乌鲁木齐市2001-2009年结核病防治规划终期评估效果分析

Effect analysis of tuberculosis prevention and control program implementation in Urumqi city from2001 to 2009

目的了解《乌鲁木齐市结核病防治规划(2001-2010)》实施目标完成情况,对实施效果进行评估分析,为结核病控制工作的可持续发展提出建议,为制定《乌鲁木齐结核病防治规划(2011-2020)年》提供科学依据。方法根据结核病防治规划终期评估调查表,收集全市8个区(县)2001-2009的相关资料,通过对患病登记率、流行特征、DOTS策略执行情况进行汇总分析,并对DOTS效果及社会效益进行评价研究。结果 2001-2009年登记患病率为39.59/10万,新涂阳登记率19.74/10万:新发涂阳病人2月痰菌的阴转率为82.68%,治愈率为86.12%;避免25 871人感染结核菌,避免2 587人发病,避免1 834人因结核病而死亡;为社会节约医疗费用1 761 713元,为社会挽回损失总价值723 805 377元。结论乌鲁木齐市积极推行现代结核病控制策略,较好的完成了结核病规划目标任务,取得了良好的社会效果和经济效益,同时也面临着新的问题和挑战。

Objective To know the implementation situation and effect of《Urumuqi tuberculosis prevention and control program（2001-2009）》,to give the recommendation for sustainable development of TB prevention and control work,and to provide the scientific basis for the next 10 years project.Methods According to the questionnaire of TB prevention and control program terminal evaluation,collected information from 8 counties of Urumuqi city,the material include the tuberculosis prevalence rate,epidemic character,and execution situation of DOTS strategy.We evaluated implement effect and society benefit of DOTS strategy.Results From 2001 to 2009,The tuberculosis registration prevalence rate was 39.59/100 000,new smear positive registering rate was 19.74/100 000,the 2 months negative conversion rate of new smear positive patients was 82.68%,the cure rate was 82.12%;25 871 person were avoided infected tuberculosis,2 587 person were avoided developing into TB,and 1 834 patients were avoided death;so its saved$1761 713 medical expenditure, and redeemed disease loss about$723 805 377 for society.Conclusion The government of Urumqi city carried out the modern TB prevention and control strategy actively,and accomplished the assignment of TB project completely.Achieved remarkable society and economic benefits,but still have some new problems and challenges.