肠道寄生虫不同防治对策卫生经济学价值研究

Hygienic economic values of different countermeasures for prevention and treatment of intestinal parasites

〔目的〕寻求符合社会现有的可利用资源和适合现实社会经济状况的最佳信息 ;探索出低投入、高收益效果的肠道寄生虫防治对策。〔方法〕在豫南黄淮平原地区遂平县 ,选择三个行政村各以 80 0人口范围为现场观察点 ,分别采用周期性全民化疗 ,虫卵阳性者选择化疗 ,健康教育加卫生目标责任制奖罚的防治对策 ,分别监测逐年感染率并核出各年度投入的人力、物力价值 ,采用费用—效果分析法 (CEA)评估卫生经济学价值。〔结果〕不同防治对策的效果及卫生经济学价值具有显著性差异。〔结论〕在当前现有条件下 ,充分发挥和利用农村乡村医生医疗保健网作用 ,实施健康教育下的卫生目标责任制奖罚措施 ,是防治肠道寄生虫的低价值投入 ,高价值收益的最佳对策。

ObjectiveTo seek the prevention and treatment countermeasures of low cost and high yield against the intestinal parasites.〔Methods〕 A total of 800 people living in 3 villages in Suiping County of Henan Province were selected as the subjects.Periodic chemotherapy,selective chemotherapy and health education were conducted for them.Meanwhile,the rate of intestinal parasite infection,expenditure of labor and materials each year were determined.The value of hygienic cost was also determined by CEA.〔Results〕 There were significant differences in effect and hygienic cost among different countermeasures.〔Conclusions〕 Health education is the best countermeasure for reducing rate of intestinal parasite infection in people.