深圳市全球基金流动人口结核病防治项目实施效果分析

目的 分析和评价深圳市第五轮中国全球基金流动人口结核病防治项目的实施效果，为探索有效的流动人口结核病管理模式提供科学依据。 方法 对深圳市2006年10月至2010年6月结核病网络报告疫情和流动人口结核病防治项目季报表进行病例登记、治疗转归队列和经费使用情况分析。 结果全市共登记13-984例活动性肺结核病例，其中涂阳肺结核7-871例，涂阴肺结核6-113例。非结防机构网络报告总体到位率由56.4%提高到86.5%。活动性肺结核督导管理率达到98.0%。新涂阳肺结核病例2月末阴转率为74.8%，活动性肺结核病例成功治疗率为83.9%。未转出病例的痰菌阴转率和成功治疗率均显著高于转出病例，差异有统计学意义（P<0.01）。项目总体经费使用率达到93.1%。 结论 项目实施近4年来，深圳市管理和治愈了大量肺结核病人，但由于流动人口数量多，流动性大，管治效果有待进一步提高。

Effect analysis of global fund tuberculosis project on floating population in Shenzhen

Objective To analyze the implementing effect of global fund tuberculosis project on floating population in Shenzhen,and explore effective management pattern for the floating population. Methods Data from internet bases infectious disease reporting system、TB register and financial statements were analyzed from Oct,2006 to Jun,2010. Results A total of 13 984 active pulmonary tuberculosis patients were found,among which 7 871 cases of smear positive and 6 113 cases of smear negative.The overall in place rate of patients reported by non-TB institutions increased from 56.1% to 86.5%.The DOT rate was 98.0%.The sputum conversion rate at the end of two month was 74.8%.The successful treatment rate of active pulmonary tuberculosis patients was 83.9%.The sputum conversion rate and successful treatment rate of the patients who transferred out was significantly lower than the patients who still stayed in Shenzhen（P0.01）.The total use of project funds was 93.1%. Conclusions A large number of pulmonary tuberculosis cases were diagnosed,treated and cured in the nearly four years,however because of a substantial increase in the mobile population,the treatment effect should be further improved.