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目的探讨适合贫困地区结核病控制的模式,提高贫困地区肺结核病人的发现率。方法根据贫困地区特点,结合现代结核病控制策略,借助实施的全球基金结核病项目,加大政府投入、社会多部门参与结核病控制、强化基层三级防控体系、医防合作、建立乡镇痰检点、实施多种形式的结防宣传、落实病人发现与化疗管理激励政策的综合防治模式。结果2003—2007年,政府加大对结核病控制工作投入,投入金额达880.76万元,是以往投入的1.52倍;肺结核病人接受结防宣传比例提高了24.4%;综合医院肺结核病人转诊率和总体到位率分别提高18.4%和26.0%,可疑病人就诊率从1.8‰提高到3.2‰,新涂阳肺结核病人登记率有所提高;乡镇痰检点检出了涂阳病人440例;新涂阳治愈率保持在94%以上。结论建立政府投入、社会多部门参与、发挥基层三级结防网络优势互补、医防合作、乡镇痰检点设立、实施多种形式健康促进和落实激励政策综合防控措施,对提高结核病人发现率、提高病人治疗管理质量和保持高治愈率在贫困地区行之有效。
Objective To explore a suitable mode of tuberculosis control in poor areas and to improve the detection rate of tuberculosis patients in poor areas. Methods According to the characteristics of poverty-stricken areas, combined with modern TB control strategies, with the help of the implementation of the Global Fund for Disease Control and Prevention project, increase government investment, social multi-sector participation in tuberculosis control, strengthen the grass-roots prevention and control system, medical cooperation, establish township phlegm checkpoint implementation Various forms of advocacy and prevention, implementation of patient discovery and chemotherapy management incentive policies integrated prevention and control mode. Results From 2003 to 2007, the government increased its investment in tuberculosis control by a total amount of 8,807,600 yuan, 1.52 times that of the previous years. The proportion of patients receiving tuberculosis prevention and control increased by 24.4%. The overall referral rate and total number of tuberculosis patients in general hospitals The rates of arrival were increased by 18.4% and 26.0% respectively, the visiting rate of suspicious patients increased from 1.8 ‰ to 3.2 ‰, the registration rate of new smear-positive pulmonary tuberculosis patients was increased, and 440 smear positive patients were detected at township sputum test sites. Maintained above 94%. Conclusion The government investment, social multi-sectoral participation, the grass-roots three levels of prevention and control network complement each other, medical cooperation, the establishment of township sputum checkpoints, the implementation of various forms of health promotion and implementation of incentive policies comprehensive prevention and control measures to improve the detection rate of TB patients , Improve the quality of treatment and management of patients and maintain a high cure rate effective in poor areas.