A Study On The Cooperative Relationship Between Social Organizations And Disease Prevention And Control Institutions In AIDS Prevention And Control Community

Background:With the development of AIDS prevention and control work, through participation in the Global Fund, the cover projects, social mobilization and local government support for the project to purchase services, more and more social organizations to participate in AIDS prevention and control work, and the disease prevention and control to establish a close and complex relationship. In this relationship, CDC and social organizations to provide the necessary technical guidance and support, social organizations and supplements to make up for the deficiency and lack of hard to reach part of the population of CDC staff. The project will define the relationship between various social organizations currently involved in AIDS work by CDCs produced for partnership. This partnership includes not only bilateral relations in the process of cooperation to be gradually built up to analyze the pattern of cooperation carded, including the interaction of the various stakeholders and between the parties for such relations. China is in the Global Fund to withdraw from China, the state is studying the occasion of the establishment of social organizations participating funds, social organizations, especially the cooperation between the social organizations and CDC will greatly influence the future of Chinese social organizations in AIDS the development and effectiveness of prevention, very important research value and practical significance. Through literature review found that there is currently no specialized system of cooperation for the relationship between a certain field of social organization and technical support organizations. In this study, understand the relationship between social organizations in the field of AIDS and disease prevention and control mechanism to start, in-depth analysis of the state of cooperation social organizations and disease prevention and control institutions, research knowledge and attitudes between the two sides of this relationship, this relationship made perfect policy recommendations. This new model will not only help to promote social organizations and disease prevention and control agencies to better cooperation, jointly cope with AIDS, but also conducive to explore new ways of government purchase of social forces to provide public services, innovation and social organizations to provide public service provision.Objectives:To understand the issues involved in the current status of the relationship between AIDS community social organizations and disease prevention and control, carded various existing partnership model, analyze the relationship between the two sides understanding and attitudes towards the status of this relationship, the presence of and solutions Measures proposed to improve cooperation between policy recommendations.Methods:In this study, the literature review, basic information and expert advice on the sort of status quo of social organizations and CDC partnership to sort out and summarized existing partnership/mode, then follow both the epidemic, social organizations and regional development and other factors the principle in Yunnan, Jilin and Jiangsu provinces site survey, to collect information about community social organizations and CDC partnership quantitative and qualitative information, analyzes the main form or mode partnership between the two sides, as well as the current status of cooperation between the two sides of the partnership knowledge, attitudes situation and improve the organization to participate in social development and the promotion of cooperation between policy recommendations. Quantitative data were entered using epidata using SAS statistical analysis and excel.Results and analysis:1.The basic situation of partnershipNearly 50% of Yunnan CBOs have already registered, significantly more than other provinces. Jiangsu CBO services, mostly in urban areas, mainly in cooperation with the municipal CDC. CBO’s service people are mainly MSM, PLWHA, IDU and CSW population (total from more to less). Foreigners have not received CDC funding for support services, reflecting differences between the two sides work tasks and needs. The main areas of cooperation for the education, behavioral intervention and testing and counseling; CDC does not fund individual CBO Yunnan livelihood development services undertaken reflects CBO CDC and there are differences in terms of specific areas of cooperation set. Yunnan CBO broader sources of funding,50% CBO mainly to foreign capital, Jilin and Jiangsu CBO major projects to apply for government and CDC. Yunnan CDC provide office space for the CBO significantly more than other provinces, this situation with the local AIDS-related characteristics and policy support.2. Relationship mode analysis(1) The main types of cooperation between the CBO and services purchased directly CDC, CDC hosted bear CBO funds, CDC provides technical support three. CDC CBO direct purchase of most services, management of funds entrusted to CDC mode more, reflecting CBO most provinces have not yet registered, you need to CDC funding hosting. No other relationship types.(2) Both sides want to establish a more extensive cooperative relationship mode, you can select a different partnership model based on the actual situation and the specific job requirements. Provinces next most desirable model to establish relations of cooperation are directly purchased CDC CBO services (50.0%-72.9%), well above the 3.3 percent realities-12.6%. It also reflects the CBO for the organization as well as the legal status of the urgent need to CBO funds to CDC hosted in reimbursement issues dissatisfaction.3. Awareness and attitudes of CDCs and CBOs for partnership situation(1) 96.1% of CDCs and 94.4% of CBOs believe cooperative relationship between the two is essential to the partnership in which the CBO very satisfactory 44.4% is much higher than CDC15.7%, "very satisfied and satisfied" with the CDC (3.92% and 17.65%), well below the CBO (20.83% and 45.83%), seriously affecting satisfaction, CBO reliance on CDC funding and technology, and CDC more equal, respectful attitude makes CBO higher satisfaction.(2) 75% of CDC and 89% of CBO support CDC directly purchase of services; 98% CDC and 92% CBO support CDC provides technical support,62% CDC and CDC funds 65% CBO hosting support; hosting parties for funding are relatively slightly negative, reimbursement issue is perhaps the main obstacle; in addition,74.5% CDC and 70.8% CBO that although the current registration difficulties, but still is the future trend.(3) 43.06% of CBOs and 21.57% of CDCs "very supportive" CDC verification CBO data and submitted to the national database. CDC:CBO difficult to guarantee data quality, increased workload; CBO:hope in this way into the country’s AIDS prevention systems, reflecting the effectiveness of the work.In conclusion(1) CDC and the CBO has established a stable and close relations of cooperation. Despite their high degree of recognition for the partnership, but there are still many aspects to further improve and standardize.(2) The case of a variety of partnership models will continue to coexist, both sides prefer to buy directly CDC partnership model types have separate accounts CBO services.(3) The relationship between both sides of the CBO role in AIDS prevention work involved in giving a higher rating, but relative to the CBO aspects CDC staff recognition of its ability and role to be further improved.(4) Having not yet obtained legal status of CBO future trends in the application for registration is widely recognized between the two sides, but there is a lack of effective social organizations incubators.(5) CBO more willing to accept CDC data verification and reported to the national database.Policy Recommendations(1) Promote CDC and the further improvement and development of cooperation between the CBO to provide the necessary support and protection for the community AIDS organizations to participate effectively.(2)To further clarify the CDC organizations involved in the promotion of social responsibility positioning of AIDS.(3) To take positive measures to strengthen the capacity building of CBO.(4)Establish a communication mechanism and sound between CDC and the CBO, promote information exchange and sharing.