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目的评价《陕西省结核病防治规划(2002—2010)年》(下简称《规划》)实施情况及中期目标的实现程度,总结、分析《规划》实施过程中的成功经验与不足,提出改进措施。方法采用国家《规划》评估的统一方案和调查表对省、市、县区级《规划》实施情况进行调查、核实,结果全部录入EpiDa-ta3.1软件进行汇总分析。结果各级政府均制订结核病防治《规划》,成立《规划》领导小组,建立健全结核病防治机构,总计投入7 745.06万元用于结控工作,DOTS覆盖率达到100%,累计完成《规划》病人发现指标任务的131.5%,新涂阳病人的治愈率为89.0%,培训、督导、健康教育达到《规划》目标要求。结论《规划》进展顺利,中期目标如期实现,但是政府承诺、结防机构能力建设、DOTS实施质量有待进一步加强。
Objective To evaluate the implementation status of “Planned Year of Tuberculosis Prevention and Control in Shaanxi Province (2002-2010)” (hereinafter referred to as “Plan”) and the achievement of medium-term goal of “Planned Year of Tuberculosis Prevention and Control in Shaanxi Province”, summarize and analyze the successful experiences and shortcomings in the implementation of “Plan” and propose improvement measures. Methods The “Plan” assessment of the national unified program and questionnaire on the provincial, municipal and county level “planning” to investigate the implementation of the situation, verify, the results were all entered EpiDa-ta3.1 software for pooled analysis. Results All levels of government formulated the “Plan for Prevention and Control of Tuberculosis” and set up a “Planning” leading group to establish and improve the TB prevention and treatment agencies with a total investment of 77.4606 million yuan for knot control work. The DOTS coverage rate reached 100% and the cumulative “Planned” patients 131.5% of the index tasks were found, and the cure rate of new smear positive patients was 89.0%. Training, supervision and health education met the target requirements of “planning”. Conclusion The “Plan” is progressing well and the medium-term goal is fulfilled on schedule. However, the quality of DOTS implementation needs to be further strengthened by the government’s commitment to the capacity building of institutions for prevention and treatment.