福建省厦门市思明区流动人口结核病防治效果分析

Effect analysis of TB prevention and control among floating population in Siming district of Xiamen city

目的分析厦门市思明区流动人口结核病防治效果。方法实施第五轮全球基金结核病项目流动人口结核病防治项目,初诊病人、肺结核病人登记本、非结防机构网络直报病人的到位、追踪及核实登记本上注明户籍地址、标明流动人口,核对、统计各登记本和项目报表的信息数据,按照国家"五率"要求或与户籍人口工作质量指标进行比较。结果流动人口新发涂阳任务完成率112.0%,报告率、转诊率都达到国家大于等于95%的要求;追踪到位率70.3%,高于全国平均水平(48.3%);总体到位率78.3%也高于全国平均水平(70.8%);2009年涂阳病人系统管理率为91.7%,与户籍人口差异无统计学意义。结论思明区流动人口结核病防治效果良好,但流动人口防治效果仍比户籍人口差。流动人口防治效果受诸多不确定因素的影响,在考核、评价不同县区结核病防治效果时,宜将流动人口与户籍人口分开考核评价。

Objective Objective To analyze the effect of TB prevention and control among floating population in Siming district.MethodsTB prevention and control project in floating population of China Global Fund TB Program Round 5 was implemented in Siming.The information of the TB patients in floating population were collected and analyzed.National ＂Five rates＂ were compared between TB patients in floating population and local resident.ResultsIn the floating population,task completion rate of new smear positive reached 112.0%,reporting and referral rates are both greater than or equal to 95% of national requirements;track in place rate is 70.3%,higher than the national average（48.3%）;overall arrival rate 78.3% is also higher than the national average（70.8%）;in 2009 the System Management rate of smear positive patients was 91.7%,this is not significantly different with local residents.ConclusionsThe overall effect of TB prevention and control among floating population in Siming is good.However,in comparison with local residents,the effect is still worse and affected by many uncertain factors.It is desirable to separate floating population and local residents for effect evaluation of TB work.