关键词: 结核, 肺/预防和控制, 卫生计划实施, 评价研究, 福建省

Abstract: Objective  To evaluate the implementation effect and the achievement of the overall objectives and working targets of tuberculosis control program in Fujian province during 2001—2010, and analyze the difficulties and problems existed in the implementation process and provide reference for sustainable development of provincial TB control work.  Methods  We collected the data from program evaluation forms and TB special reporting system of all levels including 9 cities and 86 counties between 2001 and 2010. Excel 2007 and SPSS 15.0 was used for analysis.  Results   (1) Fujian initiated DOTS strategy in 2002, and the coverage rate reached 100.0% in 2004. (2) A total of 220 351 cases of active pulmonary tuberculosis were detected in the whole province during 2001—2010, in which 110 343 were new smear positive cases with the registration rate of 32.0 per 100 000; 92 440 cases of new cases were cured with the average cure rate of 90.7%. The average referral arrival rate was 40.5%(60 336/148 944) during 2005—2010, the rate of arrival after tracing increased from 47.0%(4350/22 922) to 91.0%(12 325/24 799), the overall arrival rate increased from 63.1%(1447/22 922) to 93.6%(23 203/24 799). (3) Compared with 2001, in 2009 the number of TB control staff increased by 39.1%, a 118.4% increase in staff with undergraduate or above background, the number of staff with senior titles increased by 69.4%.(4) 742 202 healthy people were avoided of TB infection and 74 220 new cases of TB were avoided of development, 5.056 million Yuan of medical costs was reduced and 15.4 billion of social economic loss was saved.  Conclusion  During the ten years of implementation of TB control program, the TB control in Fujian had made remarkable achievements.

Key words: Tuberculosis, pulmonary/prevention &, control, Health plan implementation, Evaluation studies, Fujian province