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吴雨霏, 蓝光华, 冯启明. 广西3市“三位一体”下社会组织参与MSM艾滋病防治[J]. 中国公共卫生, 2020, 36(5): 793-796. DOI: 10.11847/zgggws1125725
引用本文: 吴雨霏, 蓝光华, 冯启明. 广西3市“三位一体”下社会组织参与MSM艾滋病防治[J]. 中国公共卫生, 2020, 36(5): 793-796. DOI: 10.11847/zgggws1125725
Yu-fei WU, Guang-hua LAN, Qi-ming FENG. Effect of non-governmental organization involvement under “three-pronged approach” in HIV/AIDS prevention and treatment among MSM in three cities of Guangxi Zhuang Autonomous Region[J]. Chinese Journal of Public Health, 2020, 36(5): 793-796. DOI: 10.11847/zgggws1125725
Citation: Yu-fei WU, Guang-hua LAN, Qi-ming FENG. Effect of non-governmental organization involvement under “three-pronged approach” in HIV/AIDS prevention and treatment among MSM in three cities of Guangxi Zhuang Autonomous Region[J]. Chinese Journal of Public Health, 2020, 36(5): 793-796. DOI: 10.11847/zgggws1125725

广西3市“三位一体”下社会组织参与MSM艾滋病防治

Effect of non-governmental organization involvement under “three-pronged approach” in HIV/AIDS prevention and treatment among MSM in three cities of Guangxi Zhuang Autonomous Region

  • 摘要:
      目的  分析基于“三位一体”病例发现及管理模式社会组织参与男男性行为人群(MSM)艾滋病防治的实践效果,为今后艾滋病防治策略制定提供依据。
      方法  数据来源于中美艾滋病防治合作项目。围绕90 – 90 – 90目标,对广西壮族自治区南宁、柳州、桂林市2017年4月 — 2019年3月社会组织参与实施的MSM干预项目进行月数据收集与分析,包括HIV初筛检测数、初筛阳性数、确认检测数、确认阳性数、成功转介抗病毒治疗数、病毒载量检测数和病毒达抑制水平的人数。
      结果  3市两年MSM接受HIV筛查检测8 712人,检测覆盖率为46.99 %(8 712/18 541);筛查阳性新发现570人,确证检测率为80.18 %(457/570),确证阳性443人;转介治疗383人,治疗率86.46 %(383/443);97.13 %(372/383)达病毒抑制水平。
      结论  社会组织能有效促进MSM病例发现与管理,对“三个90 %”目标实现起助推作用。

     

    Abstract:
      Objective  To analyze the effect of non-governmental organization (NGO) involvement in prevention and treatment of human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) among men who have sex with men (MSM) under the “three-pronged approach” strategy (management on HIV/AIDS cases identification and treatment comprehensively implemented by disease prevention and control centers, medical institutions, and NGO) and to provide evidences for developing HIV/AIDS prevention and treatment strategies.
      Methods  The data of study were derived from United States Centers for Disease Control and Prevention Global AIDS Program – China Cooperation (GAP) Program – the intervention was implemented with involvements of NGO between April 2017 and March 2019 in three municipalities of Guangxi Zhuang Autonomous Region (Guangxi) and the aim of the intervention was to meet the Joint United Nations Programme on HIV and AIDS (UNAIDS) 90 – 90 – 90 target (to diagnose 90% of all HIV positive people, provide antiretroviral therapy ART for 90% of those diagnosed and achieve viral suppression for 90% of those treated, by 2020). The collected data included monthly number of HIV screening test, HIV positive cases, HIV confirmation test (Western blot, WB), HIV positive cases confirmed by WB, HIV/AIDS cases enrolled for ART, viral load detections among cases with ART, and cases with viral suppression after ART.
      Results  During the three-year period in the three municipalities, totally 8 712 MSM received HIV screening tests and the HIV detection rate was 46.99% among the 18 541 MSM covered by the intervention program. Among the examinees of HIV screening test, 570 were HIV positive, of them, 457 (80.18%) received WB tests and 443 had positive confirmation result. For the 443 WB-confirmed HIV positive, 383 (86.46%) were success-fully referred for ART and viral suppression was achieved among nearly all (97.13%) of the cases receiving ART.
      Conclusion  The involvement of NGO in comprehensive HIV intervention program among MSM can effectively promote the diagnosis of HIV infections and management of cases living with HIV/AIDS to achieve the 90 – 90 – 90 targets.

     

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