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目的对海南省第一轮全球基金结核病项目结果进行分析,为今后项目实施提供经验。方法根据项目期间各市县项目实施工作季报表和财务报表,进行统计分析和评价。结果新涂阳发现率为73.8%,其中贫困县发现率为80.7%、非贫困县发现率仅为68.7%(χ2=548P=0.000)。新涂肺阳结核病人治愈率达93.2%。乡村医生培训仅完成75.2%。督导乡镇仅完成72.4%,其中贫困县完成75.9%、非贫困县完成69.1%(χ2=104P=0.000);项目投入经费435万元,项目应配套354万元、实际配套235万元,配套到位率为66%。结论项目实施成效显著,进一步加强政府承诺,落实配套经费,加强对乡村医生进行培训和督导,提高乡村医生结核病防治工作能力,充分发挥三级防痨网的作用,是今后做好结核病项目工作的重要保证。
Objective To analyze the results of the first round of global fund tuberculosis project in Hainan Province and provide experience for future project implementation. Methods Based on the quarterly reports and financial statements of the project implementation cities and counties during the project period, the statistical analysis and evaluation were carried out. Results The smear positive rate was 73.8%, of which 80.7% in poor counties and 68.7% in non-poor counties (χ2 = 548P = 0.000). The new cure rate of pulmonary tuberculosis patients reached 93.2%. Country doctor training completed only 75.2%. Only 72.4% of the townships were supervised, including 75.9% in poor counties and 69.1% in non-poor counties (χ2 = 104P = 0.000). The project invested 4.35 million yuan, with the project supporting 3.54 million yuan and the actual supporting fund at 2.35 million yuan The rate is 66%. Conclusion The implementation of the project has achieved remarkable results. Further strengthening the government’s commitment to implementing matching funds, strengthening the training and supervision of rural doctors, improving the ability of rural doctors to prevent and treat tuberculosis, and giving full play to the role of tertiary prevention and control network are the best projects for tuberculosis in the future Important guarantee.