山東省艾滋病防治體系研究
本文選題:山東省 + 艾滋病 ; 參考:《山東大學(xué)》2007年碩士論文
【摘要】: 山東省自1992年在歸國勞務(wù)人員中發(fā)現(xiàn)首例艾滋病病毒感染者以來,截至2005年6月30日,累計(jì)報(bào)告艾滋病病毒感染者653例,艾滋病病人183例,死亡98例。目前,山東省艾滋病病毒感染者和發(fā)病人數(shù)呈快速增長趨勢,感染者以青壯年和農(nóng)民為主,傳播途徑以血液傳播為主,但三種艾滋病傳播途徑均已出現(xiàn),預(yù)示著艾滋病在山東省的傳播有可能進(jìn)一步加快。面對這樣的形勢,山東省委、省政府高度重視艾滋病預(yù)防與控制工作,成立了艾滋病防治領(lǐng)導(dǎo)小組,建立了省政府艾滋病性病協(xié)調(diào)會議制度,明確了各成員單位工作職責(zé),設(shè)立了艾滋病防治專項(xiàng)經(jīng)費(fèi),同時山東省疾病預(yù)防控制中心爭取了多項(xiàng)國際合作項(xiàng)目。目前我省艾滋病防治工作已經(jīng)取得了初步的成效,各相關(guān)部門成立了相應(yīng)的機(jī)構(gòu)或組織進(jìn)行艾滋病的宣傳和干預(yù)活動,教育、民政、共青團(tuán)、公安等部門積極配合,為全省艾滋病的防治工作起了積極作用。全省建立了艾滋病防治示范區(qū),在示范區(qū)的基礎(chǔ)上,總結(jié)經(jīng)驗(yàn),發(fā)現(xiàn)問題,為全省艾滋病防治的整體推進(jìn)提供參考。 但艾滋病防治工作與其他疾病的防治工作相比,有其社會性、綜合性、復(fù)雜性、協(xié)調(diào)性、保密性和成績不顯現(xiàn)性等特點(diǎn),其具體工作涉及艾滋病知識的宣傳、領(lǐng)導(dǎo)層的開發(fā)、業(yè)務(wù)人員的培訓(xùn)、艾滋病人的監(jiān)測和評價(jià)體系的建立、艾滋病的行為干預(yù)及效果評價(jià)、艾滋病防治藥品的采購與發(fā)放、艾滋病病人的治療和管理、艾滋病防治的科學(xué)研究以及艾滋病病人及家庭的救助等社會性工作。工作量大且相互交叉,而全省從事艾滋病防治的人員有限,加上艾滋病防治工作又有許多新問題,工作人員難以在短期內(nèi)適應(yīng),在此背景下,僅僅依靠疾控中心的力量是難以有效完成艾滋病防治任務(wù)的,因此有必要對我省艾滋病防治體系進(jìn)行思考和研究。 基于上述背景,本研究的主要目的是通過對國際上艾滋病防治經(jīng)驗(yàn)和成功體系的總結(jié)與借鑒,在對山東省艾滋病防治形勢以及現(xiàn)有艾滋病防治相關(guān)部門資源的分析和評估的基礎(chǔ)上,結(jié)合艾滋病防治工作特點(diǎn)和性質(zhì),依靠現(xiàn)有衛(wèi)生服務(wù)體系,通過調(diào)整和整合,構(gòu)建出一套供各級政府、政策制定者和政策執(zhí)行者參考借鑒,各相關(guān)部門和單位接受統(tǒng)一領(lǐng)導(dǎo),統(tǒng)一目標(biāo),責(zé)任明確,溝通暢通,分工合作,相互配合的艾滋病防治體系;探討艾滋病防治體系的科學(xué)性和可行性,為領(lǐng)導(dǎo)決策提供參考依據(jù)。本項(xiàng)目采用了情景分析法、文獻(xiàn)復(fù)習(xí)法、現(xiàn)場調(diào)查法、關(guān)鍵任務(wù)訪談法和專家咨詢法等多種研究方法。 結(jié)論:山東省艾滋病防治體系包括艾滋病防治的組織體系體系;艾滋病的監(jiān)測、檢查、預(yù)測體系;艾滋病的宣傳、干預(yù)體系;艾滋病的醫(yī)療救助體系與艾滋病病人的救助和幫扶體系;艾滋病防治藥品的采購和發(fā)放體系;艾滋病病人的管理體系共六個部分。
[Abstract]:Since the first HIV infection was found among the returned labor workers in Shandong Province in 1992, as of June 30, 2005, 653 cases of HIV infection, 183 cases of AIDS patients and 98 cases of death have been reported. At present, the number of people infected with HIV and the number of people suffering from AIDS in Shandong Province show a rapid growth trend. The infected people are mainly young and middle-aged and farmers, and the main routes of transmission are blood transmission. However, all three ways of AIDS transmission have emerged. Augur that the spread of AIDS in Shandong Province is likely to accelerate further. In the face of such a situation, the Shandong Provincial Committee and the provincial government attach great importance to the work of AIDS prevention and control, set up a leading group for AIDS prevention and control, established the coordination meeting system of the provincial government on AIDS and sexually transmitted diseases, and clarified the work responsibilities of each member unit. Set up AIDS prevention and control special funds, at the same time Shandong Centers for Disease Prevention and Control for a number of international cooperation projects. At present, the prevention and control of AIDS in our province has achieved initial results. Relevant departments have set up corresponding agencies or organizations to carry out AIDS propaganda and intervention activities, education, civil affairs, Communist Youth League, public security and other departments actively cooperate. For the province's AIDS