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目的评价重庆市世行贷款/英国赠款中国结核病控制项目的实施情况,为制定项目中期调整计划提供科学依据。方法根据卫生部的中期评估调查表,收集2002—2005年全市40个区县常规监测等相关资料,汇总分析。结果项目覆盖全市40个区县,DOTS覆盖率100%;4年来可疑者就诊率由16.90/万到28.38/万,提高了67.8%;新发涂阳病人登记率由31.54/10万到44.27/10万,提高了40.4%;初治涂阳病人治愈率94.1%,复治涂阳病人治愈率88.9%。结论项目实施4年达到中期目标和全球结核病控制阶段性目标。但要控制结核病疫情,确保《规划》目标的全面实现,任务艰巨,任重而道远。
Objective To evaluate the implementation of the World Bank-funded loan / grant-grants TB control project in Chongqing and provide a scientific basis for formulating the medium-term adjustment plan of the project. Methods According to the interim assessment questionnaire of the Ministry of Health, the relevant data of routine monitoring of 40 districts and counties in the city from 2002 to 2005 were collected and analyzed. Results The project covered 40 districts and counties in the city, with DOTS coverage rate of 100%. The number of suspicious persons visiting in 4 years increased from 16.90% to 28.38%, an increase of 67.8%. The newly registered smear-positive patients registered from 31.54 / 100000 to 44.27 / 100000, an increase of 40.4%; the cure rate of newly diagnosed smear positive patients was 94.1%, the cure rate of retreated smear positive patients was 88.9%. Conclusion The project has reached the medium-term target of 4 years and the global phase of tuberculosis control. However, to control the epidemic situation of tuberculosis and ensure the full realization of the goal of “planning”, the task is arduous and long way to go.