The province in 2009 to combat AIDS, sexually transmitted diseases, the end of business supervision
 
 
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For the effective implementation of the "AIDS prevention and control regulations" and the "Gansu Province to curb AIDS and control action plan (2006-2010)," AIDS and venereal disease throughout the province have the progress of operations, the successful completion of the whole province in 2009 to combat AIDS and venereal disease work conference business the various tasks, April 7, 2009 -5 days on the 16th, the provincial CDC organizations on the state of all cities and some counties (cities, districts) AIDS and venereal disease prevention and control operations to carry out comprehensive supervision and inspection.

Supervisors to check the main contents of the province's AIDS prevention and control operations throughout the session and the implementation in 2009 of sexually transmitted diseases prevention and treatment of AIDS plan, the central and provincial transfer payments to financial assistance funding for the use of funds and outputs, the control measures in 2008 the implementation of Gansu Province, the fifth, six Global Fund project implementation, such as AIDS.

Operational supervision of the inspection cover 14 cities across the province (state) and Gansu mine CDC, with the exception of Jiayuguan, Jinchang市本级and Yongchang County, each city (state) random two counties (cities, districts) CDC , but also a sample of 12 medical institutions at the county level city, 8 maternal and child health care institutions at the county level cities and 3 blood.

Supervisors found some good practices and lessons learned, first, the establishment and improvement of the AIDS prevention and control institutions of the organization and leadership. 14 cities (prefectures) and the majority of counties (districts) have set up a Working Committee to Fight AIDS, established in the Health Bureau AIDS Working Committee Office, District Qilihe township streets will be also satisfied for the member units. Second, the extent of the leadership of great importance to a marked increase in sexually transmitted diseases, AIDS education in various forms of work, rich in content and effective. Against the public crowd, according to local conditions and population needs, the development of printed posters, publicity leaflet, color page, apron, bag, folding fan, paper cups and other promotional materials, promotional activities in widely distributed. For young students, colleges and universities take the seat to carry out joint promotional activities. For mobile populations, migrant workers to leave in his hometown to visit relatives on the eve of and during the holidays, focus on their education to carry out AIDS awareness. For medical personnel to carry out the President and the prevention of township health professionals do防保科City chief medical and health units, rural medical and health knowledge of AIDS prevention and control training. Third, the central transfer payments in 2007 and in 2008 funding for provincial funding for basic financial assistance in place, and ensuring the smooth operations. The fourth is to further expand the target population, the gradual implementation of the prevention and control measures, prevention and control of the increasingly obvious effects. Fifth, the ability of business to further improve the basic competence requirements AIDS work.

Inspection also found around the problems, mainly: One is funding in place later, the second due to a reasonable allocation, the utilization rate is not high, crowding in serious condition, the management of non-standard. As of the time supervision, there are still some units have not yet put in place funding. City, State did not fully consider the needs of AIDS, focusing on areas of high-risk groups and focus groups the size of the population to be covered, work factors such as the implementation of the main body of the key areas did not tilt. Special funds diverted in serious condition, too many unreasonable expenditures. Many units will be the cause of special funds for general expenditures, such as fuel costs, car repairs, car insurance, staff wages, etc.; some units all laboratory chemical reagents, consumables, used equipment, and all other special funds expenditures ; some of the units required for the general out-patient material, such as X-ray film, Petri dishes, silver nitrate, sodium Iasi, cresol red, PH Precision Strips, urine test strip 11 with AIDS and other special funds. Even worse, the utilities and other units are also included in the accounts written off AIDS. Second, poor sources of information, funding and lack of convergence of the task targets. Third, the progress of AIDS prevention and control to varying degrees, the gap significantly. The fourth is not ideal indicators of complete, accurate and reliable source of data is not. Task-related indicators have not been completed, the quality of work is not high, the original traces of the information or the lack of non-standardized form, data entry is not accurate enough, all kinds of statements, HIV-infected persons / patient medical record and the original data management chaos. Fifth, non-standard work processes, and lack of understanding between the laboratory. The number of the number of blood collection and testing are different, the data can not form an effective chain of evidence; year the number of duplication, test results can not be formed-one correspondence with the individual; laboratory testing is not required to produce reports to inform orally or by telephone. Sixth, the number of operations can not meet the needs of actual work, not the extent of multi-sectoral participation. Counties (cities, districts) level, the Center for Disease Control and Prevention only a small part of the establishment of an independent Division of AIDS prevention and treatment of sexually transmitted diseases, the vast majority of the mixed or sections, in relation to AIDS and the actual needs of the evaluation indicators need to be met, professional combat force still thin, quality and quantity is not sufficient to complete the tasks and targets. Domestic and international cooperation projects in areas not covered, multi-sectoral obviously not the level of participation, the implementation of the work is still the main CDC. Seven in the supervision and inspection work, the city of the state of the county's inadequate technical support. From the supervisory inspection, city (state) level, CDC's business and financial norms significantly higher than the level of counties (cities, districts) level, but in the technical guidance inadequate and fails to training, outreach intervention project management, data analysis, such as the use of multisectoral collaboration, as well as experience, information in a timely manner with the county-level business personnel exchanges and share fully, operational and financial aspects of the problems can not be resolved through joint negotiations, and effectively to solve the problem at the grassroots level, to achieve common progress and enhance the purpose. Screening of eight is the slow progress in the laboratory building, running and operation of the laboratory is still underdeveloped norms. Most of the city (state), counties (cities, districts) medical screening laboratory without the approval and acceptance, testing personnel did not participate in training, but it is still carried out our surgical patients, patients with AIDS screening before transfusion testing . Has approved the screening laboratory also has many issues: such as management system is not perfect, did not strictly follow the standard operating procedures documents; laboratory staffing shortage of laboratory equipment with incomplete (air conditioning); staff awareness of poor security, and even some medical institutions for occupational exposure occurs; Lab to operate non-standard, there is no strict quality control; discarded items disinfection cycle is too long, the existence of these questions will bring about the reliability of test results of a major negative impact. Nine is the Maternal and Child with varying degrees of blocking the progress of the work, good and evil. Maternal and child health care institutions in some areas while special funds put in place arrangements for the project but did not work, the vast majority of the city (state) to block the slow progress in maternal and child, the relevant business operators and block the program on maternal and child unclear The main funding for the payment of staff benefits. 10 is infected with / patient CD4 testing not timely flow of cases to be transferred to improve skills.

Supervision of the Steering Group examined the proposals put forward, first, further development of policy advocacy, leadership development, caused by the local leaders of the importance of AIDS prevention and treatment work to further strengthen the functions of various departments, the role played by multi-sectoral. The second is to strengthen inter-departmental, operational and financial staff communication and coordination, maintaining the information flow to ensure that funding targets and control tasks between a good convergence, as an index to lay a good foundation to complete the task. The third is clearly the local population and key areas of focus, clear thinking, the implementation of control measures. Fourth, focus on the tasks and targets of the organic unity of effect, and effectively it will do each task carefully. Fifth, the introduction of the concept of project management to ensure that central funds transfer payments to benefit effectively. Sixth, to further expand the detection surface to understand the detection of infection in the crowd, blocking the emergence of second-generation cases. Seven is to strengthen the relevant knowledge to block mother-to-child training, and effectively improve the efficiency of maternal and child block. Eight is to strengthen the construction and management of screening laboratories to ensure that the experiment staff to operate and regulate the safe operation of the laboratory. (King Tiger)


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   The following is issued on the source: Gansu Provincial Health Department Editor:杨晨雨