prevention and control work has played a positive role. A demonstration area of AIDS prevention and control was established in the province. On the basis of the demonstration area, the experiences were summarized and the problems were found, which provided a reference for the overall promotion of AIDS prevention and control in the whole province. However, compared with other diseases, AIDS prevention and control work has the characteristics of sociality, comprehensiveness, complexity, coordination, confidentiality and non-manifestation of achievements. Its specific work involves the promotion of AIDS knowledge and the development of leadership. Training of business personnel, establishment of monitoring and evaluation system for AIDS patients, conduct intervention and effectiveness evaluation of AIDS, procurement and distribution of AIDS drugs, treatment and management of AIDS patients, AIDS prevention and treatment of scientific research and AIDS patients and family assistance and other social work. The workload is large and intersecting, and the limited number of personnel engaged in AIDS prevention and treatment throughout the province, coupled with many new problems in the prevention and treatment of AIDS, make it difficult for staff to adapt in the short term. In this context, It is difficult to effectively accomplish the task of AIDS prevention and control by relying on the strength of CDC, so it is necessary to think and study AIDS prevention and control system in our province. Based on the above background, the main purpose of this study is to sum up and learn from the international experiences and successful systems of AIDS prevention and control. On the basis of the analysis and evaluation of the situation of AIDS prevention and treatment in Shandong Province and the resources of the existing AIDS prevention and control departments, combining the characteristics and nature of AIDS prevention and control work, relying on the existing health service system, through adjustment and integration, Construct a set of AIDS prevention and control system for all levels of government, policy makers and policy implementers for reference, all relevant departments and units accept unified leadership, unified goals, clear responsibilities, smooth communication, division of work and cooperation, and cooperate with each other. To explore the scientific and feasibility of AIDS prevention and control system, to provide a reference for leadership decision-making. Situation analysis, literature review, field investigation, key task interview and expert consultation are used in this project. Conclusion: the AIDS prevention and treatment system of Shandong Province includes the organization system of AIDS prevention and treatment, the surveillance, examination and prediction system of AIDS, the propaganda and intervention system of AIDS; The medical aid system of AIDS and the aid and support system of AIDS patients; the procurement and distribution system of AIDS prevention and treatment drugs; and the management system of AIDS patients have six parts.
【學(xué)位授予單位】:山東大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2007
【分類號】:R183
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