关键词: 结核,肺/预防和控制, 人力资源, 评价

Abstract: Objective To evaluate the actualities of human resource of district level TB institutions in Wuhan and impartiality of demographic and geographic distribution. Methods The questionnaire was used to collect the information of TB staff at district level,including age,gender,educational background,professional title in distinct TB institutions in Wuhan.The information on the population and geographical acreage in the current year was collected to estimate the impartiality with Gini Coefficient and Llrenz Curve. Results Among the 177 TB staff in district institutions in Wuhan,the ratio of male to female is 1∶1.72,the mean age is 41.46 years(41.46±1.38) with an elder age in urban area and a younger age in suburban area.Most staff are graduates from senior middle school and technical secondary school that accounts for 52%.There is no postgraduate. The educational background of the staff in urban area is higher than that of suburban area.Most of the staff are majored in clinical medicine and nursing,accounting for 42.9% and 30.5% respectively,and only 7.9% are majored in public health.44.6% staff are with primary professional title of position and only 5.1% are with senior title.Professional posts are mainly for diagnosis and treatment(32.8%) and no people are full-time staff for health education.The training rate is 81.4% in Wuhan,while the rate is only 68.5% in suburban area.The training rate for nurse and drug manager is lower.The service population and service radius in suburban area are 1.6 and 3.1 times as those in urban area,respectively.According to the demographic and geographic distribution,the Gini Coefficient are 0.17 and 0.59 respectively. Conclusion In TB institutions at district level in Wuhan,the general qualification of the TB staff is not high,the job structure is not reasonable and the area distribute is not equitable,which influence the National TB Programme,the implementation quality of DOTS strategy directly and the development of tuberculosis prevention and cure.

Key words: Tuberculosis/prevention and control, Human resource, Evaluation