Since 2000, the STD clinics were brought into intervention service aimed at high-risk population by some projects, such as Health Project, Comprehensive Demonstration Area Project and the Global Fund to Fight AIDS Project. The ability of providing standardisation service in STD clinics was improved through the project activities. The outreach service increased awareness of STD clinics and attracted or made referral patients seeking service at standard clinic, and that strengthened the role of medical sites in preventing STD/AIDS.
Method Two jobs improved the intervention service aimed at STD/AIDS at clinics. 1. The intervention service aimed at outpatient. Including the following service: (1) setting heath education bulletin and publicity photographs at STD clinics to spread information about prevention STD/AIDS (2) providing Health education prescription about prevention STD/AIDS freely (3) the medical staff provided health education and consultation after diagnosis and treatment and extended the use of condom (4) to advise patient to inform their partner of examination at clinic (5) the medical staff mobilised outpatients to accept HIV-test forwardly 2. The medical staff provided field service aimed at high-risk population (CSW, MSM).
Result Several projects evaluated prevention service effect at STD clinics. The rate of medical staff accepting training on STD standardisation service increased from 9.21 to 21.56% to 68.99–89.7%. The rate of object population knew information about STD/AIDS prevention increased from 31.02–45.52% to 72.4–87.86%. The rate of outpatients accepting HIV test increased from 3.45% to 44.25%. While STD clinic staff provided field service for high-risk population, they advised people who needed further service to seek help at STD clinic. From 2006 to 2009, the proportion of high-risk in outpatient was increasing yearly. The evaluation result from three STD clinics showed the proportion of MSM in outpatient was increasing from 0.97% to 8.15%, from 2006 to 2009. And the evaluation result from 7 STD clinics showed the proportion of CSW in outpatient was increasing from 1.57% to 9.74%, from 2006 to 2009. The outpatient at STD clinic is high-risk population for STD/AIDS infection and spread, and most male outpatient especially had high-risk act, but the intervention in China touched on that. The prevention service at STD clinic smoothed over routine prevention action and expanded the range that STD medical service covered, so this prevention controlled the spread of STD/AIDS furtherly.
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