上海市闵行区外来人口结核病发现与治疗

TB detection and treatment among domestic migrants in Minhang district, Shanghai

[目的 ] 对上海市闵行区外来人口结核病防治工作进行基线调查 ,了解外来人口结核病防治工作中存在的问题及其原因 ,提出相应对策。 [方法 ] 对闵行区疾病预防控制中心的日常结核病报表资料进行分析 ,同时采访结核病防治工作人员和外来人口结核病患者 ,收集定性资料进行分析。 [结果 ] 外来人口结核病新登记率高于本地人口 ,而其实际的流行情况更加严重。但是外来人口对结核病的卫生服务需要不能得到满足。 [结论 ] 缺乏有效管理方式、经济困难以及缺乏卫生知识是外来人口结核病防治工作中面临的主要困难。应加强管理 ,提供免费诊治 ,加强宣传教育。

[Objective] To provide baseline data to evaluate the free service program for TB control among domestic migrants in Minhang District, Shanghai. The current problems and relevant causes were also explored in this study. [Methods] Quantitative data were collected from the routine registered data on TB patients of both migrants and local residents. TB doctors and migrant patients were also interviewed to collect qualitative data. [Results] Migrants had higher TB burdens than local residents. Their higher health needs on TB detection and treatment had not been met. [Conclusion] Lack of effective management strategy, economic limitation and lack of health knowledge on TB were the most important problems among migrants. Effective management strategy, as well as free service program and health education should be developed and strengthened.