The Current Situation And Countermeasure Of Aids Prevention And Control In Henan Province Under The Background Of New Medical Reform

Objective:Henan Province AIDS prevention and control current situation and existing problems in the context ofthe new medical reform, the investigation, find the point of integration of AIDS prevention and controlmode and the new medical reform program, and provide policy recommendations to further improve theHenan AIDS prevention mode.Methods:Using stratified random sampling to select the AIDS epidemic in Henan Province were high, lowShangcai, Queshan and Puyang County as samples of counties. Interviews with samples County health,education, women’s federations and other leaders of relevant departments and staff to conduct in-depthinterviews about AIDS policy to the implementation of medical care, helping rescue activities, as well asthe difficulties encountered in the work and problems, discuss solution. Through a questionnaire survey tocollect the basic information of the sample counties, the level of individual ability of the medical treatmentteam personnel at high risk of AIDS knowledge, condom use and other information. SPSS11.5statisticalanalysis software to establish a database for statistical analysis. Training in survey procedures and datacollection methods for all the investigating officers to ensure the accuracy of data collection and integrity.In the field investigation in strict accordance with the requirements of the investigation to ensure thatinvestigations meet the job requirements to the environment. Timely verification of the questionnairecompleted every day, in order to replenish the investigation. Staff for verification of the completeddatabase.Results:1A sample County situationIt can be seen from the samples County nearly three years of HIV infection, the AIDS epidemic inHenan Province is still on the upswing, but the growth rate is gradually declining; transmitted throughblood, mother to child transmission of infection is declining, but obvious by the sexually transmittedupward trend; AIDS and the patient outflow of the number increase every year; families in single-positive rate of condom use increased year by year, the spouse of a single positive seroconversion rates declining.2Prevention and control(1) In the AIDS community-based integrated management model, disease control department, andtreatment units for medication supervision and follow-up management of the flow of patients and infectedpersons to rely more on the phone. Disease control and prevention and medical treatment institutions is thelack of information communication..(2) Set of specialized AIDS inspection and monitoring bodies, causing part of the population becauseof the feelings, fear of exposure, do not want to do the check.(3) AIDS Control and Prevention and medical treatment personnel in the junior titles more than halfless, intermediate grade, and senior professional titles account for only6.6%. Undergraduate degree, only5.3percent, specialist education, accounting for85.1%, accounted for9.6percent of high school thefollowing academic staff.(4) At high risk of AIDS individual knowledge correct rate of59.5%-98.6%, got it wrong rate of0-19.6%, do not know the rate of0.7%-25.7%. High-risk groups percentile score60points or lessaccounted for4.7%;60-80points accounted for27.1%;80points or above68.2%. Out of41, accountingfor27.7%.(5) High-risk groups, and each time use a condom during sex accounted for61.5%,18.2%never usedcondoms. Positive women of childbearing age in each sex use condoms, only53.6%,34.8%of positivewomen have not used a condom.3Medical treatment(1)2010Shangcai cumulative anti-opportunistic infection treatment the number of5786,209.15yuanper capita monthly expenditure of personal accounts, personal accounts and serious co-ordination overdraftnumber1511, the personal account of overspending671million, serious co-ordination overrun the totalamount of517million; county used anti-opportunistic infection treatment and the total number of752,139yuan per capita monthly expenditure of personal accounts;87personal accounts, overdrafts, the totalamount of108.9818million yuan,31people spent10,000yuan or more, spending the amount of71.4182million yuan, accounted for65.53%of the total amount of expenditures, spending the highest amount of56,766yuan. (2) Of amphotericin B and erythromycin treatment to have a certain effect, but in view of the twoside-effects and adverse reactions are more low usage in the actual work of the anti-opportunistic infectionsfungal infections.(3) Shangcai2009into the second-line drug therapy444，516people in2010，803of960people atthe end of2010into the treatment ineffective. The county used in2009into the second-line drug therapy26201024, the end of2010, the county used to accept743out of antiretroviral therapy43into the second-linedrugs due to poor treatment, accounting into the second-line drug therapy the number of86%.(4) Helping rescue workIn the15sectors surveyed, nine departments mentioned the shortage of funds, lack of manpowerproblems. Six departments have full-time HIV Prevention staff, which the epidemic lower Puyang Countydepartments were not full-time HIV Prevention staff. Queshan County Women’s Federation, the regimentcounty departments average annual AIDS prevention and control of special funds. Puyang County inaddition to the civil affairs departments in each of1000yuan of special funds, the rest of the departmenthad no special funding.Conclusion：Pending further improve the information management system for AIDS patients and infected persons;specialized HIV screening testing organizations disadvantages; AIDS Control and Prevention and medicaltreatment team, personal ability and lower the overall level; high-risk groups Knowledge about AIDS isgenerally high, but awareness and biased behavior, there is spread hidden; low rate of condom use ofhigh-risk groups, the Shuangyang family; anti-opportunistic infection treatment costs gradually increased, alimited range of patient medication; anti-opportunistic infection therapy directory is subject to furtheradjustment; drug resistance to antiviral therapy have become increasingly prominent role of traditionalmedicine has not been fully realized; multisectoral cooperation AIDS and there are limits.