Study On The Model Of Using Medical Students' Social Practice To Launch Promotion Of VCT Services

ObjectiveUsing medical students'social practice and integrating the HIV / AIDS VCT services room in local medical care and health institutions, target to promote VCT services and launch skill support activities to enhance the primary target population of voluntary counseling and testing awareness, so as to enhance HIV counseling and testing rate, and early discovery, early diagnosis, early treatment and curb the spread of the AIDS epidemic.MethodsThrough voluntary application, 30 students who majored in Preventive Medicine of the Huazhong University of Science and Technology Tongji Medical College were selected. After unified training, in the summer vacation, they went home with recommendation letters issued by school. In light of their local AIDS voluntary counseling and testing room, or medical care and health institutions, they targeted to their families, friends and relatives, schoolmates, neighbors, or community residents to launch publicity and education of VCT services, and they had VCT service agencies and residents conducted a questionnaire survey and interview.Results1.Information of VCT service agencies: The area of VCT service room is 8～30 m2, an average of 18.4 m2. 25.0% of VCT service agencies were without full-time staffs. 18.8% of the agencies adopted rapid detection reagent, and 81.2% used the enzyme reagent. 12.5% of the agencies could take out the results of the testing in one day; 12.5% of the agencies could take out the results of the testing in two days; 43.8% of the agencies could take out the results of the testing in 3～5 days; 31.2% of the agencies could take out the results of the testing in one week and more. All of the VCT service agencies could provide part of referral services for suffers.2.Information of residents understood AIDS knowledge before and after the publicity: After the publicity, the awareness rate that residents could correct understand the three major routes of transmission raised from 74.3% to 96.1%(χ2=64.438,P<0.001). After the publicity, the basic knowledge scores of AIDS prevention and control raised from 7.81±2.44 to 9.51±1.17, and had a statistically significant difference (t = 24.918, P<0.001). Before the publicity, residents had a low awareness with non-transmission and whether AIDS could be cured. After publicity and education, the residents answered the questions of AIDS knowledge. The correct rate had significantly increased (P<0.001).3.The awareness of the locations and objects of VCT services: Before the publicity, only 36.7% of residents heard VCT. Among 372 residents had heard of VCT, 77.7% knew that CDC could provide VCT services and 22.0% knew maternal and child health institutions could provide VCT services. The proportion of unknown was 12.4%. Among 1013 residents were surveyed, 84.8% knew that CDC could provide VCT services and 35.1% knew maternal and child health institutions could provide VCT services after the publicity. Residents thought that the composition of VCT service objects was multi-sexual partners 82.4%, homosexuality 74.6%, blood donors 65.8%, pregnant women 50.5%.4.The comparison of residents'attitude about HIV-infected persons before and after the publicity: The rate of fearing HIV-infected persons was dropped to 39.0% from 58.9%(χ2=327.935,P<0.001). The proportion of being willing to make friends with HIV-infected persons was raised from 48.0% to 68.6%(χ2=425.294,P<0.001). The proportion of considering that infected people should be deserved sympathy was raised from 83.7% to 93.2%(χ2=230.170,P<0.001).5 . The factors of affecting residents to accept VCT services: Through multi-classification logistic regression analysis, there were four factors of affecting residents to accept VCT services including age, the scores of AIDS knowledge, the awareness of VCT services and fear of AIDS infected persons.6.The results of comprehensive index: After the activities were evaluated via comprehensive index, the comprehensive index was only 5.875 before the publicity. But the comprehensive index was 31.998 after the publicity and education. ConclusionThis study used medical students to carry out large of reports, playing videos and face-to-face counseling for the residents of their hometown. The residents'knowledge of AIDS prevention and understanding of VCT services have been dramatically enhanced. The fear and discrimination with HIV-infected persons have been eliminated. However, the activities improved residents to accept VCT services. This study established a model of using medical students'social practice to launch VCT service promotion. It could give all medical schools a reference for propaganda of AIDS prevention and VCT services. It also could provide training opportunities for rural doctors of VCT.