Abstract: Objective Through analyzing the situation of sputum smear spots at township level established from 2005. to provide the base for development the next-step TB work plan in Shanxi. especially in enhancing the work of sputum smear spots at township level. Methods The basic document on sputum smear spots at township level was collected and analyzed, including general in-formation, funding, case-finding, etc. Results Four hundred and eighty-four sputum smear spots at township level were established and 309 worked well. The smear positive rate of TB patients examined from 2005 to 2008 was 4. 6 % ； the percentage of smear positive cases funded in sputum smear spots at township level was 1.1%； the coincidence rate of positive and negative smear were 73 % and 91 % respectively. Conclusions Although township sputum smear spot has contributed to the case finding in Shanxi, it is important to enhance the work of sputum spots at township level in township doctor training, clarifying the township sputum smear spot's duty and monitoring the fund usage.

Key words: tuberculosis,pulmonarys/prevention & control, sputum, preventive health services, Shanxi province