新疆霍城县HIV阳性妇女和受艾滋病影响儿童社区关爱模式探索性研究

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目的探索新疆霍城县针对艾滋病病毒(HIV)阳性妇女和受艾滋病影响儿童积极有效的关爱模式,为霍城县进一步降低艾滋病母婴传播提供科学依据。方法以霍城县妇幼保健三级网络为依托,以妇幼保健常规工作为平台,在联合国儿童基金会的支持下,在艾滋病病毒感染者生活的社区开展多种形式的HIV阳性妇女和受艾滋病影响儿童的社区关爱活动。结果 HIV阳性孕产妇接受预防艾滋病母婴传播服务主动性增强,阳性产妇接受母婴阻断服务的比例由2007年的73%提升到2008年的91%和2009年的93%;阳性妇女艾滋病防治、抗病毒治疗、预防艾滋病母婴传播及儿童喂养等知识得到提高,参加活动的阳性妇女艾滋病知识知晓率为98%,明显高于没有参加过关爱活动的阳性妇女(68%)。结论针对霍城县HIV阳性妇女和受艾滋病影响儿童进行社区关爱,对降低母婴传播是积极可行的措施。 Objective To explore a positive and effective care model for HIV-positive women and AIDS-affected children in Huocheng County, Xinjiang Province, and provide a scientific basis for further reducing the mother-to-child transmission of AIDS in Huocheng County. Methods Relying on the three-level network of Maternal and Child Health Care in Huocheng County and taking the regular maternal and child health work as a platform, with the support of UNICEF, various forms of HIV-positive women in the communities where people living with HIV are infected and affected by AIDS Children’s community care activities. As a result, the proportion of HIV-positive mothers receiving HIV / AIDS mother-to-child transmission services was increased, and the percentage of positive mothers receiving mother-child immunization services increased from 73% in 2007 to 91% in 2008 and 93% in 2009; HIV positive women , Awareness of anti-virus treatment, prevention of mother-to-child transmission of HIV / AIDS and child feeding were improved. The awareness rate of HIV / AIDS among the positive women participating in the activity was 98%, significantly higher than that of the positive women (68%) who did not participate in the caring activities. Conclusion Community care for HIV-positive women and children affected by AIDS in Huocheng County is a viable and feasible measure to reduce mother-to-child transmission.
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