文档介绍：Expanding VCT among MSM in China: Opportunities for Innovation? 在中国 MSM 中推广自愿咨询检测(VCT):是创新机遇吗?
James W. Dilley, MD
James W. Dilley 医学博士、
Professor of Clinical Psychiatry
临床精神医学教授、
Vice-Chair, UCSF Dept. of Psychiatry
UCSF(旧金山加州大学)精神医学学院副院长
Chief of Psychiatry, SF General Hospital and Executive Director, UCSF AIDS Health Project
兼 UCSF 艾滋病卫生项目精神医学专家,旧金山总医院院长兼主任
Acknowledgements 致谢
Willi McFarland, MD, PhD
Willi McFarland 医学博士
Mary Kamb, MD, CDC
Mary Kamb 医学博士,疾病控制中心
Bill and Melinda Gates Foundation
Bill and Melinda Gates 基金会
Goals for today: 今天的目标:
Briefly review our HIV C & T program in SF--are there any applicable lessons?
简要回顾旧金山的 HIV 咨询与检测项目—是否可以从中吸取适用的经验教训?
Briefly review some e data on counseling associated w/testing
简要回顾一些有关检测的咨询效果数据
Propose some topics for further discussion
为进一步讨论提议若干主题
Background 背景
began ATS in 1985 munity health clinics; served over 250K people for HIV since
1985 年,率先开始在社区卫生诊所使用 ATS(收集追踪系统);自成立以来,为超过 25 万人次提供了艾滋病服务
Began w/group “pre-test counseling”(video w/Q & A) and individual post-test results focused on RR counseling
最早提供群体“检测前咨询”(视频问答)和着重于 RR 咨询的个体检测后结果服务
Since: multiple changes including indiv pre/post counseling; addition of other services including mobile testing; confidential testing; partner notification/”Letting Them Know”; on-site STD screening/tx services; formal linkage to care service; Hepatitis A/B ines;RNA testing
起始:包括个人检测前后咨询在内的许多变化;包括流动检测在内新增的其他服务;保密检测;性伴侣通知/“让伴侣知晓”;性病现场检查服务;护理服务官方联接;甲肝/乙肝疫苗;RNA(核糖核酸)检测
Telephone appointments and Marketing
电话约诊和营销
Early HIV Testing Ad in Gay Press, 1986
Gay Press(同性恋杂志)上的早期 HIV 检测广告, 1986 年
AIDS cases: ~30,000
艾滋病病例:约 30,000
Living with HIV: ~18,000
HIV 携带者:约 18,000
New infections: ~8-900 per year
新感染者:每年约 8-900
HAART: ~75%
MSM: ~90%
Tenderloin
田德隆区
Castro
卡斯特罗
Location, Location, Location!
位置,位置,位置!
Mobile, Community Based HIV Testing
基于社区的 HIV 流动检测
Individual tents; Individual Counseling...
单独帐篷;单独咨询…
Example of “added value” Service: Linkage to