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目的评估世行贷款项目在凯里市结核病控制规划中的作用,为凯里市结核病防治提供建设性的意见。方法按照卫生部世行贷款结核病控制项目终期评估的统一要求,对资料进行收集、整理,调查表全部录入计算机进行分析。结果凯里市2002年全面落实DOTS策略;2002—2008年发现的涂阳肺结核病人逐年增多,涂阳肺结核病人治愈率86.0%。新涂阳肺结核病人登记率逐年提高,从2002年的27.9/10万上升到2008年的45.10/10万。结论通过实施世行贷款结核病控制项目,促进了凯里市结核病控制规划目标的实现,建立了可持续发展机制,但结核病疫情仍然严重,结核病控制工作需进一步加强。
Objective To evaluate the role of World Bank loan in tuberculosis control planning in Kaili and provide constructive suggestions for TB control in Kaili. Methods According to the unified requirements of the final assessment of the World Bank-financed TB control project of the Ministry of Health, the data were collected and collated, and all the questionnaires were entered into the computer for analysis. Results The strategy of DOTS was fully implemented in Kaili in 2002. The number of smear-positive pulmonary tuberculosis patients in 2002-2008 increased year by year, and the cure rate of smear-positive pulmonary tuberculosis patients was 86.0%. The registration rate of new smear-positive pulmonary tuberculosis increased year by year, from 27.9 / 100,000 in 2002 to 45.10 / 100,000 in 2008. Conclusion The implementation of the World Bank-financed TB control project has promoted the achievement of the Targets for Tuberculosis Control in Kaili and established a mechanism for sustainable development. However, the outbreak of tuberculosis is still serious and TB control needs to be further strengthened.