A Study On Integrated Prevention With Poverty-alleviation Model For HIV/AIDS Epidemic In Rural And Minority Ethnic Area

[Objective] To set up HIV/AIDS comprehensive intervention system based on community , health promotion and poverty-alleviation. To provide persistent supports on society, economy and sanitation for countryside minority, and rectify their high risk behavior for HIV caused by poverty and ignorance of HIV/AIDS. To reduce the spread of HIV in the populations at high risk for HIV, cut off the spread of HIV from the high risk populations to the common ones, and control the spread of HIV/AIDS thoroughly in this special area. [ Method ] Randomly select three administrative villages, resided mainly by Yi ethnic minority, as study objects, two of which accept intervention ,the other without any intervention as a contrast one .First of all, a team of Project Comprehensive Intervention Corresponding Team was set up by local government, which include departments of sanitation, agriculture, pasturage and poverty-alleviation. Members of the team are divided into two groups, health promotion group and poverty-helping group . The division is advantageous to a HIV/AIDS comprehensive intervening system relating health promotion to poverty-alleviation. By means of broadcast, TV program and family visitation, the health promotion team impart common people more knowledge of HIV/AIDS prevention and treatment . By means of partner education, shaikh intervening and condom provision, the health promotion team help drug users and persons of multi-sex-partner master more effective skills of HIV/AIDS prevention. At the same time, they helpinjecting drug users(IDU) by means of injector cleaning and injector exchanging. Poverty-alleviation team adjust the property framework in the two trial villages, developing dominant property such as stockbreeding and fruit planting, which increases their annul income significantly. At the same time, many contents of HIV/AIDS health promotion are added into the poverty-alleviation work The results of the intervention are analyzed by methods of descriptive analysis, one-way or multi-ways analysis. [ Result]The villagers' education level is very low. There are over 60 percent illiterates in all the three villages, of which 81.7 percent are female. Knowledge of HTV/AIDS prevention and treatment is got mainly by interpersonal communication. There are 30 percent illiterates in the whole out-flowing population, most of which move to those active areas of drug transaction in Yunnan province. Villagers are heavily short of knowledge about HIV/AIDS, the preliminary investigation reveals that more than 40 percent villagers in those area have never heard about HIV/AIDS. After being intervened, villagers got much more higher scores in the test about HIV/AIDS knowledge in the two trial villages. Multi-linary-regression analysis shows that scores on HIV/AIDS knowledge are mainly influenced by gender and educational level. In the past year, 10 percent of villagers in those villages attempt to use drugs, after being intervened in both ways, this attempt of drug use decreased significantly, 60 percent multi-sex-partner persons use condoms during sexual activity, the percentage of better attending HIV infectors increases significantly in both intervened villages. 70.3 percent drug users age from 20 to 29, and 66.7 percent out-flowing drug users are illiterate. Multi-sex-partner persons take 38.1 percentamong the drug users, which percentage is higher than that of ordinary population .The reasons that they used drugs first time mainly include lure, curiosity and inanity. After being intervened, those drug users have more knowledge of HIV/AIDS, more awareness of using condom, and more correct knowledge of injector cleaning. The percentage of multi-sex-partners and sharing same injectors decreases significantly. Through poverty-alleviating intervention, average annul income increases by 10 percent in both intervened villages. A long term and stable HTV7AIDS intervening system has been established in the trial villages [Conclusion] Quite a few HFV/AIDS-related high risk factors lie in the Yi minority ethnic population in this area. Ignorance of HIV/AIDS, poverty and huge population out-flowing are closely related with HFV spread in this area. More attentions should be paid to ladies during the course of HIV/AIDS prevention and treatment. In the minority rural area, if administrative poverty-alleviation and health promotion are combined, dangerous behaviors in the high risk area can be reduced effectively, at the same time, health intervention is easier to be carried out more effectively.