中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
11期
967-971
,共5页
单多%孙江平%Yakusik Anna%陈仲丹%袁建华%李涛%段松%杨杏%韦梅%Sante Michael%叶润华%项丽芬%杨跃诚%任达
單多%孫江平%Yakusik Anna%陳仲丹%袁建華%李濤%段鬆%楊杏%韋梅%Sante Michael%葉潤華%項麗芬%楊躍誠%任達
단다%손강평%Yakusik Anna%진중단%원건화%리도%단송%양행%위매%Sante Michael%협윤화%항려분%양약성%임체
获得性免疫缺陷综合征%卫生经费支出%国家艾滋病防治经费支出
穫得性免疫缺陷綜閤徵%衛生經費支齣%國傢艾滋病防治經費支齣
획득성면역결함종합정%위생경비지출%국가애자병방치경비지출
Acquired immunodeficiency syndrome%Health expenditures%National AIDS spending assessment
目的 应用国家艾滋病支出评估( NASA)方法对我国云南省德宏州某县2010年艾滋病经费实际支出情况进行评估.方法 2011年10-12月,在优化的NASA方法分类基础上,编制统一的NASA调查问卷,由德宏州某县经过严格培训的8所经费使用机构财务负责人和业务负责人(共16名)共同填写问卷.数据录入采用RTS V 2009.3.0软件,利用SPSS 13.0对NASA数据进行描述性统计分析.结果 该县2010年艾滋病防治经费总量为16 235 954元.艾滋病筹资来源主要为政府财政投入(15 630 937元),占96.3％；其次为全球基金项目投入(484 585元),占3.0％；再次为自筹经费(120 432元),占0.7％.该县艾滋病经费支出的活动领域有4个,用于治疗与关怀领域的支出最多(12 401 382元),占76.4％,其次为预防干预领域(2 325 707元),占14.3％,再次为项目管理(1 268 523元),占7.8％,人力资源领域最少(240 342元),占1.5％.该县艾滋病经费的受益人群主要为HIV感染者和艾滋病患者(13 753 428元),占84.7％；其次为高危人群(775 612元),包括暗娼人群(FSW)及其性伴(297 333元)、注射吸毒人群(IDU)及其性伴(293 143元)和男男同性性行为人群( MSM)及其性伴(185 136元),占4.8％；一般人群(241 429元)占1.5％.结论 地方财政对该县的艾滋病经费支持较少,建议地方政府在中央财政的基础上,持续加大配套经费的投入.该县将绝大部分经费用在了治疗和关怀领域,建议当地政府适当增加预防服务的投入,并将预防、治疗和关怀有效结合,保证艾滋病综合防治效果.
目的 應用國傢艾滋病支齣評估( NASA)方法對我國雲南省德宏州某縣2010年艾滋病經費實際支齣情況進行評估.方法 2011年10-12月,在優化的NASA方法分類基礎上,編製統一的NASA調查問捲,由德宏州某縣經過嚴格培訓的8所經費使用機構財務負責人和業務負責人(共16名)共同填寫問捲.數據錄入採用RTS V 2009.3.0軟件,利用SPSS 13.0對NASA數據進行描述性統計分析.結果 該縣2010年艾滋病防治經費總量為16 235 954元.艾滋病籌資來源主要為政府財政投入(15 630 937元),佔96.3％；其次為全毬基金項目投入(484 585元),佔3.0％；再次為自籌經費(120 432元),佔0.7％.該縣艾滋病經費支齣的活動領域有4箇,用于治療與關懷領域的支齣最多(12 401 382元),佔76.4％,其次為預防榦預領域(2 325 707元),佔14.3％,再次為項目管理(1 268 523元),佔7.8％,人力資源領域最少(240 342元),佔1.5％.該縣艾滋病經費的受益人群主要為HIV感染者和艾滋病患者(13 753 428元),佔84.7％；其次為高危人群(775 612元),包括暗娼人群(FSW)及其性伴(297 333元)、註射吸毒人群(IDU)及其性伴(293 143元)和男男同性性行為人群( MSM)及其性伴(185 136元),佔4.8％；一般人群(241 429元)佔1.5％.結論 地方財政對該縣的艾滋病經費支持較少,建議地方政府在中央財政的基礎上,持續加大配套經費的投入.該縣將絕大部分經費用在瞭治療和關懷領域,建議噹地政府適噹增加預防服務的投入,併將預防、治療和關懷有效結閤,保證艾滋病綜閤防治效果.
