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Chinese Journal of Antituberculosis ›› 2013, Vol. 35 ›› Issue (10): 768-772.

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Effect evaluation on tuberculosis control in floating population in global fund China tuberculosis control project

LIU Xiao-qiu, LI Jun, JIANG Shi-wen   

  1. Department of Programme and Planning of National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2013-07-31 Online:2013-10-10 Published:2014-01-03
  • Contact: JIANG Shi-wen E-mail:jiangsw@chinatb.org

Abstract: Objective To identify the status of case finding and treatment of tuberculosis (TB) cases in the floating population in global fund China TB control project, and to make an effect evaluation on the project. Methods Data was collected from the quarterly reports of the global fund of TB control project, and the case finding and treatment outcomes of cases in floating population were analyzed. Compared with the nationwide data of patients who were detected from floating population in 2010 the case finding and treatment outcomes in the project areas were evaluated. In the past 6 years since the project was implemented, 165529 active TB cases in floating population were registered in the project areas. The total number of floating population in 2010 was 0.213 billion, and 73963 pulmonary TB cases were registered. Results The notification rate was increased from 25.34/100000 (4166/16440400) to 71.43/100000 (41439/58011500) after 6 years’ implementation. Among those who were treated in the registered place, the cure rates of new sputum smear positive (SS+) cases and retreatment SS+ cases were 90.87% (43442/47809) and 78.63% (4847/6164) respectively, and the treatment completion rate of new smear negative cases and patients without results of sputum examination was 92.26% (59088/65405). Meanwhile, among those who were transferred to the origin residence for treatment, the cure rates of new SS+ cases and retreatment SS+ cases were 48.85% (1444/2956) and 37.99% (106/279) respectively, and the treatment completion rate of new smear negative cases and patients without results of sputum examination was 47.06% (1335/2837). The notification rates of both active TB cases and smear positive patients in the project areas were significantly higher than those nationwide in 2010 (active TB cases: 74.26/100000 (41615/56040600), 34.72/100000 (73963/21300000), U=127.08, P=0.000; SS+ cases: 32.20/100000 (18047/56040600), 15.16/100000 (32298/21300000), U=183.83, P=0.000). The treatment success rate of patients who were transferred to the origin residence for treatment (48.45%, (1550+1392)/6072) was higher than the national rate in 2010 (8.89%, (279+177)/5127) (χ2=2058.10, P=0.000), and the default rate (28.69%, 1742/6072) was significantly lower (90.83%, 4657/5127) (χ2=4383.45, P=0.000). Conclusion The Globe Fund China TB control project for floating population has shown satisfactory effect, which increases the case finding and treatment outcomes.

Key words: Tuberculosis, pulmonary/prevention &, control, Tuberculosis, pulmonary/therapy, Registries, Residential mobility, Disease management