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目的:探讨江门市预防艾滋病母婴传播的运作模式及服务方式,为构建科学合理的市级防控网络提供科学依据。方法:江门市预防艾滋病母婴传播运作模式与服务方式为:①领导重视,职责分明,加强监督。②利用三级妇幼保健网络作用,建立信息管理体系。③强化妇幼保健机构的工作职能,抓好专业队伍建设。④建立防控绿色通道,为婚、孕、产期的妇女提供免费咨询服务及部分免费HIV检测,为HIV阳性孕产妇及所分娩的婴儿提供免费药物治疗及追踪随访和检测服务。结果:①全市91所有助产的医疗保健机构中,二级甲等以上的医疗保健机构已开展HIV初筛检测率为100%;一级或镇级以上的为70.5%。②2006年1月～2007年11月孕产妇接受HIV初筛检测有82274例,受检率为89.58%。③HIV阳性检出率为6.81/万。结论:①政府和卫生行政部门应承担主导作用,确保专项经费投入和加大宣传普及力度,为防控工作顺利开展营造氛围。②充分发挥三级妇幼保健网络作用,形成预防艾滋病母婴传播与妇幼保健服务相结合的防控网络。③建立健全防控绿色通道,建立综合的预防艾滋病母婴传播咨询、检测、治疗和关怀服务的防控体系。
Objective: To explore the operation mode and service mode of prevention of mother-to-child transmission of AIDS in Jiangmen city and to provide a scientific basis for building a scientific and rational municipal prevention and control network. Methods: The mode of operation and service for prevention of mother-to-child transmission of HIV / AIDS in Jiangmen City are as follows: ① The leaders should pay attention to the responsibilities and supervise the supervision. ② use of three maternal and child health networks, the establishment of information management system. ③ Strengthen the maternal and child health institutions, job functions, do a good job of professional team building. ④ To establish a green channel for prevention and control, provide free consultation services and some free HIV tests for women who are engaged in marriage, pregnancy and childbirth, and provide free drug treatment and follow-up and testing services for HIV-positive pregnant women and their babies born. Results: (1) Of all the 91 midwifery health care institutions in the city, the first-class health-care facilities at the secondary level or above have conducted 100% HIV screening tests; 70.5% above the first class or above the township level. ② From January 2006 to November 2007,82274 cases of pregnant women receiving HIV screening test, the detection rate was 89.58%. ③ HIV positive detection rate of 6.81 / million. Conclusion: ①The government and health administrative departments should play a leading role in ensuring that special funds are invested and publicity and popularization are promoted, so as to create a smooth atmosphere for prevention and control work. ② Give full play to the role of tertiary health care network to form a prevention and control network to prevent mother-to-child transmission of AIDS and maternal and child health services. ③ Establish and improve the prevention and control of green channels and establish a comprehensive prevention and control system for the prevention of mother-to-child transmission of HIV / AIDS counseling, testing, treatment and care services.