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目的了解福建省结核病防治规划(2011—2015年)工作的实施和目标完成情况,总结经验,分析存在问题。方法通过查阅结核病防治管理信息系统和相关材料,应用现场调研方式调查相关活动,在省、市和县三级进行5年的规划工作评估。结果福建省5年间活动性肺结核患者登记率呈下降趋势,年均递减2.5%;治疗满1年的新涂阳肺结核患者治愈率达91.3%。到2015年,66.7%的设区市已设立耐多药肺结核诊断治疗定点医院,27.6%的县(区)已建立结核病定点医院;全省县(区)级结核病实验室得到较好建设。各级政府5年间投入的结核病防治专项经费人均1.10元;2015年全省结核病防治专职人员较2011年减少4.9%。结论福建省结核病疫情仍然严重,患者全程督导未全面落实;结核病防治工作可持续发展面临挑战,亟需加强政府承诺。
Objective To understand the implementation and objectives of the TB prevention and treatment plan (2011-2015) in Fujian Province, summarize the experience and analyze the existing problems. Methods By consulting the tuberculosis prevention and management information system and related materials, the related activities were investigated by on-site investigation and 5-year planning work was evaluated at the provincial, municipal and county levels. Results The enrollment rate of active tuberculosis patients in Fujian Province decreased gradually during the five years, with an average annual decrease of 2.5%. The cure rate of new smear-positive pulmonary tuberculosis patients treated for one year reached 91.3%. By 2015, 66.7% of the districts and counties have established MDR-TB designated hospitals, and 27.6% of counties (districts) have set up designated TB hospitals; and the county (district) -grade TB laboratories have been well constructed. The special fund for tuberculosis prevention and control put on by all levels of government in 5 years was 1.10 yuan per capita; in 2015, the province’s TB prevention and treatment professionals were 4.9% less than in 2011. Conclusions The epidemic situation of tuberculosis in Fujian Province is still serious and the patient supervision is not fully implemented. The sustainable development of tuberculosis prevention and control work is facing challenges and the government commitment needs to be strengthened urgently.