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目的:分析某艾滋病高流行县预防母婴传播技术培训资源投入与利用情况。方法:收集研究地区2003～2006年预防艾滋病母婴传播技术培训资源投入情况,随机选取4所二级医疗机构和4所乡卫生院,收集人员培训信息,计算例均培训费用;运用χ2检验,比较培训覆盖率差异。结果:研究地区共计投入51.72万元用于预防艾滋病母婴传播技术培训,投入逐年增长,培训4571人次,县级培训人次占63.27%;例均培训费用为113.15元。二级医疗机构和乡级医疗机构培训覆盖率分别为62.77%和52.66%,二者之间差异有统计学意义。同一级别医疗机构中,不同技术类别服务提供者接受培训的比例有差异,妇产科护士受训比例最低(P<0.001)。结论:研究地区预防艾滋病母婴传播能力建设资源的投入使得能力建设覆盖面得到了扩大。
Objective: To analyze the input and utilization of training resources for preventing mother-to-infant transmission in a high-endemic AIDS-related counties. Methods: The input of training resources for prevention of mother-to-child transmission of HIV / AIDS in the study area from 2003 to 2006 was collected. Four secondary medical institutions and 4 township health centers were selected randomly to collect training information and calculate the average training costs. By using χ2 test, Compare training coverage differences. Results: In the study area, a total of RMB 514,200 yuan was invested to prevent mother-to-infant transmission of HIV / AIDS. The investment in this area increased year by year, with 4571 trainees and 63.27% of county-level trainees. The average training cost was 113.15 yuan. The coverage rates of training at secondary medical institutions and township medical institutions were 62.77% and 52.66%, respectively, with significant differences between the two. In the same level of medical institutions, there are differences in the proportion of trained service providers in different technical categories, with the lowest proportion of nurses trained in obstetrics and gynecology (P <0.001). Conclusion: The investment in resources for HIV / AIDS prevention and treatment of mother-to-child transmission capacity in the study area has expanded the capacity-building coverage.