目的 :对农村贫困地区消除碘缺乏病实施综合干预措施的效果评价。方法 :于 2 0 0 0年 6月～ 2 0 0 1年 1 2月在武威市 3县 1区2 0个乡开展了农村贫困地区IDD病情监测的基础上开展了农村贫困地区IDDKAP调查及防治知识宣传 ,建立乡村碘盐销售专用网络等综合干预措施 ,并对干预实施效果进行评估。结果 :项目实施后 ,试点乡形成学校教师学生社会 (家庭 )和家庭主妇家庭社区两种健康教育网络 ,以及县 (批发 )乡 (批发零售 )村 (零售 )合格碘盐销售网络。一年后项目区甲状腺肿大率为 9 3 % (下降1 4个百分点 ) ,尿碘中位数升至 2 60 33ug/l(基线 :75 0ug/l) ;合格碘盐食用率 92 2 % (基线 :57 4% ;五年级学生组和家庭主妇组知识、行为、态度 (学生组 )及格率分别为 92 2 %、85 5 % (65 0 %、62 0 % )和 92 8%、83 0 % (50 3 %、54 0 % )和 91 7% (41 3 % ) ;育龄妇女组获得预防IDD知识的主要渠道是学生 47 6 % ,其次为电视 2 6 9%。结论 :项目实施一年后 ,以上各项指标已达到或接近实现消除碘缺乏病阶段目标评估方案的要求 Objective: To evaluate the effect of comprehensive intervention to eliminate iodine deficiency disorders in rural poverty-stricken areas. Methods: From June 2000 to January 2011, IDDKAP surveys and prevention and treatment in rural poverty areas were carried out based on the monitoring of IDD in rural poverty areas in 20 townships in 3 districts and 1 districts of Wuwei City. Knowledge and promotion, the establishment of rural iodized salt sales network and other comprehensive interventions, and to assess the effect of intervention. Results: After the implementation of the project, the pilot villages formed schools  Teachers  Students  Social (families) and housewives  Family  Community health education networks, as well as counties (wholesale)  Township (wholesale and retail)  Cun (retail) Qualified iodine Salt sales network. After one year, the rate of goiter in the project area was 93% (down 14%), and the median urinary iodine increased to 2 60 33ug / l (baseline: 75 0ug / l); the eligible iodine salt consumption rate was 92 2% (Baseline: 57.4%). The passing rate of knowledge, behavior and attitude (group of students) in Grade 5 and Housewife groups was 92.2%, 85.5% (65.0%, 62.0%) and 92.8% respectively 0% (50 3%, 54 0%) and 91 7% (41 3%). The main channels for women of childbearing age group to obtain IDD knowledge prevention were 47.6% of students, followed by 269% of TV. Conclusion: Years later, the above indicators have reached or are close to achieving the goal of eliminating iodine deficiency deficiency stage assessment program requirements