Objective: To understand the government financial investments to community based organizations (CBO) involved in HIV/AIDS Control and Prevention of China and its influencing factors. Methods: Questionnaire of the situation of CBO involved in HIV/AIDS control and prevention were designed, and filled by the staff of Provincial Health Administrative Departments of 31 provinces (autonomous regions and municipalities). The research focused on the fields of CBO involved in HIV/AIDS response in 31 provinces (autonomous regions and municipalities), including intervention on HIV/AIDS high risk population (female sex worker (FSW), man who sex with man (MSM), drug user (DU) and case management and care for people living with HIV/AIDS (PLWH)). 29 valid questionnaires were collecting, with Shanxi Province and Inner Mongolia Autonomous Regions not filled. Questionnaire included financial supports from local governments, transfer payment from central government for CBO involved in HIV/AIDS response in 2014, and unit cost for CBO involved in HIV/AIDS control and prevention. Multivariate analysis was conducted on the project application and financial investment of community based organizations involved in HIV/AIDS control and prevention in 2014. Results: The total amount of CBO to apply for participation in AIDS prevention and control was 64 482 828 Yuan in 2014. The actual total amount of investment was 50 616 367 Yuan, The investment came from the central government funding, the provincial level government funding, the prefecture and county level government funding investment and other sources of funding. 22 of 28 provinces (autonomous regions and municipalities) received the funds from the central government finance, and median of investment funds 500 000 Yuan. 15 provinces (autonomous regions and municipalities) gained the funds from the provincial government finance, and median of investment funds 350 000 Yuan. 12 provinces (autonomous regions and municipalities) got the funds from the prefecture and county level government finance, and median of investment funds 408 750 Yuan. 12 provinces (autonomous regions and municipalities) acquired the funds from other sources, and median of investment funds 228 400 Yuan. The median (P(25), P(75)) unit costs of intervention for FSW from 16 provinces (autonomous regions and municipalities) was 70 (23, 280) Yuan per year; DU from 14 provinces (autonomous regions and municipalities) was 83 (44, 200 ) Yuan per year; MSM from 16 provinces (autonomous regions and municipalities) was 100 (35, 280) Yuan per year; the follow-up and care for PLWH from 17 provinces (autonomous regions and municipalities) was 200 (45, 500) Yuan per year. Multivariate linear regression analysis results showed that the amount of PLWH in 2014 influenced on the total number of application funds of CBO involved in HIV/AIDS response (b=178.11, 95% CI: 51.86-305.36) and the amount of PLWH (b=77.72, 95% CI: 16.28-139.16), and Gross Domestic Product (GDP) per capita of the province (b=36.20, 95% CI: 4.60-67.80) impacted financial investment to CBO involved in HIV/AIDS response, respectively. Conclusion: Funds application and financial investment of CBO involved in HIV/AIDS control and prevention were huge. Financial investment from government was main resources for CBO in 2014. The amount of financial investment funds from governments was influenced by the HIV/AIDS epidemic situation and the development level of local economic.
目的：分析2014年中国社会组织申请参与艾滋病防治工作经费与投入情况及影响因素。 方法：于2015年6月，以中国内地31个省（自治区、直辖市）卫生行政部门主管艾滋病防治的工作人员为研究对象，采用自行设计的"社会组织参与艾滋病防治工作情况调查表" ，调查2014年各省社会组织参与艾滋病防治工作相关情况，其工作领域主要涉及了高危人群干预类[暗娼、男性同性性行为者（MSM）和吸毒者等]及HIV感染者和艾滋病患者（HIV/AIDS）随访管理和关怀救助类内容，有效回收问卷29份（内蒙古、山西未填写）。调查内容包括：2014年支持社会组织经费情况、2014年中央转移支付地方艾滋病防治项目支持社会组织情况、艾滋病防治工作的单位成本等内容。采用多元线性回归方法，分析影响中国社会组织申请参与艾滋病防治工作经费和投入的因素。 结果： 2014年社会组织申请参与艾滋病防治工作经费总数为64 482 828元，总投入为50 616 367元，经费投入分为中央财政经费支持、省级经费投入、省级以下经费投入、其他来源经费投入。28个省份中，22个省份获得了中央财政经费支持，投入经费中位数为500 000元；15个省份有省级财政投入，投入经费中位数为350 000元；12个省份有省级以下经费投入，投入经费中位数为408 750元；12个省份有其他来源经费投入，投入经费中位数为228 400元。16个省份提供了针对暗娼人员的干预单位成本，P(50) （P(25) ，P(75)）为70 (23, 280）元；14个省份提供的针对吸毒者干预单位成本，P(50)（P(25)，P(75)）为83 (44, 200）元；16个省份提供的针对男男同性性行为人员干预单位成本，P(50) （P(25)，P(75)）为100 (35, 280）元；17个省份提供了针对HIV/AIDS关怀的单位成本，P(50) （P(25) ，P(75)）为200 (45, 500）元。影响申请经费的因素为2014年HIV/AIDS存活人数，b（95% CI值）为178.11 (51.86~305.36）；影响对社会组织投入经费数的因素为2014年HIV/AIDS存活人数和地区人均国内生产总值，b （95%CI值）为77.72 （16.28~139.16）和36.20 （4.60~67.80）。 结论： 2014年中国社会组织参与艾滋病防治工作经费的申请及政府对其投入较大；中国各级政府对社会组织参与艾滋病防治工作的经费投入是社会组织参与艾滋病防治工作经费的主要来源，投入的经费量受地区艾滋病疫情水平和当地经济发展水平影响。.
Keywords: Acquired immunodeficiency syndrome; Community based organizations; Cost allocation.