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目的分析评价湖北省世界银行贷款/英国赠款结核病控制项目实施效果,为我省结核病防治工作可持续发展提供可参考建议。方法根据我省项目终期评估资料,对2002年1月—2009年3月期间项目实施情况进行分析评价。结果项目覆盖地区DOTS覆盖率以县为单位达到100%;可疑肺结核病人就诊率从112.08/10万提高到305.66/10万;新发涂阳肺结核病人发现率从44.3%提升到72.6%;涂阳病人治愈率达到93.9%,其中初治涂阳治愈率94.7%;复治涂阳治愈率为89.9%;项目期间产生的直接经济效益是投入病人发现治疗成本的20.43倍。结论湖北省项目实施情况良好,DOTS覆盖率、新发涂阳病人发现率、涂阳病人治愈率都达到了项目要求,取得了较好的经济效益和社会效益。但项目结束后,要继续保持现有的成果,确保湖北省结核病防治工作的可持续发展,任务仍较艰巨。
Objective To analyze and evaluate the implementation effect of the World Bank Loan / Grant Grants Tuberculosis Control Project in Hubei Province and provide references for the sustainable development of tuberculosis prevention and control in our province. Methods Based on the evaluation data of the final project in our province, the implementation of the project from January 2002 to March 2009 was analyzed and evaluated. Results The coverage of DOTS in project coverage reached 100% in counties; the treatment rate of suspected TB patients increased from 112.08 / 100000 to 305.66 / 100000; the detection rate of new smear-positive pulmonary tuberculosis patients increased from 44.3% to 72.6%; smear positive The cure rate of the patients reached 93.9%, among which the cure rate of the first cure smear was 94.7%; the cure rate of the remedy and cure smear positive was 89.9%; the direct economic benefit during the project was 20.43 times higher than the cost of the treatment. Conclusion The implementation of the project in Hubei Province is in good condition. The coverage of DOTS, the detection rate of newly-established smear positive patients and the cure rate of smear positive patients all met the requirements of the project and achieved good economic and social benefits. However, after the project is over, it is still arduous to continue maintaining the existing achievements and ensure the sustainable development of tuberculosis prevention and control in Hubei Province.