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目的对大型劳教所开展艾滋病羁押人员集中管理的现状进行分析,并探讨其如何进一步完善管理的对策。方法从2008年起,广东省将全省司法系统劳教所艾滋病感染者羁押人员大部分集中在佛山市三水区4所省属大型劳教所进行管理。通过一系列规范管理后,采用国家艾滋病防治督导评估的核心指标对其运作的现状进行评估,并对存在的问题提出对策。结果集中管理工作开展以来,劳教所各项艾滋病管理指标有显著提高。其中,劳教所艾滋病感染者随访率从2007年12月的64.42%上升到2010年12月的98.83%;CD4检测率则从24.04%上升96.44%。但是,仍存在抗病毒治疗滞后,出所后随访管理存在困难以及所内医疗卫生资源配置相对缺乏等问题。结论大型劳教所艾滋病羁押人员集中管理对有效落实羁押人员艾滋病关怀救助政策有良好的效果,但仍需进一步加大投入,完善所内医疗资源配置,制定配套政策,加强与地方卫生部门的合作。
Objective To analyze the current situation of intensive management of AIDS detainees in large labor camps and to explore ways to further improve their management. Methods Since 2008, most of the detainees living with HIV / AIDS in the labor camps in the judicial system in the province have been concentrated in the large labor camps in 4 provinces in Sanshui District of Foshan City. After a series of standardized management, the core indicators of national AIDS prevention and control assessment are used to evaluate the status quo of its operation and provide solutions to the existing problems. Since the centralized management of the results was carried out, all HIV / AIDS management indicators of the labor camp have been significantly raised. Among them, the follow-up rate of AIDS-infected persons in labor camps increased from 64.42% in December 2007 to 98.83% in December 2010; and the detection rate of CD4 increased from 24.04% to 96.44%. However, there are still some problems such as the lag of antiviral therapy, the difficulty in follow-up management after leaving the hospital, and the relative lack of allocation of medical and health resources in the institute. Conclusion The centralized management of AIDS detainees in large labor camps has a good effect on the effective implementation of AIDS care and assistance policies for detainees. However, it is still necessary to further increase investment, improve the allocation of medical resources within the labor force, formulate supporting policies and strengthen cooperation with local health authorities.