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目的探索全球基金结核病项目对河北省贫困地区肺结核病人发现与治疗效果的影响。方法通过实施全球基金结核病项目,强化地方政府在结核病防治规划实施中的职能作用,快速提高贫困地区结核病控制工作质量,实现提高病人发现水平和疗效。结果通过开展全球基金结核病项目,地方政府及时承诺当地结核病防治规划,投入逐年增加176万元/年,贫困地区涂阳肺结核病人登记率由项目初期的39.26/10万提高到期末的46.73/10万,提高了7.47/10万,新涂阳病人任务完成率由94%提高到121.74%,新涂阳治愈率达90%以上,实现了《规划》所规定的目标。结论通过实施全球基金结核病项目,推动了贫困地区结核病控制工作的开展,提高了结核病的发现水平,保持了涂阳病人高治愈率。
Objective To explore the impact of the Global Fund on Tuberculosis (TB) project on the detection and treatment of pulmonary tuberculosis in poverty-stricken areas of Hebei Province. Methods By implementing the Global Fund for Tuberculosis (TB) project and strengthening the functional role of local governments in the implementation of tuberculosis prevention and control programs, the quality of tuberculosis control in poor areas can be rapidly improved and the level of patient discovery and curative effect can be improved. Results Through the implementation of the Global Fund for Tuberculosis (TB) project, local governments timely promised local tuberculosis prevention and treatment plans to increase their funding by 1.76 million yuan per year year-on-year. The registration rate of smear-positive TB patients in poor areas increased from 39.26% at the beginning of the project to 46.73% at the end of the period , Increased by 7.47 / 100000, the completion rate of new smear-positive patients increased from 94% to 121.74%, and the cure rate of new smear positive was more than 90%, achieving the goal of “planning”. Conclusions Through the implementation of the Global Fund for Tuberculosis (TB) project, TB control in poverty-stricken areas was promoted, the level of TB found was improved, and the high cure rate of smear-positive patients was maintained.