【作者】 殷小寒；

【导师】 姜润生； 周梅；

【作者基本信息】 昆明医学院 ， 社会医学与卫生事业管理， 2010， 硕士

【摘要】 研究目的：立足于云南省城镇社区预防控制艾滋病健康促进活动的开展情况,了解云南省社区预防艾滋病健康促进过程中政策、经费、组织管理、能力建设、宣传教育活动的开展、居民参与等支持性环境因素的现状,以及影响支持性环境的因素,为今后更好的开展预防艾滋病健康促进活动提供科学依据。研究方法与内容；本研究在文献研究的基础上,采用定性与定量相结合的方法,通过问卷调查和个人深入访谈,对云南省6个社区预防艾滋病健康促进开展过程的支持因素进行了现况调查。了解社区防制艾滋病健康促进开展过程中：艾滋病相关政策、经费支持、组织管理、卫生人员和社区管理人员的能力建设、艾滋病宣传活动的开展、居民的参与等现状。研究结果：6个调查点在艾滋病相关政策落实上都做得较好,但只有临翔区和思茅区有艾滋病相关政策的细化和创新；都存在经费不足的问题；只有昭阳区和西山区设立了健康教育科；都有艾滋病防制活动计划和明确的工作职责,并强调督导和评估工作,但部门之间不够协调配合；艾滋病健康教育人员缺乏,相关工作人员得到培训的较少,且时间较短；各地均开展了多种形式的艾滋病宣传教育活动,但针对特殊人群的较多,而针对大众的宣传活动较少；宣传材料的编写不符合需求,没有适合少数民族群众的宣传材料；居民的参与性有待提高。结论和建议：完善艾滋病相关政策、法规,指导防艾工作顺利开展；加大地方政府投入的基础上,积极争取国际国内艾滋病合作项目；政府主导、多部门配和广泛开展艾滋病宣传活动；加强卫生人员和社区管理人员队伍建设、能力建设；有针对性的开发宣传材料、开展宣传活动,调动居民参与积极性。更多还原

【Abstract】 Objective:To investigate the current status of HIV/AIDS prevention and promotion activities in townships of Yunnan Province, China. More specifically, to clarify and further understand the current status of supporting environmental factors, including the policies, funding, organization and management, capacity building, promotion and education activities,participation. As well as analyzing the factors which are most important to supporting environment.As such, this study will be able to provide a sound scientific basis for the development of HIV/AIDS prevention and promotional activities in the future.Methods & Content:The methodology for this study includes literature reviews, qualitative and quantitative methods, analysis with questionnaires and personal interviews. It investigated the current status quo of AIDS-related policy, funding support, organizational management, health personnel and their capacity building, promotion activities and participation in 6 sites of Yunnan.Results:Six study sites all implemented HIV/AIDS related policy, but only Linxiang district and Simao district made some adjustment and innovation; lacking of funding was the common problem for six sites; only Zhaoyang district and Xishan district had an established health education department;all had HIV/AIDS prevention activities planned, had a clear target for their program, and had supervision and evaluation programs,but there was lack of multi-sectorial collaboration; Moreover, HIV/AIDS health promotion personnel was in a shortage and training they got was inadequate; most of the existing programs only targeted specific groups,health promotion for the general public was lacking; some educational materials din’t meet residents’needs, some were not suitbale for ethnic minorities.Finally, participation of residents need to be strengthened.Conclusions and Recommendations:Standardize HIV/AIDS-related policies and regulations to ensure the development of prevention activities; to seek cooperation with international and domestic actors to address the lack of funding; to utilize government-led, multi-sectorial publicity campaign on HIV/AIDS; to improve knowledge and skill of health personnel and teambuilding capacity; to develop suitable promotional material, and encourage residents to participate in HIV/AIDS prevention activities.更多还原