妇幼卫生人员艾滋病相关知识培训效果分析.docVIP

妇幼卫生人员艾滋病相关知识培训效果分析 【摘要】 目的 了解云南省部分县(市)妇幼卫生人员接受艾滋病母婴传播阻断专业知识及技能培训的效果。方法在云南省47个县(市)的414名妇幼卫生人员中进行培训前评估，并于培训1年半后抽取107名卫生人员进行问卷调查。结果培训后，妇幼卫生人员对艾滋病基本知识及防护知识知晓率明显提高，比如对“窗口期”、蚊虫叮咬能否传播、传播机率最高的传播途径和常用消毒药品可以杀灭人类免疫缺陷病毒(HIV)回答的正确率分别从68.1％，83.6％，69.1％和61.6％提高到95.3％，100％，90.7％和94.4%。对有关艾滋病自愿咨询检测(VCT)和母婴传播阻断知识回答正确率显著提高，对孕产妇VCT免费与否、谁是阳性结果告知对象和母婴传播能否阻断回答的正确率分别从77.4％，39.7％和78.4％提高到99.1％，81.3％和98.2％。对HIV感染者的恐惧和歧视态度明显改善；害怕与HIV感染者接触的人群 比率从36.4％下降至11.2％。结论以理论结合实践为目标的系统专业培训模式明显提高了妇幼卫生人员艾滋病防治知识，并缓解了对HIV感染者的恐惧和改善了对HIV感染者的歧视。 【关键词】 妇幼卫生人员；艾滋病；母婴传播 Effects of maternal and child health workers training on prevention of mothertochild transmission of HIV SHANG Li,LI Yan,ZHANG Wei. School of Public Health,Kunming Medical College (Kunming 650031,China) Abstract： Objective To evaluate the effects of maternal and child health(MCH) workers training on the knowledge and skill about the prevention of mothertochild transmission of HIV in Yunnan.Methods The same questionnaire survey was conducted to 414 MCH workers in 47 counties of Yunnan before the training and to 107 MCH workers sampled from the trained subjects after one and a half year.Results The awaneness rates of basic knowledge on HIV/AIDS and knowledge concerning personal protection were raised after training.The rates of correct answers to the questions such as the window period,whether mosquito bites transmitting HIV,the transmission route with the highest odds and common disinfectors can kill HIV were raised from 68.1%,83.6%,69.1% and 61.6% to 95.3%,100%,90.7% and 94.4% respectively.The awareness rates of the voluntary consulting testing(VCT) and the prevention of mothertochild transmission of HIV were raised significantly after training.The correct rates of answering questions such as VCT for pregnant and lyingin women is free or not,who is the objective to be told the positive result of a HIV test and mothertochild transmission of HIV can be prevented or not were raised from 77.4%,39.7% and 78.4% to 99.1%,81.3% and 98.2% respec