“你最好到附近的疾控中心去做一个艾滋病咨询检测,那是免费的,而且工作人员会为你保密。”医生对一位因不洁性生活而前来就诊的就医者说。但是,这样的情况目前在国内的医疗机构很少出现。
安徽医科大学卫生管理学院洪倩等近日对我国艾滋病自愿咨询检测工作进行了调查,结果显示,虽然世界卫生组织强调医疗机构要积极鼓励就诊者接受艾滋病自愿咨询检测,但是该项工作在我国仍然开展得不够广泛。
我国从2004年开始推行艾滋病自愿咨询检测工作,并出台了一系列政策文件和优惠措施。《中国遏制与防治艾滋病行动计划》提出,到2007年,每个县市至少要建成2个~3个免费艾滋病自愿咨询检测点。截至2008年年底,我国艾滋病自愿咨询检测点已经达到约6000个。但目前免费艾滋病自愿咨询检测还存在4个方面的问题:一是服务的可及性问题。现有咨询点绝大多数设在疾控机构,并且是被动地等待检测者上门,医疗机构开展得很少,难以覆盖所有的高危人群。二是服务的利用率问题。很多人不知道可以到疾控中心接受免费咨询检测,导致已经建成的咨询点利用率不高。据对中部7省调查,平均每个咨询点月提供服务仅7.58人次。三是服务的规范化问题。现有各个咨询点大多存在重检测、轻咨询的现象,一些重要的话题,如窗口期、性伴参与、随访等只是简单涉及。四是服务的队伍问题。现有咨询员队伍不稳定,相关知识和技能水平低下。据某地调查,咨询员大多为兼职咨询员,接受过专业培训的只占15.15%,接受过系统咨询训练的更少,这种现象在医疗机构尤其严重。
专家认为,国际经验表明,艾滋病自愿咨询检测是开展行为干预的有效途径,对于控制艾滋病的传播十分重要。解决上述问题已是当务之急。
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HIV self-test problems
www.hebei.com.cn the Great Wall Network Time :2009-09-21 07:56:00
"You'd better to do one near the CDC HIV counseling and testing, it is free, and staff will be kept confidential for you." Doctor a result of unclean sex life to come to seek treatment for medical treatment say. However, this present situation is a medical institution in the country is rare.
Anhui Medical University School of Management, Hong Qian, etc. Recently, the country's AIDS voluntary counseling and testing conducted an investigation revealed that, although the World Health Organization emphasized that medical institutions should actively encourage the doctor to receive voluntary HIV counseling and testing, but the work is still carried out in China was not broad enough.
Beginning in 2004, the implementation of China's HIV voluntary counseling and testing work, and introduced a series of policy documents and preferential measures. "China containment and AIDS Action Plan," proposed that by 2007, each county at least the completion of 2 ~ 3 months free HIV voluntary counseling and testing points. As of the end of 2008, China's HIV voluntary counseling and testing points, has reached about 6,000. But free HIV voluntary counseling and testing there are four aspects: First, service accessibility issues. Consulting Point is located in the vast majority of the existing disease control agencies, and is passively waiting for testers door, very little health care institutions, it is difficult to cover all high-risk groups. Second, the utilization of the service problems. Many people do not know they can receive free counseling and testing to the CDC, leading to the consultation have been completed point of utilization is not high. According to a survey in 7 provinces in central, with an average point of each advisory on the provision of services is only 7.58 times. Third, standardization of service issues. Most of them are available on various advisory point of re-testing, the phenomenon of light of consultation, a number of important topics, such as the window period, sexual partners, participation in follow-up and so simply related. 4 issue of the service team. The existing consultant team instability, low levels of relevant knowledge and skills. According to a land survey, consultants are mostly part-time consultants, received professional training, only 15.15 percent, received less training, system consulting, this phenomenon is particularly severe in the medical institution.
Experts believe that international experience shows that HIV voluntary counseling and testing is an effective way to carry out behavioral interventions, is important for controlling the spread of AIDS. Solve the above problem has been a priority.
Draft Source: Health News Editor: Li-Fang Wu
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