究。结果:农村艾滋病母婴传播阻断管理与服务由政府主导,多部门合作,明确职责,强化管理,综合服务,注重个性,优化氛围,主动参与。将艾滋病母婴传播阻断工作融入常规妇幼卫生与疾病预防控制工作中,并与现行的农村、妇幼卫生政策结合;建立责任制与监督指导评估制度。为H IV感染孕产妇提供保健、抗病毒治疗、住院分娩、儿童保健与追踪等系列服务。全程管理、抗病毒治疗及相关服务由专人负责,孕产妇保健和住院分娩服务开放,由接诊医生和住院医生负责。艾滋病母婴传播率显著下降。结论:农村艾滋病母婴传播阻断管理模式促进了农村预防艾滋病母婴传播的多方参与,运行机制为该项服务的可持续发展提供了保障,服务模式促进了农村孕妇尽早接受艾滋病自愿咨询检测和艾滋病感染孕产妇对母婴阻断服务的可获得性、可及性和可接受性。更多还原

【Abstract】 Objective:To explore the accessibility and acceptability of the tactics for enhancing AIDS Mother-infant dissemination block service to make up its effective transfer mechanism and promote its persistent development.Methods:Field research was conducted in six counties and cities of Yunnan from 2005 to 2006.Results:The management and service for AIDS Mother-infant dissemination block model was guided by government with cooperation among several departments,having definite position and responsibility,strengthened administration,comprehensive and individual service,optimized environment and initiative participation.This work was infused in routine maternity and child health and diseases prevention and control works,combining with existing maternity and child health policy in country,to establish the responsibility,supervision,guiding and evaluation system.The serial service such as healthcare,antivirus treatment,delivery at hospital and child healthcare and following-up,were provided for pregnant and lying-in women with HIV infection.Whole range management,anti-virus treatment and the corresponding service were charged by special messenger.The service of healthcare and delivery at hospital for women was taken over by adoption doctor and hospitalization doctor.The rate of AIDS mother and infant dissemination was significantly decreased.Conclusion:This model greatly promote the participation at multi levels,providing the ensure for continuous development and promoting the accessibility and acceptability of voluntary detection on AIDS in countryside women so as to block AIDS mother and infant dissemination.更多还原