重庆市“项目”实施效果及影响因素的分析

Analysis on the implementing effects and the influencing factors of tuberculosis control project in Chongqing

目的对“项目”实施六年实施效果及影响因素进行分析。方法重庆市结核病控制项目办公室中心登记室收集１９９２～１９９７年的季报及年报。结果截止至１９９７年底，全市“项目”覆盖人口为８７０％，接诊可疑患者１４９７３１例，发现活动性肺结核４３１３５例，与“项目”前相比，涂阳登记率提高２４个百分点，涂阳病人平均治愈率提高近１０个百分点，证实结控项目的技术策略对结核病的控制成效。结论行政区划的变更、配套经费不足、流动人口管理不善及归口管理不力是影响项目覆盖、病例发现及“项目”

Objective To analyse on the implementing effects and influencing factors of tuberculosis control project in the past 6 years.Method The TB control project seasonal and annual report(1992～1997)were collected by central registration department of TB control project office of Chongqing.Result By the ent of 1997,The project coverage rate was 87% in the total population.The total number of examined suspects active pulmonary tuberculosis cases and examined active pulmonary tuberculosis cases were 149 731,431 351 respectively.The smear_positive register rate increased 24 percent point and the average of cured rate of smear_positive cases recently increased 10 percent point than those before the project.These fully verified the technical strategy of the tuberculosis control project is very successful.Conclusion The change of the administrative district,the inadequacy of the counterpart fund,the problem of management of floating population and the transfer of all tuberculosis suspects and cases,etc.,all of these influenced the coverage_rate、the case_finding work and the implementing effects of the tuberculosis control project.