Abstract:

Objective To analyze and evaluate the effect of tuberculosis (TB) prevention and control work, after taking the health management of TB patients into the basic public health service project in Miyun district (hereinafter referred to as the “public health project”).Methods Through comparatively analyzing the situation the patients’ discovery, referral, and treatment outcome between the years from Jan.2014 to Dec.2015 and the last two years since Jan.2016 initiating public health project, to explore the implementation effects of taking TB health mana-gement into public health project. SPSS 18.0 software was used for statistical analysis and chi-square test was used to compare the rates. P<0.05 was considered the difference had statistical significanceResults The incidence of patients with active TB fell by 6.63/100000, from 41.63/100000 (404/970000) (2014-2015) to 35.00/100000 (336/960000) (2016-2017). The discovery rate of smear-positive patient increased by 4.22%, from 29.70% (120/404) (2014-2015) to 33.93% (114/336) (2016-2017), and the difference had no statistical significance (χ ²=1.515, P=0.218). The proportion of patients did not test sputum decreased by 6.81%, from 19.31% (78/404) (2014-2015) to 12.50% (42/336) (2016-2017), and the difference had statistical significance (χ ²=6.266, P=0.012). The rate of referral arrival increased by 6.69%, from 67.81% (455/6710 (2014-2015) to 74.50% (482/647) (2016-2017), and the difference had statistical significance (χ ²=7.170, P=0.007).The overall arrival rate increased by 3.46%, from 93.29% (626/671) (2014-2015) to 96.75% (626/647) (2016-2017), and the difference had statistical significance (χ ²=8.293, P=0.004). The cure rate of new smear positive cases increased by 7.93%, from 87.78% (79/90) (2014-2015) to 95.71% (134/140) (2016-2017), and the difference had statistical significance (χ ²=5.041, P=0.025).Conclusion The proportion of patients did not test sputum decreases, and the rate of referral arrival and cure rate of new smear positive cases increase. In short, taking TB patients health management into the basic public health project improves the TB prevention and control.

Key words: Tuberculosis, pulmonary, Disease management, Public health practice, Small-area analysis, Comparative study