Objective:To understand the dilemmas faced by Shanghai in carrying out AIDS prevention and treatment,and provide references for better prevention and treatment of AIDS in Shanghai.Methods:Using the Health System Macro Model as the theoretical framework,a list of 22 dilemmas was formed by the literature summary analysis.Between November and December 2022,interviews were held with 17 key informants,combined with a normative gap analysis,to find out the dilemmas for AIDS pre-vention and treatment in Shanghai.Results:The primary challenge in Shanghai's AIDS prevention and treatment efforts is the diffi-culty in controlling the spread of HIV among migrant populations and other groups,rated at 6.41 out of 10.Sixteen experts(16/17)identified a shortage of personnel for AIDS prevention,insufficient use of information technology,and inadequate information sha-ring and service capacity as significant issues.Normative gap analysis revealed that the detection rates of HIV infection and AIDS have not met the expected targets.Conclusion:Currently,deficiencies in controlling HIV among migrant populations,use of infor-mation technology,staffing for prevention efforts,and detection of infections in Shanghai.It is necessary to strengthen the develop-ment of AIDS prevention and treatment personnel,promote the integration and sharing of information,encourage participation from social organizations,and enhance the quality of AIDS prevention and treatment efforts in Shanghai.
Prevention and Treatment of Infectious DiseasesAIDSShanghai