重庆市世行贷款/英国赠款中国结核病控制项目中期评估

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.

Analysis of survey on the mid term evaluation of the World Bank Loaned/DFID granted TB control program in Chongqing

Objective To evaluate the implementation of World Bank Loaned/DFID granted TB control program, and to provide scientific evidence for adjusting mid term plan of program. Methods According to the questionnaire on the mid-term evaluation of MOH, the routine supervision data and some other relevant materials in 40 districts counties of Chongqing municipality from 2002 to 2005 were collected, summarized and analyzed. Results The project was fully carried out in 40 districts/counties of Chongqing municipality and the DOTS coverage rate is 100% . Over the past 4 years, the visiting rate of suspects was increased by 67.8% from 16.90/ 10000 to 28.38/10000, and the notification rate of new smear-positive TB was also increased by 40.4 % from 31.54/100000 to 44.27/100000. The cure rate reached 94.8% among new smear-positive TB, and 90.3% among repeated smear-positive TB. Conclusion The implementation of World Bank Loaned/DFID granted TB control program in Chongqing has reached the mid term goals and goals of the stage in the global TB control. This requires much more effort in the coming several years to control the spread of TB and assure the program goals to be fully realized.