农村地区结核病控制工作纳入初级卫生保健的实践评价

An assessment of integration of tuberculosis control program into primary health care in rural area

目的 总结本地区结核病控制工作纳入农村初级卫生保健取得的成效 ,阐明此工作的可行性。方法 分析我区近 10年结核病控制工作资料。结果 1990～ 2 0 0 0年 77.1%痰涂片阳性病人是由初级卫生保健系统发现转来的 ,86 %涂片阳性病人的全面监督化学疗法是由乡、村二级卫生人员执行的 ,91.2 %痰涂阳病人得到治愈。结论 农村地区结核病控制工作纳入初级卫生保健可加大政府“干预”行为的力度 ,促进先进的结核病控制措施的全面推行 ,充分发挥区结防所的监督作用 ,充分利用乡、村二级卫生资源 。

Objective To assess the feasibility and results of integration tuberculosis control program into primary health care in rural area. Methods The data of tuberculosis control program in Daxing dietrict were collected and analyzed during 1990 to 2000. Results From 1990 to 2000, 77.1% of smear positive cases registered were transferred to district tuberculosis center from the primary health care, 86% of smear positive cases were treated under fully suppervision chemotherapy by health personnel at village or town health center, and 91.2% of smear positive cases were cured. Conclusion Integration of tuberculosis control program into primary health care in rural area can be assured implementing government commitment and modern tuberculosis control program. With strengthening effects of supervision by district tuberculosi center and fully utilizing health resources of primary health care, made the tuberculosis control program sustaining progress in rural area.