湖北省世界银行贷款/英国赠款结核病控制项目实施效果分析(2002年1月—2009年3月)  

Effect analysis of Hubei WB/DFID TB Control Project from Jan 2002 to Mar 2009

作　　者：侯双翼[1] 叶建君[1] 詹发先[1] 熊昌富[1] 杨成凤[1] 王小靖[1] 肖爱清[1] 赵丁源[1] 李国明[1] 周丽平[1] 李爱国[1] 罗军民[1] 刘勋[1] 王文[1] 

机构地区：[1]湖北省疾病预防控制中心传染病防治研究所,武汉430079

出　　处：《中国防痨杂志》2010年第3期136-139,共4页Chinese Journal of Antituberculosis

摘　　要：目的分析评价湖北省世界银行贷款/英国赠款结核病控制项目实施效果,为我省结核病防治工作可持续发展提供可参考建议。方法根据我省项目终期评估资料,对2002年1月—2009年3月期间项目实施情况进行分析评价。结果项目覆盖地区DOTS覆盖率以县为单位达到100%;可疑肺结核病人就诊率从112.08/10万提高到305.66/10万;新发涂阳肺结核病人发现率从44.3%提升到72.6%;涂阳病人治愈率达到93.9%,其中初治涂阳治愈率94.7%;复治涂阳治愈率为89.9%;项目期间产生的直接经济效益是投入病人发现治疗成本的20.43倍。结论湖北省项目实施情况良好,DOTS覆盖率、新发涂阳病人发现率、涂阳病人治愈率都达到了项目要求,取得了较好的经济效益和社会效益。但项目结束后,要继续保持现有的成果,确保湖北省结核病防治工作的可持续发展,任务仍较艰巨。Objective To analyze the effect of Hubei WB/DFID TB control project and provide scientific basis for sustainable development of TB control work in Hubei.Method Final project assessment data were used for analysis and evaluation of the implementation of the project from 2002 to 2009.Results DOTS coverage rate in project area has reached 100%.The attendance rate of suspected TB patients increased from 112.08/100 000 to 305.66/100 000.The detection rate of new smear positive pulmonary TB cases rose from 44.3% to 72.6%.The cure rate is 94.0% for smear positive patients,and 94.7% for new smear positive and 89.9% for retreatment cases.The direct economic benefit of the project is 20.43 times of the cost in patients＇ detection and treatment.Conclusions This project implemented well in Hubei.The DOTS coverage,the case detection rate of new smear positive patients and the cure rate of smear positive patients have all reached the project requirements,and achieved good economic and social benefits.However,the tasks remain tough in maintaining the results and ensuring the sustainable development of TB prevention and control work after the end of the project.

关 键 词：结核 肺/预防和控制 湖北省 

分 类 号：R52[医药卫生—内科学]