Abstract: Objective To study the process of cooperation between the organization for tuberculosis and hospital and improve the case detection of pulmonary tuberculosis. Methods Baseline survey was conducted in target hospitals in the project areas before cooperation between the organization for tuberculosis and hospital implemented . Registration, reporting and referral systems in the hospitals were improved. Cases reported through network were traced by CDCs. After the project, indexes of case-detection were compared with those in the baseline survey. Results In the project area, the pulmonary tuberculosis registration rate of the pilot hospitals increased from 34.2% (baseline survey) to 91.8% . The reporting rate increased from 46.5% to 91.8% . The referral rate increased from 14.9% to 82.3% . And the arrival rate in total increased from 25.7% to 60.0% . The duration from reporting to arrival reduced from 43.96 d to 6.11 d. The case-detection rate increased substantially, and the registration rate of new smear-positive case increased from 18.67/100,000 to 32.91/100,000. Conclusion Through the implementation of cooperation between the organization for tuberculosis and hospital, the registration rate, reporting rate and referral rate increased obviously which resulted in the increased case-detection rate in the pilot area.

Key words: Pulmonary tuberculosis/prevention and control, Jiangsu province