Implementation of a "County-Township-Village" Allied HIV Prevention and Control Intervention in Rural China
Implementation of a "County-Township-Village" Allied HIV Prevention and Control Intervention in Rural China
复制标题
中国农村“县乡村”联动艾滋病防治干预措施的实施
DOI：
10.1089/apc.2017.0113
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发表时间：
2017
影响因子：
4.9
通讯作者：
Liang Hao
中科院分区：
文献类型：
--
作者：
Yu Jun;Zhang Yi;Jiang Junjun;Lu Qinglin;Liang Bingyu;Liu Deping;Fang Keyong;Huang Jiegang;He Yang;Ning Chuanyi;Liao Yanyan;Lai Jingzhen;Wei Wudi;Qin Fengxiang;Ye Li;Geng Wenkui;Liang Hao
In China, rural areas are a weak link of HIV/AIDS prevention and control. From September 2011, an innovative “county-township-village” allied intervention was implemented in Longzhou County, Guangxi, which assigned the tasks of HIV/AIDS prevention and control to the county Centers for Disease Control and Prevention (CDC), township hospitals, and village clinics, respectively, instead of traditional intervention in which the county CDC undertook the entire work. A 6-year consecutive cross-sectional survey, including 3-year traditional intervention (2009–2011) and 3-year innovative intervention (2012–2014), was conducted to evaluate the effects of the new intervention. Compared to traditional intervention, the innovative intervention achieved positive effects in decreasing risky behaviors. Among female sex workers, condom use rate in the last month increased from 72.06% to 96.82% (p< 0.01). Among drug users, having commercial sex rate in the last year reduced from 17.20% to 5.94% and condom use rate increased from 14.06% to 76.09% (p< 0.01). The risk ratio of HIV infection during innovative intervention was 0.631 (95% confidence interval 0.549–0.726) compared with traditional one. Cost-effectiveness analysis indicates that innovative intervention restores each disability-adjusted life year costing an average of $124.26. Taken together, Longzhou's innovative intervention has achieved good effects on HIV/AIDS prevention and control and provides a good reference for rural China.
