河南省贫困地区卫Ⅷ项目结核病干预实施情况分析

Analysis on tuberculosis interfering of health-Ⅷ project in the poor areas in Henan province

目的 分析河南省贫困地区农村结核病干预实施的成效和影响因素。方法 建立健全县、乡、村三级防痨网 ,规范短程督导化疗的管理程序 ,对传染性肺结核病人和重症涂阴肺结核病人免费抗结核治疗 ,通过开展试点乡工作 ,总结经验全面推广。结果 初治涂阳、复治涂阳肺结核病人治愈率分别达 86 .7%、6 6 .4 % ,短程督导化疗的管理率达 71.4 %。结论 通过卫Ⅷ项目的实施 ,结防系统工作条件得到明显改善 ;技术人员的业务技术水平逐步提高 ;提高了结核病人治愈率 ,为降低当地结核病疫情将起到积极作用。

Objective To analyze the affecting factors and effect of tuberculosis interfering in the poor rural areas in Henan.Methods 1.Establishing and strengthening anti-tuberculosis networks from county to village level. 2.Making it standardization that the management procedure of DOTS. 3. Providing free treatment to communicable tuberculosis patients and serious smear negative cases. 4. Conducting trails in some townships at the beginning, and then extending it after summarizing.Results The cure rate for initial and retreatment smear positive cases is 86.7% and 66.4%, respectively. And the DOTS rate is 71.4%.Conclusion By the implementation of health-Ⅷ project, it is improved obviously that the working condition for the anti-tuberculosis staff. And the technical competence of technicians increased gradually. Also, the cure rate for tuberculosis cases increased.