新疆碘缺乏病防治进展与主要问题分析——新疆消除碘缺乏病综合干预项目回顾

Analysis on the progress and problems in controlling iodine deficiency disorders in Xinjiang Autonomous Region

目的评价新疆消除碘缺乏病综合干预项目（简称项目）的防治效果，分析存在的主要问题，为今后调整防治干预策略提供参考。方法采用资料回顾与现场访谈、问卷调查相结合方法从项目实施效果、对实施项目的支持政策及措施等方面对项目工作进行全面评价。结果新疆项目初期取得一定进展，但近年来项目出现阻滞。在重视程度上、盐业政策上、部门间的协调上存在的问题影响了防治碘缺乏病工作的推进。结论为加快新疆碘缺乏病防治工作进程，政府应积极发挥其职能作用，给予政策、资金上的有效支持；盐业部门应从防病大局出发，制定符合当地群众需求的优惠政策；卫生部门应积极与多部门协调，加强健康教育和监测工作。

Objective To evaluate the effectiveness of the comprehensive intervention program of Xinjiang and to analyze the main problems to provide references for the adjusting on the intervention strategies in future work. Methods Based upon the combination of reviewing literatures, field investigations and questionnaires, an overall evaluation was made on the effectiveness of the program, supportive policies and intervention measures, etc. Results Some progressions had been achieved in the early days. However, in recent years, the negligence of the work and failed coordination between the related governments, and unbenefitting policies for iodinated salt, were the main obstacles for the progress. Conclusions To improve the progress of controlling iodine deficiency disorders, the government should fully carry on its responsibility, giving supports both of policy and funds. Salt administrative sector should make favourable policies to benefit the local population. And health sector should coordinate the related sectors, and reinforce the health education and surveillance.