论文部分内容阅读
目的分析和评价深圳市第五轮中国全球基金流动人口结核病防治项目的实施效果,为探索有效的流动人口结核病管理模式提供科学依据。方法对深圳市2006年10月至2010年6月结核病网络报告疫情和流动人口结核病防治项目季报表进行病例登记、治疗转归队列和经费使用情况分析。结果全市共登记13 984例活动性肺结核病例,其中涂阳肺结核7 871例,涂阴肺结核6 113例。非结防机构网络报告总体到位率由56.4%提高到86.5%。活动性肺结核督导管理率达到98.0%。新涂阳肺结核病例2月末阴转率为74.8%,活动性肺结核病例成功治疗率为83.9%。未转出病例的痰菌阴转率和成功治疗率均显著高于转出病例,差异有统计学意义(P<0.01)。项目总体经费使用率达到93.1%。结论项目实施近4年来,深圳市管理和治愈了大量肺结核病人,但由于流动人口数量多,流动性大,管治效果有待进一步提高。
Objective To analyze and evaluate the implementation effect of the fifth round of China Global Fund floating tuberculosis prevention and control project in Shenzhen and provide a scientific basis for exploring effective management model of tuberculosis in floating population. Methods The quarterly reports of TB epidemic reporting and TB prevention and treatment project in TB network in Shenzhen from October 2006 to June 2010 were enrolled in this study. The treatment cohort and the use of funds were analyzed. Results A total of 13 984 cases of active pulmonary tuberculosis were registered in the city, including 7 871 smear positive tuberculosis and 6 113 smear negative tuberculosis. The overall reporting rate of non-TB prevention and control agencies’ network reports increased from 56.4% to 86.5%. Active tuberculosis supervision and management rate reached 98.0%. The negative conversion rate of new smear-positive pulmonary tuberculosis patients was 74.8% at the end of February, and the successful treatment rate of active pulmonary tuberculosis patients was 83.9%. Negative sputum negative conversion rate and successful treatment rate were significantly higher than those without cases, the difference was statistically significant (P <0.01). The project overall funding utilization rate reached 93.1%. Conclusion In the recent 4 years since the implementation of the project, a large number of TB patients have been administered and cured in Shenzhen. However, due to the large number of floating population and large liquidity, the effect of governance needs to be further improved.