目的探索在藏区开展健康教育的有效形式,促进棘球蚴病防治工作的可持续开展。方法 2008年7～11月,在四川省甘孜州石渠县、康定县和炉霍县,采用问卷调查和小组座谈形式相结合,对部分在校学生,牧区群众、乡镇干部和寺庙僧侣的棘球蚴病防治知识和健康教育材料的需求进行调查,根据调查结果设计制作具有针对性较强的健康教育材料。2009年10月在四川省甘孜州康定县塔公乡,对不同人群(学生、居民、干部和僧侣)进行棘球蚴病防治知识和行为的基线调查并用制作的健康教育材料开展活动,2010年5月对该人群进行健康教育材料使用情况的效果评价;同时,选择地域相邻,人文、自然、地理和发病等情况相似的康定县新都桥镇作为对照,不实施健康教育行动,以评价健康教育活动的干预效果。结果根据不同人群对健康教育材料和形式需求的差异,设计制作了多种形式的健康教育材料。健康教育实施后的调查结果显示,学生和牧区居民对棘球蚴病防治知识的知晓率有明显的提高(P<0.05)仅“饭前应洗手”一项,健康教育前后学生的知晓率》[分别为88.6%(78/88)和95.5%(84/88)]的差异无统计学意义(P>0.05)学生和牧区居民的各项行为改善率非常显著(P<0.01)。尽管健康教育前后干部和僧侣的行为改善不明显(P>0.05),但牧区居民和干部对“正确处置动物内脏”的行为则分别从健康教育前的37.1%(13/35)和30.3%(10/33)上升至健康教育后的82.9%(29/35)和78.8%(26/33)(P<0.01);而僧侣中“不喂养野犬”健康教育前后分别为6.4%(3/47)和10.6%(5/47)(P>0.05);学生、居民和僧侣对接犬危险性的认识率和行为改善率分别提高了18.2%和19.3%,42.8%和54.3%,6.4%和14.9%,对照县则无明显变化。结论本次设计的健康教育材料针对性强,易于接受,对不同人群的棘球蚴病防治知识知晓率和行为改善影响较明显,达到了预期的健康教育与促进效果 Objective To explore an effective form of health education in Tibetan areas to promote the sustainable development of hydatid disease prevention and treatment. Methods From July to November, 2008, in Shiqu County, Kangding County and Luhuo County, Ganzi Prefecture, Sichuan Province, questionnaires and group discussions were used to analyze the echinacea of ​​some students in school, pastoralists, township cadres and temple monks The prevention and control of echinococcosis and health education materials needs of the investigation, according to the findings of the design and production of highly targeted health education materials. In October 2009, a baseline survey on knowledge and behavior of echinococcosis prevention and control among different groups of people (students, residents, cadres and monks) was conducted in Taogang Township, Kangding County, Ganzi Prefecture, Sichuan Province, and the health education materials were used to develop the activities. In May, we evaluated the effect of using health education materials in this group. At the same time, we selected Xinduqiao Town, Kangding County, which is similar in geographical, humanistic, natural, geographical and morbidities, as a control. We did not implement health education to evaluate Intervention effect of health education activities. Results According to different groups of health education materials and forms of demand differences, designed and produced a variety of forms of health education materials. The results of the survey after the implementation of health education showed that the awareness of students and pastoralists on the prevention and treatment of hydatid disease was significantly improved (P <0.05), only “one should wash their hands before meals”, the knowledge of students before and after health education There was no significant difference in rates (P <0.01) between students and pastoralists (88.6% (78/88) and 95.5% (84/88), respectively]. Although the behavior improvement of cadres and monks before and after health education was not obvious (P> 0.05), the behavior of residents and cadres in pastoral areas correctly handled internal organs of children from 37.1% (13/35) before health education and 30.3 % (10/33) increased to 82.9% (29/35) and 78.8% (26/33) respectively after the health education (P <0.01); while the monks’ health education before and after " (3/47) and 10.6% (5/47) respectively (P> 0.05). The awareness rate and behavior improvement rate of the dogs, students, residents and monks were 18.2% and 19.3%, 42.8% and 54.3% 6.4% and 14.9%, while there was no significant change in the control county. Conclusion The health education materials designed in this study are highly targeted and easy to accept. The knowledge and rate of awareness and behavioral improvement of echinococcosis prevention and treatment in different populations are more obvious, and the expected health education and promotion effects are achieved