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目的对第三轮中国全球基金艾滋病项目启动以来,项目地区自愿咨询检测(VCT)工作进展状况进行分析。方法收集项目地区咨询检测点按规范要求完成的所有咨询个案表及其人类免疫缺陷病毒(HIV)抗体检测结果,并进行描述性分析。结果至2006年底,72个项目县共建立咨询点645个,是项目启动时(149个)的4.33倍,平均为每个咨询检测点培训咨询员5.41人次,每个咨询点月平均提供服务仅7.58人次;项目地区共提供VCT服务134 098人次,接受VCT服务者中以行为状况不详者所占比例最大,占29.46%,其次为孕产妇、性接触者及既往卖血/受血者,所占比例分别为26.4%,20.99%和17.77%。各项目省咨询对象的特征分布也不完全相同;项目地区接受VCT服务的人中HIV抗体的总检出率为2.62%(3516/134098),其中既往卖血/受血或血制品的人群抗体检出率高达10.80%,其次为HIV感染者或患者(PLAHA)配偶/性伴、吸毒人群及性接触,抗体检出率分别为7.45%,2.29%和0.76%;占咨询检测人数的56.06%;其他人群及孕产妇中检出的HIV抗体阳性者仅占总阳性者的7.6%。结论VCT提高了项目地区VCT服务的能力及可及性;但目前咨询点的利用率较低、VCT服务对高危及重点人群的覆盖不够、部分地区服务目标人群定位仍不清楚等。
Objective To analyze the status of voluntary counseling and testing (VCT) in the project area since the start of the third round of China Global Fund AIDS Program. Methods All consultation cases and HIV test results were collected and analyzed descriptively. Results By the end of 2006, a total of 645 consultation points were set up in 72 project counties, 4.33 times as many as 149 projects at the time of project initiation, with an average of 5.41 training counselors per consulting checkpoint. The average monthly service provided for each consultation point was only 7.58 person-times. In the project area, a total of 134 098 VCT services were provided in the project area. Among those who received VCT services, the largest proportion accounted for 29.46% of the respondents, followed by pregnant women, sex workers and former blood donors / recipients Accounting for 26.4%, 20.99% and 17.77% respectively. The feature distribution of consultants in each project province was also not exactly the same. The total detection rate of HIV antibody among those who received VCT services in the project area was 2.62% (3516/134098). Among them, the antibody against human who previously sold blood / blood or blood products The detection rate was as high as 10.80%, followed by spouses / partners with sexual intercourse among HIV infected persons or patients (PLAHA), sexual contact with drug users and the detection rate of antibodies were 7.45%, 2.29% and 0.76% respectively, accounting for 56.06% ; Other groups and pregnant women in HIV-positive were detected only 7.6% of the total positive. Conclusions VCT improves the ability and accessibility of VCT services in project areas. However, the utilization rate of consultation points is low at present, VCT services are not enough to cover high-risk and key populations, and the positioning of service targets in some areas is still unclear.