《疟疾控制和消除标准》(GB26345-2010)在云南省实施情况的跟踪评价

Tracking evaluation on implementation of Criteria for Control and Elimination of Malaria(GB 26345-2010) in Yunnan Province

目的掌握云南省各级疾控、医疗机构疟疾防治工作人员对于《疟疾控制和消除标准》(GB 26345-2010)的知晓情况、使用情况及标准的适用性,从而为该标准的执行和修订提供科学依据。方法对云南省16个州(市)共192家机构的各级疟疾防治工作人员进行问卷调查,现场调查云南省腾冲市和盈江县县级疾控、医疗机构及乡(镇)卫生院的疟疾防治工作人员。收集《疟疾控制和消除标准》知晓与使用情况、标准实施过程中遇到的问题和建议。结果回收调查问卷444份,其中有效问卷428份,问卷有效率为96.4%。知晓《疟疾控制和消除标准》的比例为86.7%(371/428);知晓途径以教育培训为主,占50.7%(188/371);标准内容中,指标知晓率为65.9%(282/428)。使用频率中,以"偶尔使用"此标准的比例居多,占33.6%(144/428)。使用用途中,将其应用于"疟疾防治常规工作"的比例最高,为59.3%(191/322);应用于"考核达标参考"的比例仅为19.3%(62/322)。标准的适用性评价中,认为该标准完全适用的比例为91.3%(391/428),认为该标准需要修订的比例为8.7%(37/428)。调查对象所在机构均采取了相应措施以促进标准执行。共征集43条标准实施的建议,均为标准配套和支撑条件的建议。结论建议结合实际情况增强《疟疾控制和消除标准》的可操作性和实用性,同时加强标准的学习培训与宣贯、提高实施水平,继续巩固并稳步推进其在云南地区的实施。

Objective To understand the knowledge, usage, applicability of the standard and the suggestions on the imple- mentation of Criteria for Control and Elimination of Malaria （GB 26345-2010） among malaria prevention and control staff of disease control and medical institutions at all levels in Yunnan Province, so as to provide the evidence for the implementation and revision of the standard. Methods Malaria prevention and control workers at 192 institutions in 16 prefectures and cities of Yunnan Province were surveyed. The malaria prevention and treatment workers at county-level center for disease control and pre- vention （CDCs）, county-level medical institutions and township hospitals in Tengchong City and Yingjiang County of Yunnan Province were investigated on the spot. The knowledge and usage, problems and recommendations encountered in the implemen- tation of the standard were collected. Results Totally 444 questionnaires were collected, of which 428 were valid and the valid rate of questionnaires was 96.4%. Among them, the proportion of those who knew the standard was 86.7% （371/428）, and the channel of knowledge acquirement was mainly the education and training, accounting for 50.7% （ 188/371 ）. The total awareness rate of objective indicators in the standard content was 65.9% （282/428）. Among the frequency of utilization, the ＂occasional use＂ of this standard was the majority, accounting for 33.6% （144/428）. Among the applications, the highest proportion of ap- plying to the ＂regular malaria prevention and control work＂ was 59.3% （191/322）, and only 19.3% （62/322） applied to the ＂as- sessment for malaria elimination＂. In the standard suitability assessment, the proportion of considering the standard to be fully applicable was 91.3% （391/428）, and the proportion of considering the standard to be revised was 8.7% （37/428）. The agen- cies where the respondents were located have taken corresponding measures to promote the implementation of the standard. A to- tal of 43 proposals for the implementation of the standard were collected, relating to personnel and supporting conditions. Con- elusions Combined with the actual situation, the standard should be strengthened practically. At the same time, the standard learning, training, and publicity should be strengthened to raise the implementation level. Its implementation in Yunnan Prov- ince should be seauentiallv consolidated and steadilv promoted.