2005年陕西省防氟(砷)改灶及健康教育效果评价

目的 评价陕西省防氟(砷)改灶项目实施情况及健康教育效果,为今后的防治工作提供参考依据.方法 按照<2005年陕西省防氟(砷)改灶工作实施方案>要求,召开项目启动会,逐级签订目标责任书,成立领导小组和技术督导小组,培训改灶技工等;根据已有调查资料,确定安康、汉中2个市的7个县(区)为实施改灶项目县;在各项目县(区)采用多种形式对病区居民进行健康教育.项目实施后,按照<陕西省卫生部门防氟改灶验收办法>进行验收.每个项目县(区)抽查1所学校,选择4年级以上30名学生进行健康知识测试;每个项目县(区)选择2个乡,每个乡选择2个村,每村选择15名16岁以上成人进行防治知识问卷调查.结果 安康、汉中市7个项目县(区)共完成传统炉和成品炉改灶95 322个(计划数为95 314个),完成率为100%(95 322/95 314):成人防治知识的知晓率为88%(444/508),学生防治知识的知晓率为100%(210/210).结论 政府领导、部门配合、群众参与、经费保证是搞好地方病防治工作的长效机制,今后应建立健全防氟(砷)改灶服务网络并加强健康教育工作,以巩固防氟(砷)改灶效果.

Outcome evaluation on rebuilding stove and health education in preventing coal-burning fluorosis and arsenic poisoning in Shaanxi Province

Objective To evaluate the effects of rebuilding stove and health education on preventing coal-burning fluorosis and arsenic poisoning in Shaanxi in 2005.Methods According to "Scheme of Impmving Stove in Preventing Coal-burning Fluorosis and Arsenic Poisoning of Shaanxi in 2005",the initial meeting was convened,while liability contracts were signed,leading and technical guiding groups were established,professional training was carried out.On the basis of the epidemiologic data,stoves were improved in 7 chosen counties in Ankang and Hanzhong City where the health education in several modalities was carried out.The project was checked and accepted when the work was completed.Thirty children in fourth grade were randomly selected in one primary school of each county.Fifleen adults aged 16 years old were chosen randomly in each village in each country.They were asked to answer the questionnaire about the health knowledge.Results There were 955 322 stoves improved in 7 countries in Ankang and Hanzhong City accounting for rebuilding stove was 100%(95 322/95 314).The awareness rates of health knowledge were 88%(444/508)in the adults and 100%(210/210)in children.Conclusions The government mangement leadership,the cooperation between the related departments, the participation of residents and the assufance of fund are the essentials in long lasting control of endemic diseases.