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目的评价克拉玛依市世界银行贷款/英国政府赠款中国结核病控制项目的实施情况,为下一阶段结核病控制工作提供科学依据。方法按照新疆维吾尔自治区下发的终期评估调查表,收集全市4个区2002~2008年相关资料,汇总分析。结果通过项目的实施,全面引进和推行了现代结核病控制策略(DOTS),加强了各级政府对结核病防治工作的领导,明显提高了结核病防治综合能力,新涂阳病人登记率由2002年的26.5/10万下降到2008年的14.8/10万,涂阳病人免费治疗率达到100%,涂阳病人治愈率达到94.5%。结论项目实施取得显著成效,为克拉玛依市结核病防治工作建立了长效机制;但全市各区结核病防控工作水平不平衡,防控工作仍然任重道远。
Objective To evaluate the implementation status of the Karamay World Bank loan / grant from the British government to China’s tuberculosis control project and provide a scientific basis for TB control in the next phase. Methods According to the final assessment questionnaire issued by Xinjiang Uygur Autonomous Region, the relevant data from 2002 to 2008 in 4 districts in the city were collected and analyzed. Results Through the implementation of the project, the modern TB control strategy (DOTS) was introduced and promoted in all aspects. The leadership of all levels of government in tuberculosis prevention and control was strengthened and the TB capacity was obviously improved. The enrollment rate of new smear positive patients increased from 26.5 in 2002 / 100000 dropped to 14.8 / 100000 in 2008, smear positive patients free treatment rate reached 100%, smear positive patients cure rate reached 94.5%. Conclusion The implementation of the project has achieved remarkable results, establishing a long-term mechanism for TB prevention and control in Karamay. However, there is still a long way to go to prevent and control tuberculosis in various districts of the city.