宁波市结核病控制项目效益分析

Evaluation on the effects of tuberculosis control project in Ningbo

目的:评价宁波市结核病控制项目(2001—2005年)的投入与产出。方法:对项目经费使用、工作季报、年报及相关资料进行分析。结果:专项经费投入逐年增加,使用比例合理,免费查治病人费用占总投入经费的78.6%;加强专业队伍能力和基础设备建设;开展健康促进工作,提高群众防病意识;病人发现率和治愈率明显提高。结论:人均防治经费从0.14元提到0.58元,确保了项目的持续发展;取得明显的防治效果,传染性肺结核病人发现率达94.5%,治愈率保持在85.0%以上;社会经济学效益明显,是一项最符合成本/效益的疾病控制项目。要有效控制结核病,继续加大经费的投入,强化重点防治措施,才能实现10年规划目标。

Objectiveto make evaluation on the input and output of tuberculosis control project （from the year of 2001 to 2005） in Ningbo. Methods The project budget, the seasonal and annual work report and other materials related were analyzed. Result The input of the project budget is increasing year by year, and the using proportion of the budget is becoming more rational. The expenditure for free examination on the patients accounts for 78. 6% of the total investment. The ability of the professional working team and the development of the infrastructure construction have been enhanced greatly. A project has been launched in order to raise the public＇s awareness of the prevention of the disease. The discovery rate of the patients and the recovery rate of the patients is increased remarkably. Conclusion The budget used for prevention and recovery of the disease per capita has been increased from 0. 14 yuan to 0. 58 yuan, which ensured the continuous development of this tuberculosis control project. An obvious preventing and curing effect has been achieved： the discovery rate of the epidemic TB patient is 94. 5% and the recovery rate is maintained above 85.0%. The obvious social economic effects demonstrate that it is a project measuring up to the cost or the effectiveness of disease control. In order to achieve the objective of the 10-year plan and to control the TB effectively, more budget should be invested in prevention and healing of the disease and more emphasis should be out on oreventing measures.