我国血吸虫病防治机构能力建设现状调查  

Capacity building in schistosomiasis control institutions in China:a cross-sectional study

作　　者：何君逸 李仕祯 邓王平 曹淳力 李石柱 许静 HE Junyi;LI Shizhen;DENG Wangping;CAO Chunli;LI Shizhu;XU Jing(National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research),National Health Commission Key Laboratory of Parasite and Vector Biology,WHO Collaborating Centre for Tropical Diseases,National Center for International Research on Tropical Diseases,Shanghai 200025,China;School of Global Health,Shanghai Jiao Tong University School of Medicine and Chinese Center for Tropical Diseases Research,Shanghai 200025,China)

机构地区：[1]中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心)、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、科技部国家级热带病国际联合研究中心,上海200025 [2]上海交通大学医学院-国家热带病研究中心全球健康学院

出　　处：《中国血吸虫病防治杂志》2024年第1期67-73,共7页Chinese Journal of Schistosomiasis Control

基　　金：国家重点研发计划(2021YFC2300800,2021YFC2300804);国家自然科学基金(82073619)。

摘　　要：目的了解我国血吸虫病流行省(直辖市、自治区)血吸虫病防治机构能力建设现状。方法2023年5-6月,通过专家研讨及现场访谈、实地走访等方式了解各类血吸虫病防治机构职责任务和建设要求,设计血吸虫病防治能力维持和巩固专题调查问卷。采用问卷星APP对我国承担血吸虫病防治和监测任务的县级、市级及省级卫生机构开展线上问卷调查,分析我国血吸虫病防治机构分布、血吸虫病防治任务承担机构、部门和员工数量及血吸虫病防治科研转化情况;以通过中国合格评定国家认可委员会(China National Accreditation Service for Conformity Assessment,CNAS)认可为实验室有能力开展相应检测工作,分析血吸虫病防治机构检测能力水平。结果累计收到我国12个血吸虫病流行省(直辖市、自治区)的486家血吸虫病防治机构的有效问卷,其中2.5%(12/486)为省级机构、15.8%(77/486)为市级机构、81.7%(397/486)为县级机构;77.4%(376/486)为疾病预防控制中心或公共卫生中心,21.0%(102/486)为血吸虫病、地方病或寄生虫病防治专业机构,1.6%(8/486)为医院、卫生院或其他。486家血吸虫病防治机构共有在职员工37713人,其中血吸虫病防治相关员工5675人。省、市、县级机构血吸虫病防治相关员工数占机构在职总人数的比例分别为5.9%(231/3897)、5.5%(566/10134)和20.6%(4878/23682)。累计有专职血吸虫病防治员工3826名,其中年龄≤40、41~50岁及>50岁员工比例分别为30.5%(1166/3826)、34.6%(1324/3826)和34.9%(1336/3826);血吸虫病防治工作年限>25年专职员工占41.0%(1571/3826);初、中级职称分别占35.5%(1358/3826)和33.7%(1290/3826),18.6%(712/3826)的血吸虫病防治专职员工不具有专业技术职称。血吸虫病防治机构最核心的3项血吸虫病防治工作任务分别为钉螺控制(26.3%,374/1420)、疫情监测与管理(25.4%,361/1420)及健康教育(18.8%,267/1420)。各级血吸虫病防治机构�Objective To understand the current status of capacity building in schistosomiasis control institutes in schistosomiasis-endemic provinces(municipality,autonomous region)of China.Methods The responsibilities and construction requirements of various schistosomiasis control institutions were surveyed by expert discussions,and field interviews and visits during the period between May and June,2023,and the questionnaire for capacity maintenance and consolidation in schistosomiasis control institutions was designed.An online questionnaire survey was conducted in county-,municipal-,and provincial-level institutions that undertook schistosomiasis control and surveillance activities through the Wenjuanxing program.The distribution of schistosomiasis control institutions,the status of institutions,departments and staff undertaking schistosomiasis control activities and the translation of scientific researches on schistosomiasis control in China were analyzed.The laboratories accredited by China National Accreditation Service for Conformity Assessment(CNAS)were considered to be capable for testing associated with schistosomiasis control,and the testing capability of schistosomiasis control institutions was analyzed.Results A total of 486 valid questionnaires were recovered from 486 schistosomiasis control institutions in 12 endemic provinces(municipality,autonomous region)of China,including 12 provincial-level institutions(2.5%),77 municipal-level institutions(15.8%)and 397 county-level institutions(81.7%).Of all schistosomiasis control institutions,376(77.4%)were centers for disease control and prevention or public health centers,102(21.0%)were institutions for schistosomiasis,endemic disease and parasitic disease control,and 8(1.6%)were hospitals,healthcare centers or others.There were 37713 active employees in the 486 schistosomiasis control institutions,including 5675 employees related to schistosomiasis control,and the proportions of employees associated with schistosomiasis control among all active employees were 5.9

关 键 词：血吸虫病 消除 能力建设 现状调查 中国 

分 类 号：R532.21[医药卫生—内科学]