四川省筠连县第一轮全球基金疟疾项目实施效果评价

Evaluation of implementing effects of Global Fund Malaria Program Round 1 in Junlian County,Sichuan Province

目的评价四川省筠连县第一轮全球基金疟疾项目实施效果,为开展消除疟疾工作提供经验。方法按照全球基金中国疟疾项目的要求,在项目县进行全民健康教育和临床医务人员、镜检人员疟疾防治技能培训的基础上,采取以控制传染源为主的综合性防治措施,积极开展疟疾防治和监测工作。结果项目县疟疾发病率由项目实施前2002年的1.66/万降至2007年0.12/万,下降了92.77%,流行范围由13个乡镇缩小至2个乡镇,漏报率由89.47%降至0。居民疟防知识知晓率由26.86%提高到79.83%(χ2=403.00,P<0.01),提高了197.21%;学生疟防知识知晓率由36.87%提高到99.22%(χ2=359.62,P<0.01),提高了169.11%。结论在全球基金疟疾项目的支持下,筠连县疟疾防治能力得到了明显的增强,居民疟防知识显著增加,疟疾流行得到有效遏制,项目实施取得了明显成效。

Objective To evaluate the implementing effects of the first round malaria control project supported by the Global Fund on malaria control in Sichuan Province so as to provide the evidence for intensifying the control strategy of malaria. Meth-ods Based on the requirements of the malaria project of Globe Fund the comprehensive malaria control measures including case identification health education and training for doctors were carried out. Results In 2007 the malaria incidence was 0.12/10 000 while it was 1.66/10 000 in 2002 with a reduction rate of 92.77%. The number of malaria endemic towns reduced from 13 to 2. The awareness rate of knowledge about malaria of the local residents rose from 26.86%to 79.83% χ^2=403.00 P〈0.01 with an increase rate of 197.21%. The awareness rate of knowledge about malaria of the students rose from 36.87%to 99.22% χ^2=359.62 P〈0.01 with an increase rate of 169.11%. Conclusions With the support of Globe Fund the trans-mission of malaria has been effectively controlled. The capacity of malaria control and the malaria control knowledge of the inhab-itants have been enhanced. The implementation of the project has significant effects on malaria control in Sichuan Province.