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柬埔寨伴侣参与母亲班对自愿保密咨询与检测接受情况的影响,以预防母婴传播艾滋病毒项目(预防母婴传播项目)。

Influence of the involvement of partners in the mother class with voluntary confidential counselling and testing acceptance for prevention of mother to child transmission of HIV programme (PMTCT programme) in Cambodia.

作者信息

Kakimoto K, Kanal K, Mukoyama Y, Chheng T Vuoch, Chou T Leng, Sedtha C

机构信息

Bureau of International Cooperation, International Medical Center of Japan, Japan.

出版信息

AIDS Care. 2007 Mar;19(3):381-4. doi: 10.1080/09540120500520998.

DOI:10.1080/09540120500520998
PMID:17453573
Abstract

The National Maternal and Child Health Center in Phnom Penh, Cambodia commenced PMTCT services as the first site of the National PMTCT programme of Cambodia in November 2001. However, the acceptance of voluntary confidential counselling and testing (VCCT) in the PMTCT services was not as high as expected. The aim of this study was to evaluate influence of partner participation in the mother class to the PMTCT services. During the first visit to antenatal care, all women were invited to the class, where information on PMTCT was provided. From July 2002, when partner participation started, to May 2005, the acceptance rate to the pre-test counselling of those who attended the class alone was 18.7% (3,234/17,340), while that of the attendees with their partner was 85.1% (2,908/3,417) (p <0.001). All of the couples accepted couple counselling and disclosure of their results to their partners. In conclusion, a strong association was observed between acceptance and partner involvement. However, we should consider also other strategies for future programme improvement.

摘要

柬埔寨金边的国家妇幼保健中心于2001年11月作为柬埔寨国家预防母婴传播项目的首个站点开始提供预防母婴传播服务。然而,预防母婴传播服务中自愿咨询检测(VCCT)的接受度并不如预期。本研究的目的是评估伴侣参与母亲班对预防母婴传播服务的影响。在首次产前检查时,所有孕妇都被邀请参加该课程,课程中提供了有关预防母婴传播的信息。从2002年7月伴侣参与开始至2005年5月,单独参加课程者的检测前咨询接受率为18.7%(3234/17340),而与伴侣一同参加者的接受率为85.1%(2908/3417)(p<0.001)。所有夫妇都接受了夫妇咨询并向伴侣披露了检测结果。总之,观察到接受度与伴侣参与之间存在密切关联。然而,我们未来还应考虑其他策略以改进项目。

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