2002—2005年CIDA/WHO中国结核病控制项目3省实施效果分析

Analysis on the effects of implementation of CIDA/WHO project in China

目的分析和评价CIDA/WHO中国结核病控制项目实施效果。方法收集2002年9月—2005年12月山东、江苏、浙江3省以县为单位的带经费预算的工作计划表、项目季度报表、结核病规划季报表,分析项目实施效果及对全省结核病防治工作的影响。结果(1)项目期间,项目地区共发现新涂阳肺结核患者66 859例,完成项目计划病人发现指标的105.3%,新涂阳肺结核登记率由项目实施前的13.65/10万提高到2005年的33.95/10万;(2)新涂阳肺结核患者治愈率达到92.1%。(3)3省全省以县为单位的DOTS覆盖率由项目实施前的65.2%到项目实施的1年达到了100%。结论通过项目的引进促进了全省DOTS策略的快速扩展。项目首次采取以结果为指标,制定带有经费预算的工作计划进行项目实施和管理,促进了项目实施质量和成效,确保了各项指标的如期完成。目前,带有经费预算的工作计划的项目实施和管理模式已成功的应用于我国结核病防治规划管理及其他结核病控制项目中。

Objective To analyze and evaluate the implementation effect of CIDA/WHO TB Control project in China. Methods National TB program quarterly report of Shandong, Jiangsu and Zhejiang province from September 2002 to December 2005 were collected and analyzed, as well as specific project budgeted work plan and quarterly monitoring report to evaluate the overall imple- mentation effect of CIDA project. Results （1） During the period of project implementation, the project detected a total of 66 859 new smear positive pulmonary tuberculosis cases, which corre- sponded to 105.3% of planned target. The registration rate of smear positive pulmonary TB cases increased from baseline 13.65/100 000 to 33.95/100 000 in 2005. （2） The cure rate for smear posi- tive pulmonary cases reached 92.1%. （3） DOTS coverage rate of three whole provinces increased from before-project 65.2% to 100% in the first implementation year. Conclusions CIDA project promoted the DOTS expansion. For the first time in China, the target-oriented budgeted work plan management model is adopted and it greatly promoted the achievement of project target. Now, budgeted work plan model has been successfully applied in other TB control project and National TB program.