河南省全球基金疟疾项目(NSA项目)终期评估(二):KAP调查及结果分析

目的 了解河南省全球基金疟疾项目（NSA项目）实施对项目覆盖人群的健康教育促进情况，评估项目实施效果。方法 按照《国家全球基金疟疾项目终期评估方案》，采用现场问卷调查的方式在所有全球基金疟疾项目县开展疟疾防治知识知晓率、培训效果满意度及目标人群受益情况与满意度调查，对调查数据进行汇总、整理和分析。结果 2012年对90个县（市、区）的26673名居民、17421名学生、3311名疟疾防控人员及2614名目标人群的调查结果显示，居民与学生的疟疾防治知识知晓率分别为94.65%和93.73%，较2010年基线调查数据分别上升72.18%和78.70%；知晓率居民高于学生（P〈0.0001）；中学生（94.78%）高于小学生（92.81%）（P〈0.001）；一类县居民和学生的知晓率分别为96.02%和95.64%，分别高于二类县居民（94.55%）和学生（93.57%）的知晓率（P〈0.01）；受训人员对项目培训的目标、内容、方式、效果和总体评价的满意度为93.54%～98.34%；疟疾病人对免费抗疟药物服务的满意度为100%（203/203）；居民对疟防宣教材料的满意度为96.10%（2512/2614）。结论 全球基金疟疾项目的执行使居民与学生疟疾防治知识知晓率大幅上升，基层医疗人员及居民的整体满意度高。

Objective To make clear the health education effect after the implementation of the global fund malaria project （NSA project） in Henan province. Methods According to “National program for terminal evaluation of the Global Fund malaria project”, the awareness rate of malaria, the degree of satisfaction with training effect and the benefit and satisfaction of target groups were investigated by using questionnaire in all counties involved in NSA project. The data of survey had been collected, arranged, and analyzed. Results In 2012, 26673 residents, 17421 students and 3311 medical staffs from 90 counties had been investigated. The result showed that the awareness of malaria of resident and student was 94.65% and 93.73%, which was increased by 72.18% and 78.70% respectively, compared with the baseline data in 2010. The awareness rate of residents was higher than the students （P〈0.0001）; The rate of students in middle school （94.78%） was higher than the primary school （92.81%） （P〈0.001）. The rate of residents and students in Type I counties was 96.02% and 95.64% respectively, which was higher than the residents （94.55%） and students （93.57%） in Type Ⅱ counties （P〈0.01）. The satisfaction percentage with the training objectives, contents, methods, results and overall assessment of trainees were from 93.54% to 98.34%. The satisfaction percentage of patients with the service of free Antimalarial drug was 100% （203/203）. And 96.10% （2512/2614） of residents were satisfied with the malaria materials. Conclusion The implementation of NSA project had dramatically promoted the awareness rate of malaria in residents and students. And the satisfaction degree of primary medical staffs and the residents was high.