2002～2004年吉林省结核病控制成本效益评价

Evaluation on Cost-Benefit of TB Control Project in Jilin Province

目的分析评价2002～2004年吉林省结核病控制成本效益、，方法对2002～2004年吉林省利用中央经费、地方经费、世行贷款和全球基金发现、治疗和管理病人情况进行分析。结果3年中全省利用中央经费52．8万元、地方经费1224．8万元、世行贷款176．9万元和全球基金94．7万元，共计1549．4万元。治愈初复治涂阳肺结核病人18682例，共节省资金12231．3万元；预计减少的GDP损失和预计减少的收入损失分别为114801．9万元和78476431．1万元；减少造成新的传染性病人28023例，所避免GDP损失和避免收入损失分别为256710．3万元和73151．2万元。结论3年来吉林省利用中央经费、地方经费、世行贷款和全球基金控制结核病成效显著，其防治规划是一项投入少、经济效益和社会效益巨大的疾病控制项目，完全符合疾病控制与卫生经济学成本-效益的原则。

Objective To analyze and evaluate the cost - benefit of TB control project during 2002 - 2004 in Jilin Province. Methods The date of TB ease detecting, treatment and management was analyzed in the project supported by central goveminent funds, local government funds, WB/DFID funds and Global funds during 2002 ～ 2004 in Jilin Province. Remits 18 628 smear positive patients were cured by rib control project with 15.49 million yuan, among which central government funds, local government funds, WB/DFID funds and Global funds are 0.53million yuan, 12.25million yuan, 1.77 million yuan and 0.95million yuan respectively. 122,3 million yuan were saved by the project. It is estimated that the losses both of GDP and income were reduced by 1.1 bill/on yuan and 784.8 billion yuan, 28 023 people were avoided suffering from TB. Then the losses avoided both GDP and income were 2.57 billion yuan and 0.73 billion yuan. Conclusion Remarkable achievement has been achieved by using central government funds, local govemmont funds, WB/DFID funds and Global funds for 3 three years in Jilin Province. Although the investment was low, good social and great economic benefits have been achieved. It was a cost - benefit disease control project.