목적 응용국가애자병지출평고( NASA)방법대아국운남성덕굉주모현2010년애자병경비실제지출정황진행평고.방법 2011년10-12월,재우화적NASA방법분류기출상,편제통일적NASA조사문권,유덕굉주모현경과엄격배훈적8소경비사용궤구재무부책인화업무부책인(공16명)공동전사문권.수거록입채용RTS V 2009.3.0연건,이용SPSS 13.0대NASA수거진행묘술성통계분석.결과 해현2010년애자병방치경비총량위16 235 954원.애자병주자래원주요위정부재정투입(15 630 937원),점96.3％；기차위전구기금항목투입(484 585원),점3.0％；재차위자주경비(120 432원),점0.7％.해현애자병경비지출적활동영역유4개,용우치료여관부영역적지출최다(12 401 382원),점76.4％,기차위예방간예영역(2 325 707원),점14.3％,재차위항목관리(1 268 523원),점7.8％,인력자원영역최소(240 342원),점1.5％.해현애자병경비적수익인군주요위HIV감염자화애자병환자(13 753 428원),점84.7％；기차위고위인군(775 612원),포괄암창인군(FSW)급기성반(297 333원)、주사흡독인군(IDU)급기성반(293 143원)화남남동성성행위인군( MSM)급기성반(185 136원),점4.8％；일반인군(241 429원)점1.5％.결론 지방재정대해현적애자병경비지지교소,건의지방정부재중앙재정적기출상,지속가대배투경비적투입.해현장절대부분경비용재료치료화관부영역,건의당지정부괄당증가예방복무적투입,병장예방、치료화관부유효결합,보증애자병종합방치효과.
Objective To calculate the actual expenditures in a county of Dehong prefecture,Yunnan province, China by using the method of National AIDS Spending Assessment (NASA) in 2010.Methods Data were collected through NASA data collection form based on adapted NASA classification in the county of Dehong prefecture from October to December,2011,and complemented by semi-structured interview with 16 well trained programmatic and financial representatives in 8 spending units.Data were entered in Resource Tracking Software (RTS) V 2009.3.0,and SPSS 13.0 was used for data processing and analysis.Results The NASA estimations showed that the county spent a total of (￥) 16 235 954 on HIV/AIDS in 2010.Public funds constituted 96.3％ of the total expenditure ( (￥) 15 630 937),followed by Global Fund which accounted for 3.0％ ( (￥) 484 585) and private sources which accounted for 0.7％ ((￥) 120 432 ).Findings based on NASA categories showed that AIDS spendings were mainly on 4 areas,and expenditure on Care & Treatment was (￥) 12 401 382 (76.4％ of total expenditure),followed by Prevention which accounted for 14.3％ ( (￥) 2 325 707 ),Program Management & Administration which accounted for 7.8％ ( (￥) 1 268 523) and human resources which accounted for 1.5％ ( (￥)240 342).The most beneficial population group was People Living with HIV (PLHIV),accounting for 84.7％ of total expenditure.((￥) 13 753 428),followed by 4.8％ for high risk population,including female sex workers and their partners ((￥) 297 333 ),injection drug users and their partners ( (￥) 293 143 ),men having sex with men and their partners ( (￥) 185 136) and 1.5％ ( (￥)241 429) for the general population.Conclusion The local funds for HIV/AIDS in this county was insufficient.The local government should increase corresponding funds based on central government funding.Care and treatment was the first spending priorityin the county and the investment of prevention services needs to be increased.Prevention and treatment and care should be combined to ensure the effectiveness of comprehensive prevention and treatment of AIDS.
