在印尼为MSM和跨性别女性进行同行带领的社区艾滋病毒/梅毒测试,并在七天内进行链接:混合方法评估过程
Sudirman1, Nittaya Phanuphak2, Siti Nadia Tarmizi3
1School of Global Health, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
AIDS care
|January 23, 2026
概括
一个基于社区的服务模式有效地为印度尼西亚的与男性发生性关系的男性 (MSM) 和跨性别女性 (TGW) 提供了综合的艾滋病毒/梅毒测试,显示了高度的接受度和成功与护理的联系.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 社区卫生干预措施 社区卫生干预
背景情况:
- 与男性发生性关系的男性 (MSM) 和跨性别女性 (TGW) 面临着HIV和梅毒的不成比例高风险.
- 综合测试和转诊服务对于关键人群的早期检测和治疗至关重要.
- 基于社区的服务 (CBS) 提供了一种有前途的方法,以达到服务不足的人口.
研究的目的:
- 评估一个以同行为主导,以社区为基础的服务 (CBS) 模型,用于在印度尼西亚南苏拉威西的MSM和TGW中进行综合艾滋病毒和梅毒测试.
- 评估CBS模型在测试覆盖率和与护理联系方面的可接受性,可行性和有效性.
主要方法:
- 采用受过培训的社区卫生工作者 (CHW) 实施了以同行为主导的社区服务 (CBS) 模式.
- 综合艾滋病毒/梅毒测试通过门对门宣传,静态社区帖子和移动热点活动提供.
- 结果包括可接受性,可行性,首次测试率,梅毒测试覆盖率,以及与7天内确认测试和ART的联系.
主要成果:
- 在423名客户中报告了高接受度,其中大多数是首次测试者.
- 艾滋病毒反应率为2.8%,所有病例都得到确认,并在7天内开始ART治疗.
- 梅毒检测覆盖率达到83.0%,尽管一个地区的覆盖率较低与供应和工作流的问题有关.
结论:
- 以同行为主导的社区测试模型表明,在MSM和TGW中,综合的HIV/梅毒服务具有很高的可接受性和可行性.
- 研究结果支持将这种差异化服务交付模式扩展到标准化质量保证和可靠的供应链.
- 解决商品限制和澄清标准运营程序对于成功扩展至关重要.
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