跨越鸿沟-流动人口生殖健康服务机构调研报告

Page 1

上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

Bridging the Gap --A Report on Reproductive Health Providers for Migrants

Xintu Center For Community Health Promotion, Shanghai 2009

8

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

1


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

A Summary of Eleven Interviews: The Status of Reproductive Health Providers for Migrants in Shanghai

Ms. Xiaohui Wang (Public Health College of Lanzhou University)

Ms. Xiaomu Guo (Xintu Center For Community Health Promotion, Shanghai)

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

2


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

Ms Yan Zhang Department of Integrative Medicine,Shanghai Medical School of Fudan University

Ms. Yi Zhong (Xintu Center For Community Health Promotion, Shanghai)

Ms.Jingni Wang ( China Academy of Art)

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

3


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

Executive Summary

............................................................................................... 5

1.

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2.

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3.

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4.

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5.

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6.

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7

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2.

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3.

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4

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5

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1.

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3.

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4.

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5.

..................................................... 33 ........................................................ 35

1.

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2.

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3.

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4.

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5.

. 42

................................................................................................................................................ 46 1

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2

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3

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4

...................... 51 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

4


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 5

.......................................................................................................................... 51

Executive Summary

1.

2009-2012

! ! ! ! ! !

/

! 2. 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

5


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

3.

4. Qualitative Research

5

5.

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

6


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

" " " 6.

" " " " " 7

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

7


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1994

9

[1]

[2]

(

)

internal migration

2010 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

8


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for [3]

1990 106

2007

660

[4]

2009

10

1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

9


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2008

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

112

10


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

-

(community)

Communis

[5]

1887

. [6]

.

Community

[7]

1986 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

11


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1989

12

26

1991

1998

1999

/

, 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

12


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

(

)

1

2

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

13


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 3

6 2

3

1 4

5

6

1 2

3

[8] [9]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

14


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1

(

2

)

1 2

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

15


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

16


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1.

(Institutional Capacity Framework)

1

Institutional Resource

Service Process

2

Institutional Performance

4

Sustainability

3

Institutional 1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

17


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 1. 4

50

2.

20

16

3.

3.1 Qualitative Research

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

18


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[10]

[11]

3.2

[12]

3.2.1

3.2.2

(1)

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(3) (5)

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

19


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for [13]

3.2.3

3.2.4

3.2.5

3.2.6

3.3

:

3.3.1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

20


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

3.3.2

30

11 2

1

9 1

2 8

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

21


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1

(1)

(2)

3.3.3

3.3.4

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( )

(2)

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

22


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 4

5

1 1 2

2

3)

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

23


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1. 10

4

2

2

2

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

24


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for *

*

2. 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

25


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1

1

3.

1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

26


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

NGO

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

27


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2

[14]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

28


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

3)

2

2000

40

1200 A 365

24

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

29


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 4

3

(culture competence) 6

10

4.

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

30


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 1

B

1000

1/10

B

2

3

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

31


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

4

4

4

PS:

30%

30%

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

32


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2 4000-5000

5.

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40

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

33


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

34


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1.

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

35


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2009

4

[14]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

36


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2.

Cross [15]

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(Cultural knowledge) 4.

2.

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3.

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,

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

37


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[18]

Greg

, ,

,

3.

Community Participation 1978 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

38


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

/ / WHO

1992

Schaefer,1993

/

(Brownlea, 1987:607)

Mullins

!

!

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

39


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for !

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!

!

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Website:www.xintu.org

Zip:200127

40


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for " 2

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613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

41


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[19]

5

5

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

42


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[20]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

43


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

44


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 1. World Bank. A glance:ReProduetlvehealth·2003 2. . .1997 .2000,(9):83-86. 3. http://finance.sina.com.cn/g/20070329/02393450705.shtml 4. . http://www.chinanews.com.cn/gn/news/2009/05-20/1700831.shtml 5. . [M]. : ,1995 6. http://rwxy.hit.edu.cn/kejian/shequgailun.ppt#259,5, 7. “ ” http://i3c.org.cn/news.php?id=41 8. 2006 14 . a) http://202.123.110.5/zwgk/2006-04/21/content_259996.htm 9. http://www.88547.com/file/200719shizhengfuyijian.doc 10. . ( ). : 2003.200-225 11. : http://ningjainglong.blog.sohu.com/115616118.html 12. ( ) “ ” “ ”—— , 2006 13. “ ” , , ,1997 04 14. .http://www.zzwsjd.com.aldp/6.htm 15. Cross T ,Bazron B ,Dennis K, et al. Towards a culturally competent system of care : A monograph on effective services for minority children who are severely emotionally disturbed[M] . Washington, DC: Georgetown University Child Development Center ,1989 :1 16. Campinha-Bacote J. A model and instrument for addressing cultural competence in health care. J Nurs E-duc, 1999, 38 (5) : 203- 207 17. Campinha-Bacote J. A model of p ractice to address cultural competence in rehabilitation nursing. Rehabilitation Nursing, 2001, 26 (1) : 8-11 18. , . [J]. ,2004,23(5):195-198 19. http://www.shanghai.gov.cn/shanghai/node2314/node3124/node3125/node3127/ userobject6ai651.html 20. , ”, ,2001,01

