Abstract: Objective To study the acceptability of fully supervised chemotherapy for smear-positive pulmonary tuberculosis in Tongzhou district,Beijing.Methods Domiciliary treatment for smear-positive pulmonary tuberculosis was implemented under fully supervised chemotherapy.Net work of health services has been organized at district,community and village three levels and supervised by Tongzhou District Bureau of Health.Results There were 1.648 case of smear-positive pulmonary tuberculosis registered during 1979～1997.The average coverage of DOTS for smear-positive cases was 86.2%,sputum conversion rate after complete the treatment was 95.3% and relapse rate during the 2 years was 3.2%.The prevalence of smear-positive cases decreased from 81/100.000 in 1980 to 2.3/100.000 in 1997 with 97.2% reduction rate.About 130 thousand population prevented from infection of tubercle bacilli.The value of output was created with RMB 6.590 thousand Yuan by protection of labors.Conclusion DOTS for smear-positive cases can be continuously and successfully implemented by network of three-level health service and supervision under administrative sectors.

Key words: Tuberculosis, pulmonary, prevention and control, Fully supervised chemotherapy