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目的评价分析新疆克孜勒苏柯尔克孜自治州(克州)2002~2008年实施世行贷款/英国赠款结核病控制项目的 7年成效。方法收集并分析项目期间季报表和年报表及历年有关调查资料。结果项目以县(市)和人口为单位覆盖率逐年达到100%,结核病防治机构综合防治能力得到加强,7年共接诊可疑对象14 861人次,查痰率达77.7%、涂阳检出率28.9%,涂阳新登记率由2002年的79.8/10万,提高到2008年的86.4/10万。发现活动性结核病人5 200例,其中涂阳病人3 341例、免费治疗涂阳病人3 339例、治愈3 147例。初治和复治涂阳病人治愈率在2008年达到93.7%和90.3%,保护70 000余人免受结核菌感染,避免7 000余人发病。结论克州实施世行贷款/英国赠款结核病控制项目成效显著,获得了很好的社会效益和经济效益,取得了可行经验,但还存在不少问题,需采取有利措施,进一步完善结核病控制工作。
Objective To evaluate and analyze the 7-year effectiveness of implementing the World Bank loan / grant grants tuberculosis control project from 2002 to 2008 in Kizilsu Kirgiz Autonomous Prefecture, Xinjiang. Methods Collect and analyze quarterly reports and annual reports during the project period and relevant survey data over the years. Results The project coverage reached 100% by counties (cities) and population. The comprehensive prevention and treatment of tuberculosis prevention and treatment agencies was strengthened. A total of 14 861 suspicious patients were interviewed in 7 years, and sputum sampling rate was 77.7%. The detection rate of smear positive 28.9%. The new registration rate for smear positive use increased from 79.8 / 100000 in 2002 to 86.4 / 100000 in 2008. A total of 5 200 active tuberculosis cases were found, including 3 341 smear-positive patients, 3 339 cases of smear-positive patients free of charge and 3 147 cases of cure. The cure rates of newly diagnosed and retreated smear-positive patients reached 93.7% and 90.3% in 2008, which protected 70,000 people from TB infection and prevented the incidence of more than 7,000 people. Conclusion The implementation of World Bank-funded / UK grants TB control project in Kezhou achieved remarkable results with good social and economic benefits gained and feasible experience gained but there are still many problems that need to be solved to further improve TB control work .