社区开展孕前孕产期PITC实施HIV母婴阻断效果剖析.docVIP

社区开展孕前孕产期PITC实施HIV母婴阻断效果剖析 　　【摘要】 目的 分析城乡结合社区开展孕前孕产期医务人员主动提供人类免疫缺陷病毒（HIV）检测咨询（PITC）实施母婴阻断的效果， 探讨预防HIV母婴传播综合性干预模式。方法 对3042名新婚或怀孕夫妇开展PITC并动员配偶参与检测， 比较PITC前、后夫妇双方对艾滋病母婴阻断防治的知晓率、自愿接受HIV检测率和对预防艾滋病宣传的认可变化， 分析PITC对城乡结合社区实施母婴阻断的效果。结果 开展孕前孕产期PITC， 新婚或怀孕夫妇双方对艾滋病母婴阻断防治的知晓率、自愿接受HIV检测率和对预防HIV母婴传播宣传的认可度较PITC前均显著提高， 流动人群更为显著， 发现的HIV阳性者经及时转介， 母婴阻断成功。结论 城乡结合社区开展孕前孕产期PITC并动员配偶参与检测对于实施HIV母婴阻断效果明显， 但覆盖面有待扩大。 　　【关键词】 孕前；孕产期；检测咨询；人类免疫缺陷病毒；母婴阻断 　　DOI：10.14163/j.cnki.11-5547/r.2015.17.193 　　Effect analysis of community implement of progestation and pregnancy PITC and HIV prevention of mother to child transmission LIANG Ye-qiong， XIE Man-rong， WANG Yi-qin. Guangzhou City Baiyun District Huangshi Street Communtiy Health Service Center， Guangzhou 510425， China 　　【Abstract】 Objective To analyze the effect of prevention of mother to child transmission of active progestation and provider-initiated human immunodeficiency virus （HIV） testing and counseling （PITC） by medical staff in urban-rural integration community， and to investigate comprehensive intervention mode of prevention of mother to child transmission of HIV. Methods PITC was applied in 3042 newlyweds or pregnant couples. Their acknowledge rate of HIV prevention of mother to child transmission， voluntary HIV inspection rate， and changes of acknowledge for prevention HIV propaganda were compared before and after PITC. Effect of PITC for prevention of mother to child transmission in urban-rural integration community was analyzed. Results After implement of PITC， acknowledge rate of HIV prevention of mother to child transmission， voluntary HIV inspection rate， and changes of acknowledge for prevention HIV propaganda in newlyweds or pregnant couples were all significantly improve than those before PITC. Improvement was much obvious in migrant population. Prevention of mother to child transmission was successful after timely referral for positive HIV patients. Conclusion Implement of progestation and pregnancy PITC and mobilization in