关键词: 结核, 肺/预防和控制, 卫生计划实施, 上海市

Abstract: Objective To evaluate the effectiveness of the fifth round of the global fund (GF) program to fight tuberculosis (TB) aimed at floating population in Xuhui district in Shanghai from October 1st, 2007 to June 30th, 2010.  Methods The situation of referral and tracing of the TB suspects in floating population, the treatment outcomes and management of TB cases in floating population before and after the program were compared. The key indicators on TB control by the increasing proportion of fixed base ratio and chain ratio before October 1st, 2007 i.e. the fund conduct one year with the key indicators after the fund conduct 2 years and 9 months （total for 33 months） from October 1st, 2007 to June 30th, 2010 (the program executing years were divided into 3 stages, i.e. stage Ⅰ, the first year of stage Ⅱ, the second year of stage Ⅱ) were compared as well. These indicators included the number of the registration of TB suspects, overall arrival rate, sputum negative conversion rate of new smear positive cases at 2 months of treatment, cure rate of new smear positive patients, treatment completion rate of active patients. The management situation of the cross-regional patients was also analyzed.  Results The annual increasing proportion of fixed base ratio of the key indicators increased obviously in stage Ⅰ, the first year of stage Ⅱ and the second year of stage Ⅱ. Those of the number of the registration of TB suspects were 12.29%((813－724)/724), 48.20%((1073－724）/724) and 59.81%((1157－724)/724). Those of overall arrival rate were 3.58%((91.14－87.99)/87.99), 2.45%((90.15－87.99)/87.99) and 7.96%((94.99－87.99)/87.99). The increasing proportion of fixed base ratio of sputum negative conversion rate of new smear positive cases at 2 months of treatment were 43.71%((82.46－57.38)/57.38), 55.93%((89.47－57.38)/57.38) and 49.37%((85.71－57.38)/57.38). Those of cure rate of new smear-positive patients were 31.10%((85.96－65.57)/65.57］), 48.50%((97.37－65.57)/65.57)and 48.15%((97.14－65.57)/65.57). Those of treatment completion rate of active patients were 30.18％((90.32－69.38)/69.38), 40.56%((97.52－69.38)/69.38)and 40.31%((97.35－69.38)/69.38)).  Conclusion Effectiveness of the global fund program to fight tuberculosis for the floating population was obvious. The execution of GF project has not only benefited the floating population, but also effectively improved the routine and overall level of TB control and management in Xuhui district.

Key words: Tuberculosis, pulmonary/prevention and control, Health plan implementation, Shanghai city