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

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Zip:200127

45


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1.

1. 2. 3. 4.

___________

,

___________

5.

1.

2.

3.

4. 5.

6. 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

46


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 7. 8 9

10

11

12.

13.

14.

15.

16.

17. 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

47


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 18. 19.

20. 21.

22.

23.

24.

25.

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

48


2.

1.

上海新途社区健康促进

社Community Health Promotion, Shanghai Xintu Center for

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China xintu@vip.163.com

Zip:200127

E-mail

Website:www.xintu.org

Tel/Fax:021-58751368

49


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 3

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2.

207

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Website:www.xintu.org

Zip:200127

50


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 2

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50 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

51


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

30

18

49

10

1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

52


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 4.

4.

10%

120

90%

10% 2008

2009 18

2500

4000 49

80 3000

700

800

1

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

53


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 5

21

WHO 1972

(HRP)

[21]

HRP

[22]

[23]

1994

[24]

(

) internal migration

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

54


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[25] [26]

1983

1984

1

10

1985

7

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

55


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1989

3

4 1991

2 1991

12

26

1992

1994

11 1995 (

7

16

)

9

1998

1999

2000

6

13

2000 21

2001

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

56


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for :

2004

2002

2

6 2015 [27]

2015

21 2006

[28]

2006

2009

2

21

3

4

27

29

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

57


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2007

12 [29]

(1)

(2) (3)

(4)

2008

1 [30]

2009 2009

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

05 10

20 1

58


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

2000

2010

1 2007

10

HIV/AIDS

223,501

[31]

70

[32]

/

(HIV/ AIDS)

HIV

[33,34]

1.1 [35]

HIV

[36,37]

HIV [38]

Chen

[39]

FSW 0.5%[40]

HIV

2006

10

10%

HIV

31

3462

2776

80.2%

1.2 [ 41 ]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

59


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 41.8%-61.4%

(2006-2010)

15-49 75%

65%

70%

85%

65% [42,43] [44]

66.1%

[45]

3 94.5%

94.1%

81.7%

80%

HIV

1.3 27.2% 3.5%

39.5%[18]

6.1% 50.0%

25.3%

1.4 [46]

1/3

VCT

VCT

HIV VCT

[19]

85.8%

51.6% VCT 4.6%

HIV

2. [47]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

60


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 2.1 (10

24 )

24.4%

[48,49,50]

STIs

[51,52]

。 [53]

STIs [54] [55]

[56]

[57]

96.2%

84.7% 28.4%

22.9% 43.4% 82.8% (

) [58]

[59]

4

11.72%

3

58.98% 92.97% 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

61


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 85.16% 80.08%

72.66%

42.58%

2%-5%

42.33%

71.49%

14.84%

66.41%

33%

50% 50%

:

: 76.56%

46.48%

25.39%

14% 2.1 [60]

1092

15-24

15-24

53.2

30.5

20

[61]

38.7%

36.1%

41.7% 17.7%

32.8% 18.3% 55.0%

79.7% 14

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

62


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for 24

29

49.7% 38.6%

58.9%

20.6%

63.2% 46.9%

33.5%

2.3 2004

[62]

3

3

3

137

36.50%

54.01%

10.00%

73.72% 90.51% 85.40%

76.64%

2.4

[63] [64]

20

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

63


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[65]

13.5% 1.4%

3. 3.1 60%-80%

[66]

3-10

50%

[67]

/

3.2 86.2%

94.2% [68]

[69]

2001

2003 8 36.76%

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

64


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

3.3 [70]

2205

20

6 14.51%

4.85%

19.05% 72.75%

3 [71]

2/3

3.4 [72]

2002

1062

1 86.1%

88.0%

8.07

9.07

5.76

1 [73]

2000-2002

11367 30.88%

98.85%

52178/10

6

19110/10 50.40%

88.36%

45.64%

85.92%

85.84% 2002-2003

96.34%

[74]

7.59

9.17 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

65


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

4.

