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[2014年中国参与艾滋病防治工作的社区组织资金使用及政府财政投入情况分析]

[Analysis on funds application of community based organizations involved in HIV/AIDS response and government financial investment in China, 2014].

作者信息

Zhang G, Zhu Y X, Wang P, Liu P, Li J F, Sha S, Yang W Z, Li H

机构信息

Exchange and Communication Division of National Center for AIDS/STD Control and Prevention, China Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Mar 6;51(3):232-236. doi: 10.3760/cma.j.issn.0253-9624.2017.03.008.

Abstract

To understand the government financial investments to community based organizations (CBO) involved in HIV/AIDS Control and Prevention of China and its influencing factors. Questionnaire of the situation of CBO involved in HIV/AIDS control and prevention were designed, and filled by the staff of Provincial Health Administrative Departments of 31 provinces (autonomous regions and municipalities). The research focused on the fields of CBO involved in HIV/AIDS response in 31 provinces (autonomous regions and municipalities), including intervention on HIV/AIDS high risk population (female sex worker (FSW), man who sex with man (MSM), drug user (DU) and case management and care for people living with HIV/AIDS (PLWH)). 29 valid questionnaires were collecting, with Shanxi Province and Inner Mongolia Autonomous Regions not filled. Questionnaire included financial supports from local governments, transfer payment from central government for CBO involved in HIV/AIDS response in 2014, and unit cost for CBO involved in HIV/AIDS control and prevention. Multivariate analysis was conducted on the project application and financial investment of community based organizations involved in HIV/AIDS control and prevention in 2014. The total amount of CBO to apply for participation in AIDS prevention and control was 64 482 828 Yuan in 2014. The actual total amount of investment was 50 616 367 Yuan, The investment came from the central government funding, the provincial level government funding, the prefecture and county level government funding investment and other sources of funding. 22 of 28 provinces (autonomous regions and municipalities) received the funds from the central government finance, and median of investment funds 500 000 Yuan. 15 provinces (autonomous regions and municipalities) gained the funds from the provincial government finance, and median of investment funds 350 000 Yuan. 12 provinces (autonomous regions and municipalities) got the funds from the prefecture and county level government finance, and median of investment funds 408 750 Yuan. 12 provinces (autonomous regions and municipalities) acquired the funds from other sources, and median of investment funds 228 400 Yuan. The median ((25), (75)) unit costs of intervention for FSW from 16 provinces (autonomous regions and municipalities) was 70 (23, 280) Yuan per year; DU from 14 provinces (autonomous regions and municipalities) was 83 (44, 200 ) Yuan per year; MSM from 16 provinces (autonomous regions and municipalities) was 100 (35, 280) Yuan per year; the follow-up and care for PLWH from 17 provinces (autonomous regions and municipalities) was 200 (45, 500) Yuan per year. Multivariate linear regression analysis results showed that the amount of PLWH in 2014 influenced on the total number of application funds of CBO involved in HIV/AIDS response (=178.11, 95% 51.86-305.36) and the amount of PLWH (=77.72, 95% 16.28-139.16), and Gross Domestic Product (GDP) per capita of the province (=36.20, 95% 4.60-67.80) impacted financial investment to CBO involved in HIV/AIDS response, respectively. Funds application and financial investment of CBO involved in HIV/AIDS control and prevention were huge. Financial investment from government was main resources for CBO in 2014. The amount of financial investment funds from governments was influenced by the HIV/AIDS epidemic situation and the development level of local economic.

摘要

了解中国政府对参与艾滋病防治的社区组织(CBO)的财政投入及其影响因素。设计了参与艾滋病防治的社区组织情况调查问卷,并由31个省(自治区、直辖市)卫生行政部门工作人员填写。研究聚焦于31个省(自治区、直辖市)参与艾滋病防治的社区组织领域,包括对艾滋病高危人群(女性性工作者(FSW)、男男性行为者(MSM)、吸毒者(DU))的干预以及对艾滋病病毒感染者/艾滋病患者(PLWH)的病例管理和关怀。共收集到29份有效问卷,山西省和内蒙古自治区未填写。问卷内容包括地方政府的财政支持、2014年中央政府对参与艾滋病防治的社区组织的转移支付以及参与艾滋病防治的社区组织的单位成本。对2014年参与艾滋病防治的社区组织的项目申请和财政投入进行多因素分析。2014年社区组织申请参与艾滋病防治的总金额为64482828元。实际总投入金额为50616367元,投入资金来自中央政府拨款、省级政府拨款、地县级政府拨款以及其他资金来源。28个省(自治区、直辖市)中的22个获得了中央财政资金,投入资金中位数为50万元。15个省(自治区、直辖市)获得了省级政府财政资金,投入资金中位数为35万元。12个省(自治区、直辖市)获得了地县级政府财政资金,投入资金中位数为408750元。12个省(自治区、直辖市)获得了其他来源的资金,投入资金中位数为228400元。16个省(自治区、直辖市)对女性性工作者干预的单位成本中位数((25),(75))为每年70(23,280)元;14个省(自治区、直辖市)对吸毒者干预的单位成本为每年83(44,200)元;16个省(自治区、直辖市)对男男性行为者干预的单位成本为每年100(35,280)元;17个省(自治区、直辖市)对艾滋病病毒感染者/艾滋病患者随访和关怀的单位成本为每年200(45,500)元。多因素线性回归分析结果显示,2014年艾滋病病毒感染者/艾滋病患者数量影响参与艾滋病防治的社区组织申请资金总数(=178.11,95% 51.86 - 305.36)以及艾滋病病毒感染者/艾滋病患者数量(=77.72,95% 16.28 - 139.16),且该省人均国内生产总值(GDP)(=36.20,95% 4.60 - 67.80)分别影响对参与艾滋病防治的社区组织的财政投入。参与艾滋病防治的社区组织的资金申请和财政投入规模巨大。2014年政府财政投入是社区组织的主要资金来源。政府财政投入资金数额受艾滋病疫情和当地经济发展水平影响。

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