江苏省血吸虫病健康教育效果终期评价

目的 评价1992－1998年江苏省世界银行贷款项目血吸虫病健康教育的效果。方法 按分层随机抽样法，在不同类型流行区抽取9个试点县，每个试点县各抽取1个地，以7－60岁的居民为目标人群，并根据不同目标人群接触疫水方式和感染血吸虫的特点，分为成年男性，妇女 ，学生3个组。在基线调查基础上，分别对3组目标人群连续7年实施针对性干预措施，用定性和定量方法对干预效果进行评价。结果 实施干预后，目标人群血防知识知晓率分别由50．3％，48．9％和51．2％上升为90．0％，88．9％和96．0％。娱乐性和生活性接触疫水率分别由8．68％，28．57％下降为2．15％，18．50％。查病和化疗依从率由61．1％，73．0％上升为92．2％，97．9％。血吸虫感染率（COPT）分别由2．96％，2．41％，1．88％下降为1．32％，0．63％，0．33％。结论 健康教育能有效地控制血吸虫病，并对血吸虫病其他防治措施具有促进作用。以学校和农村卫生保健网络为基础的健康健康促进模式是血吸虫病健康教育有交的干预策略。

Final Evaluation of Effect of Health Education on Schistosomiasis Control in Jiangsu Province

Objective To evaluate the effect of health education in Jiangsu Provimce as part of the World Bank Loan Schistosomiasis Control Program Methods About 2000 rural residents were surveyed by strastified random sampling in 9 villages, one in a pilot county Questionnaire survey and focus group discussions were used to investigate their KAP about schistosomiasis On the spot observation was made to understand their behavior concerning exposure to infective water The data thus collected were compared with those in baseline survey Results After health education intervention, the shistosomiasis control knowledge rates in the groups of male adults, women, and students were 90 0%, 88 9%, and 96 0% respectively in 1998, much higher than those in 1992 The rates of amusement and daily life exposure to infevtive water were 18 5% and 2 15% in the groups of women and of student respectively in 1998, much lower than those in 1992 (28 57% and 8 68% respectively) The chemotherapy and examination compliance rates were 92 2% and 97 9% in woman group and student group respectively in 1998, significantly higher than those in 1992 (61 1% and 73 0% respectively, both (P<0 01) The livestock treatment compliance rate was 92 1% in 1998, higher than that in 1992 (85 1%, P<0 01) The infection rates in the groups of male adults, women and students were 1 323%, 0 63%, and 0 33% respectively in 1998, significantly lower than those in 1992 (2 96%, 2 41%, and 1 88% respectively,P<0 01) Conclusion Health education is an effective measure in schistosomiasis control