[75]

20 [76]

49 68.11% (141/207) 11.59%

10.14%

9.18%

WHO

30.43%

5. [77]

[78]

[79]

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

66


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

1.

[80]

27

3

74

20 (VCT)

[81]

VCT

2 4 4

[82]

(HIV)

VCT HIV

HIV

[83]

[84]

2

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

67


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[85]

Logistic [15]

4

(

)

4009

51.6% KAP [86,87,88,89,90]

3

[91]

60

35.9% 60

59

3000

18-35

64.1%

18.7% 59

81.3%

3

15.6% 11.2%

34.7%

54.1%

[92]

23.4%

60

64.1% 81.3%

35.9% 60

3

59

18.7%

59

8.0%

12.0%

34.0%

53.9%

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

68


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for [93]

:1) 2)

3)

[94]

2

AIDS 9.8%

89.4%

(

)

42.1%

69.5%

89.8% 91.4% 71.7%

57.2%

97.5%

91.5%

[95]

2 300

15-49

( "

+

3

) +

"

8

ST 13.7%

85.7%

HIV

2.3%

40.7% 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

69


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

[96]

1.

2.

VCT 31

VCT

CDC(

)

VCT CDC

HIV

VCT

[97,98]

VCT

HIV

HIV

VCT VCT

[99]

3. [100,101,102]

[103]

/ 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

70


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for [104]

Meta [105]

[106]

4. [107]

[108]

5. [109]

[110]

[111]

61 3

11

47

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

71


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

72


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

10%

613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

73


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for

21

22

23

24

Barzelatto J. Continuity and Change. In: Diczfalusy E. et. al eds.Research in Human Reproduction Biennial Report 1986~1987 World Health Organization· Geneva 1988 Fathalla M.F. Reproductive Health in the World: Two Decades of Progress and the Challenge Ahead. In: Khanna J et. al eds.Reproductive Health: a Key to a Brighter Future Biennial Report 1990-1991 World Health Organization Geneva 1992. United Nations. Programme of Action of the International conference on Population and Development. Cairo, Egypt. September 1994 . .

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,2007,26(4):-34-35

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613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

74


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for miners in townships of Yunnan Province, China A IDS, Patient Care STDS, 2005, 19: 848 852 41

, , . ,2009,15(1):38-40 , , .

42

[J]. [J].

,2008,24(1):5-6 , . ,2007,23(12):903-904 , , , .

43

44

[J]. [J].

,2008,24(2):105-107 45

,

,

.

[J]. , [J].

46

,

,2008,3:236-239 . ,2008,14(1):36-38

,

47

VCT ,

http://www.chinayouthnet.org/resources/policies/2008061702/ 48

,

,

, 49

.

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,

:

,

,

, 2002: 16-26

.

[J].

,2007,28(10):873-876 50

,

,

,

.

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,2002 ,17 (6) :372 - 376. 51

,

,

.

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,2001,1:

61 52

,

,

,

.

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,2004,12(3):154 53

,

,

.

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,2007,22(27):3851 54

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56 57

,

,

.

2005, 20 (6) : 735 , , 2007,27(9):604 , , ,

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,

,

,

.

,

.

.

,

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, ,2004,19:106-108 [J].

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,

,

.

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,2002 ,17 (6) :372 - 376. 59

,

,

,

.

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,2003,19(2) 60

,

,

,

.

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Website:www.xintu.org

Zip:200127

75


上海新途社区健康促进 社Community Health Promotion, Shanghai Xintu Center for ,2008,24(7):861-862 61

,

62

.

[J ].

,

,

,

,2003,18(2):119-121

.

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,2008,23:2248-2250 63

,

,

,

.

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,2006,21(1):93-96 64

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.

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,2000,15(8):481-482 , , . .

67

.

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.

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,2004,28(5):92-97 , 2000, 15 (1) :56.

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,2001,14(2):30-31 71

,

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,

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,2007,22:1242-1243 ,

,

.

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,

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,

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,

,

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,

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,

.

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,2008,14(4):333-335 613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

76


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,

,

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,

,

.

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,

,

,

.

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,2007,34(11):2048-2050 90

,

,

,

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.

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Website:www.xintu.org

Zip:200127

77


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613 A 201 Add:Room 201,Building A, 613 Eshan Rd,Shanghai, China Tel/Fax:021-58751368 E-mail xintu@vip.163.com

Website:www.xintu.org

Zip:200127

78


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