海南省基层疟疾防治卫生资源调查分析

Investigation and analysis of health resources for malaria control and prevention in Hainan Province

目的 了解海南省高、低疟疾流行区疟疾防治卫生资源的现状及存在的问题。 方法 对五指山和琼海两市有疟疾流行的 18个乡、镇、农场的防保人员进行问卷调查和培训 ,以掌握两市疟疾防治的人员、设备、技术、培训、资金投入状况及存在的困难等。 结果 五指山和琼海两市行政村诊所拥有率、血检覆盖率、乡镇农场镜检站拥有率、村级医生疟防知识技能培训率分别为 3 3 43 %和 44 2 9% ,5 4 83 %和 2 6 3 0 % ,10 0 %和 75 % ,8 70 %和 2 2 82 % ,两市防保人员培训前后测试结果均具有显著差异 ,存在的主要问题是疟防经费投入不足 ,疟防队伍人心不稳和系统培训不够。 结论 海南省基层疟防卫生资源严重不足 ,迫切需要各级政府给予关注和扶持。

Objective To understand the health resources and existing problems on malaria prevention and treatment in high and low malaria endemic areas in Hainan Province. Methods To investigate and train the malaria control workers of 18 towns or farms with malaria epidemic in Wuzhishan City and QiongHai City, so as to master the situations of malaria control workwers, equipments, skills, training, funds and existing problems. Results The possessing rate of clinic per administrative village, the covering rate of blood microscopy, the possessing rate of microscopic test station per township or farm, the training rate of village doctors on malaria knowledge and skill in Wuzhishan City and Qionghai City were 33.43% and 44.29%, 54.83% and 26.30%, 100% and 75%, 8.70% and 22.82%, respectively. The examined results of the village doctors between before and after training were significantly different in the 2 cities. The major problems were lack of funds for malaria control, unstable staff for malaria control, no systematic training, et al. Conclusion The health resources of malaria prevention and treatment are seriously insufficient in the base level, it is urgent to enlarge the investment on the aspect by the various governments.