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目的 评价湖南省 1992～ 2 0 0 0年实施世行贷款结核病控制项目所取得的成效。 方法 根据《世行贷款中国结核病控制项目工作手册》和《全国结核病流行病学抽样调查工作手册》的标准、要求、各种资料数据 ,进行分析和评价。 结果 从 1992～ 2 0 0 0年 9月止全省对 76 6 5万可疑结核症状者进行检查 ,共发现涂阳肺结核病人 15 5 2万例 ,已治愈传染性肺结核 10 5 5万例 ,初、复治病人的治愈率分别为 93 5 %和 88 1% ,活动性和涂阳肺结核的患病率分别下降5 9 4%和 40 2 % ,并取得巨大的经济效益。 结论 湖南经 9年实施世行贷款结控项目后 ,疫情获显著下降、控制结核病蔓延、有效地保护了劳动力 ,也取得了可喜的经济效益 ,经费投入与产出的比为 1∶6 4,是投入较小 ,取得较大产出的一项卫生项目。
Objective To evaluate the effectiveness of implementing the World Bank-financed TB control project from 1992 to 2000 in Hunan Province. Methods According to the standards, requirements and various kinds of data and data of World Bank Loan Tuberculosis Control Project Workbook and National Tuberculosis Epidemiological Sampling Survey Manual, the analysis and evaluation were made. Results From July 1992 to September 2000, 766 500 cases of suspicious TB symptoms were detected in the whole province. A total of 155.02 smear-positive pulmonary tuberculosis cases were found. A total of 105.5 million cases of infectious tuberculosis were cured. . The cure rates of retreatment patients were 93.5% and 88.1% respectively. The prevalence of active and smear-positive pulmonary tuberculosis decreased by 5 9 4% and 40 2%, respectively, and achieved great economic benefits. Conclusions After 9 years of implementation of the World Bank loan control and control project in Hunan Province, the outbreak was significantly reduced, the spread of tuberculosis was controlled, the labor force was effectively protected, and the gratifying economic benefits were obtained. The ratio of input to output was 1: It is a health project with a smaller investment and greater output.