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目的通过对毕节地区2002-2009年结核病控制项目实施效果的调查和评价,分析项目对该地区结核病防治能力的影响,为控制结核病和促进结核病防治工作可持续发展提供参考。方法采用问卷调查和统计报表等相结合,收集资料,描述性分析项目实施前后结核病防治能力变化。结果项目实施后毕节区DOTS策略覆盖率100%,接诊58796人,发现涂阳患者17808例,患者治愈率80%以上。结核病防治机构从4个增加到9个,结防人员从22人增加至68人,均参加过各种业务技术和管理培训。9个实验室均能开展痰涂片检查,1个实验室可以开展痰培养工作。结访机构和人员健康促进能力得到明显改善。结论毕节地区在结核病控制项目实施后结防能力显著提升,硬件设施进一步改善,结防人员数量和素质进一步提高。
Objective To investigate and evaluate the effect of tuberculosis control project from 2002 to 2009 in Bijie Prefecture and analyze the impact of the project on tuberculosis prevention and control capacity in this area so as to provide reference for controlling tuberculosis and promoting the sustainable development of tuberculosis prevention and control. Methods The questionnaire survey and statistical reports were used to collect data and descriptively analyze the changes of tuberculosis prevention and control ability before and after the implementation of the project. Results After the implementation of the project, the coverage rate of DOTS strategy in Bijie District was 100%, 58,796 people were interviewed, and 17,808 smear positive patients were found. The cure rate of patients was over 80%. The number of tuberculosis prevention and treatment institutions increased from 4 to 9, and the number of people at check-out increased from 22 to 68, and all participated in various business technical and management trainings. Sputum smear examination can be carried out in 9 laboratories, and one laboratory can carry out sputum culture work. Significant improvement in the health promotion capacity of visiting institutions and personnel has been achieved. Conclusion In Bijie Prefecture, the prevention and control of tuberculosis was significantly improved after the TB control project was implemented, the hardware facilities were further improved, and the number and quality of TB staff were further improved.