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目的评价陕西省消除疟疾全球基金项目的实施效果,为科学实施消除疟疾行动计划及考核评估工作提供参考依据。方法收集整理2010-2012年陕西省27个全球基金疟疾项目县疟疾防治工作资料并进行统计学分析,评价陕西省消除疟疾全球基金项目的实施效果。结果 2010-2012年陕西省全球基金项目实施地区共报告疟疾病例64例,年均发病率为0.15/10万,发病率呈逐年下降趋势;病例感染地来源以境外输入性为主,占总病例数的79.69%;“三热”病人血检工作完成率为94.14%,血检工作开展范围扩大到88个县(含61个三类县);疟防知识和技能培训覆盖率达到100%,中小学生和居民疟防知识知晓率分别为91.68%和89.44%;病例诊断后24 h内网络报告、个案调查和疫点处置、实验室检测和确诊等病例管理能力显著提高。结论全球基金疟疾项目的实施加速了陕西省消除疟疾工作的进程,项目实施地区的疟疾防治工作能力得到显著提升。
Objective To evaluate the effectiveness of the implementation of the Global Fund to End Malaria in Shaanxi Province and provide a reference for the scientific implementation of the malaria elimination plan of action and evaluation. Methods The data of malaria prevention and treatment in 27 global fund malaria project counties in Shaanxi Province from 2010 to 2012 were collected and statistically analyzed to evaluate the implementation effect of the Global Fund to End Malaria in Shaanxi Province. Results A total of 64 malaria cases were reported in the implementation regions of Shaanxi Province from 2010 to 2012, with an average annual incidence of 0.15 / 100000. The incidence rate showed a declining trend year by year. The source of cases’ infection was mainly imported overseas, accounting for the total cases The number of 79.69%; “three hot” patient blood test completion rate of 94.14%, blood test work expanded to 88 counties (including 61 three counties); malaria knowledge and skills training coverage of 100 %. The awareness rate of malaria prevention among primary and middle school students and residents was 91.68% and 89.44% respectively. The ability of case management of network report, case investigation and epidemic treatment, laboratory testing and diagnosis within 24 hours after diagnosis was significantly improved. Conclusion The implementation of the Global Fund Malaria Project has accelerated the process of eliminating malaria in Shaanxi Province. The capacity of malaria control in the project areas has been significantly improved.