重庆市实施世界银行贷款中国结核病控制项目10年效果分析

Analysis on effects of World Bank Loaned TB Control Project in Chongqing (1992—2001)

目的 分析重庆市世界银行贷款结核病控制项目实施 10年的效果。方法 收集并分析1992— 2 0 0 1年重庆市 4 0个区县项目季报表、2 0 0 0年流调资料、及有关资料。结果 项目覆盖全市4 0个区县 ,覆盖人口 30 98万 ,达 10 0 %。 10年来全市共接诊可疑肺结核患者 4 0 1342例 ,发现涂阳肺结核病人 84 471例。免费治疗 914 6 0例。初治涂阳病人治愈率 94 .8% ,复治涂阳治愈率 90 .3%。结论 重庆市卫V项目实施 10年取得了显著成就 ,发现和治愈了大量肺结核病人。但重庆市的结核病疫情仍很严重 ,需进一步加强结核病控制工作。

Objective To analyze the effects of World Bank Loaned TB Control Project in Chongqing since the project was put into action 10 years ago.Methods To collect and analyze the quarterly reports of the project from 40 districts/counties during 1992 to 2001,the data of 2000 tuberculosis epidemiological survey in Chongqing in 2000 and some other relevant materials.Results The project had covered 30.98 million population in 40 districts/counties.The coverage rate was 100%.Over the past ten years,401?342 cases of suspect tuberculosis patients had been examined,among of them 84?471 smear-positive patients were detected and 91?460 tuberculosis cases have been treated free of charge.The cure rate of new smear-positive cases reached 94.8%,and the cure rate of retreated smear-positive cases reached 90.3%.Conclusion The Health V project in Chongqing has made a great progress in the past ten years.A number of pulmonary TB patients have been detected and cured.However,the epidemic situation of TB in Chongqing is still very serious,and further efforts should be made.