Wang Jun, Gu Yu-Zhou, Lu Yong-Heng, Li Ju-Shuang, Luo Ye-Fei, Cai Yan-Shan, Han Zhi-Gang, Hao Chun
School of Public Health, Sun Yat-Sen University, 74 Zhongshan No. 2 Rd, Yuexiu District, Guangzhou510080, Guangdong, China.
Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China.
Bull World Health Organ. 2025 Feb 1;103(2):99-109. doi: 10.2471/BLT.24.291921. Epub 2024 Dec 3.
To describe changes in access to voluntary human immunodeficiency virus (HIV) counselling and testing services following the implementation of a mini-application (app) at primary health-care facilities across Guangzhou, China.
In 2018, the Guangzhou Center for Disease Control and Prevention and the Lingnan Community Support Center co-developed WellTest, a mini-app within the WeChat environment, to address voluntary counselling and testing service needs. The mini-app provides on-demand information for clients, links them to health services, and allows users to provide feedback on health-care quality and share test results with partners. We retrieved data from the National HIV/AIDS Prevention and Control Information System and the app backend to assess adoption and service use after implementation of WellTest in primary health-care facilities in December 2018.
Between 2018 and 2023, WellTest adoption at primary health-care facilities increased from 1.5% (2/134) to 90.1% (172/191). The annual number of visits for voluntary HIV counselling and testing services at these facilities rose from 7376 to 20 002, representing 83.6% of all 23 930 voluntary HIV counselling and testing visits in 2023, compared with 36.6% (7376/20 129) in 2018. The proportion of newly diagnosed HIV infections at primary health-care facilities increased from 21.7% (187/862) to 50.4% (239/474).
The increased access to HIV services in Guangzhou's primary health-care facilities highlights the value of digital health interventions in addressing service delivery gaps and meeting the needs of providers and clients. Expanding such interventions has the potential to strengthen decentralized health care and disease screening in low-resource settings.
描述在中国广州的基层医疗机构实施一款迷你应用程序（应用）后，自愿性人类免疫缺陷病毒（HIV）咨询与检测服务的可及性变化。
2018年，广州市疾病预防控制中心与岭南社区支持中心共同开发了WellTest，这是一款微信环境下的迷你应用，以满足自愿咨询与检测服务需求。该迷你应用为客户提供按需信息，将他们与医疗服务相连接，并允许用户对医疗质量提供反馈以及与伴侣分享检测结果。我们从国家HIV/AIDS预防与控制信息系统及应用程序后端检索数据，以评估2018年12月WellTest在基层医疗机构实施后的采用情况及服务使用情况。
2018年至2023年期间，基层医疗机构对WellTest的采用率从1.5%（2/134）增至90.1%（172/191）。这些机构的自愿HIV咨询与检测服务年就诊次数从7376次增至20002次，占2023年所有23930次自愿HIV咨询与检测就诊次数的83.6%，而2018年为36.6%（7376/20129）。基层医疗机构新诊断出的HIV感染比例从21.7%（187/862）增至50.4%（239/474）。
广州基层医疗机构中HIV服务可及性的提高凸显了数字健康干预措施在弥补服务提供差距及满足提供者和客户需求方面的价值。扩大此类干预措施有可能加强资源匮乏地区的分散式医疗保健和疾病筛查。
