Current Situation And Strategies Research Of The Resident Participation In The Community-bansed AIDS Prevention And Control Works In Yunnan Province

Objective: To investigate the current situation of the resident participation in thecommunity-based AIDS prevention and control works in Yunnan Province to discover and promote the effective methods for encouraging the residents participate in the AIDS prevention and control activities while providing the accessible basis of strategies and decision of further developing community based AIDS Prevention and Control works.Methods: This research uses the epidemiological status investigation to collect data by the methods of quantitative structured questionnaire (community residents) and qualitative in-depth interviews with individuals (management personnel and staffs of the AIDS Prevention and Control related departments).Bases on the theoretical framework, studying the current urban residents participation situations of the AIDS Prevention and Control works from the network, resources, information providing, decision-making opportunities perspectives respectively. To explore the existing problems and shortcomings of the residents participation of the AIDS Prevention and Control works.Results and Discoveries: Community residents have strong sense of identity but the multi-level communication network did not being established in the community yet. The sense of identity of the non-local registered permanent residence was significantly lower than the local residents; the residents with lower incomes have relatively higher sense of identity. Accessible resources of community based AIDS prevention and control: Community was lack of funds and facilities which was necessary for AIDS prevention publicity activities; lack of healthcare person with proper knowledge and skills; the level of cross department cooperation was low and there was no efficient supporting policy which caused difficulty between departments coordination. The notice board, handbook, lecture were still the main methods for publicity and the time of the activities was not being properly arranged. The community based AIDS Prevention and Control information providing: The residents' evaluation of the community based AIDS Prevention activities was relatively high; different residents had significantly different requirements of AIDS Prevention publicity materials (p<0.05) ; Residents were lack of decision making opportunities; execution and encouragement were the main mode for residents to be involved in the activities. Residents had objectively understanding of AIDS Prevention and Control works and they acknowledged it psychologically but the actual participation rate reminded low. The occupation of the residents, how many people did they know in the community, the help they received from the community, the acknowledge and satisfaction of the AIDS prevention activities, the sense of necessity of mastering the AIDS knowledge were all affecting if the residents would or would not take part in the AIDS prevention and control activities.Strategies and suggestions: To optimize the community supporting network: create a good supportive community environment, strengthen the cohesion of the community, emphasize the participation rights of the non-local registered permanent residences and the request of the residents with lower incomes to improve their enthusiasm of taking part in the AIDS prevention activities. To use all the accessible community resources: count the related expenses in the local budget, develop the way of financing actively, build a stable community team and strengthen the human resources management; build a AIDS prevention and control structure "lead by the department of health and assisted by the participation of many other departments." To take the participation status of government departments as part of the performance evaluation, choose reasonable publicity and education time; rely on the non-governmental organizations and projects for more funds and resources and for sustainable development of the activities.To strengthen the communication and information distribution, develop different publicity documents towards different people through Participation Needs Assessment to satisfy the actual needs of the residents. Fully discover the local culture resources publicizing the knowledge of AIDS prevention in the way which the local residents are delighted to hear and see. To discusse the AIDS prevention and treatment in ethics respect, lead the residents to care, to help and to treat the HIV/AIDS patient right, build a harmonious community environment. To Provide enough decision making opportunities. To improve the level and effects of AIDS prevention and control activities, To build a platform to make residents change their attitude from "I have to participate" to "I want to participate".