Study On Condition And Factors Related To HIV Transmission In Community Clinics

Objectives To determine the condition and factors related to HIV transmission in community clinics.Methods The study was conducted by interviewing the doctors in depth , observating the operation of health service and sterilization instruments, inquiring of doctors knowledge about HIV/AIDS and sterilization in the community clinics , a district of a city. At the same time, specimen were collected from the community clinics.Results Of all the community clinics, private clinics without licence is 72.28%. On average the clinics possesse 16.57 m2 room and 1.20 health care workers . 38.61% clinics have heat sterilization and 40.59% clinics have ultraviolet lamp . The doctors have inadequate knowledge of disinfection, sterilization, occupational protection and HIV/AIDS. The correct rate of skin disinfection for patients, handling of disposable syringes and dealing with accidental puncture wounds are 42.57%, 29.29% and 37.62% respectively. The qualified rate of glass syringes, disposable syringes, sterile medical cotton or gauze, alcoholic concentration and sterile preservation solution are 72.22%, 95.96%, 48.51%, 40.43% and 75.71%.Conclusions There are a lot of risk factors related to HIV transmission in the community clinics. Strengthening hygienic supervision and surveillance will be important to control and reduce risk factors .