广东省湛江市碘缺乏病综合干预项目效果评价

Analysis of a comprehensive intervention program on increasing iodized salt consumption at household level in Zhanjiang,Guangdong Province

目的通过对广东省湛江市碘缺乏病综合干预项目实施1年的效果评价,总结项目取得的经验,查找存在的问题,建立健全可持续性消除碘缺乏病的工作机制。方法按照一乡两村方案,采用分层抽样方法,分别对农村和城区进行横断面调查。结果干预1年后,该市项目地区的碘盐覆盖率、IDD知晓率均有显著提高(P<0.01),居民的购盐行为也发生了明显的改变。结论通过开展碘缺乏病综合干预项目,能有效地改变居民不良的购盐行为,提高碘盐覆盖率,但目前该市的碘盐覆盖率和IDD知晓率仍显偏低,小盐田依然没有根治,急需政府采取有效措施,加大投入和项目管理,确保如期实现消除碘缺乏病的目标。

Objective Through review of a comprehensive intervention program on increasing iodized salt consumption at household level in Zhanjiang, Guangdong Province, to summarize experiences, to find barriers, to evaluate sustaining, etc. Methods By stratified sampling, a cross - sectional survey was performed in countryside and town respectively. Results After implementation of a comprehensive intervention program, both the coverage rate of iodized salt consumption at household level and the level of IDD knowledge were obviously higher than beforetime in high - risk areas. Conclusions Through implementation of a comprehensive intervention program, the change of buying salt behavior was remarkably among residents, iodized salt consumption at household level is increasing significantly. However, the coverage rate of iodized salt consumption at household level and the level of IDD knowledge were low in Zhanjiang, several brine pan were settled completely. It is necessary to adopt measures of enhancing input and administration to make the project move on.