高级检索
程锦泉, 杨应周, 张丹, 谭卫国, 张英姬. 深圳市世界银行贷款结核病控制绩效评价[J]. 中国公共卫生, 2004, 20(7): 837-839.
引用本文: 程锦泉, 杨应周, 张丹, 谭卫国, 张英姬. 深圳市世界银行贷款结核病控制绩效评价[J]. 中国公共卫生, 2004, 20(7): 837-839.
CHENG Jin-quan, YANG Ying-zhou, ZHANG Dan, . Evaluation of performance on all population tuberculosis control project of world bank loan in Shenzhen[J]. Chinese Journal of Public Health, 2004, 20(7): 837-839.
Citation: CHENG Jin-quan, YANG Ying-zhou, ZHANG Dan, . Evaluation of performance on all population tuberculosis control project of world bank loan in Shenzhen[J]. Chinese Journal of Public Health, 2004, 20(7): 837-839.

深圳市世界银行贷款结核病控制绩效评价

Evaluation of performance on all population tuberculosis control project of world bank loan in Shenzhen

  • 摘要:
      目的   对深圳市为期8年的全人口世行贷款结核病控制项目工作进行绩效评价, 探讨项目绩效评价的方法。
      方法   收集1993~2001年深圳市全人口结核病控制项目周期内转诊、可疑者接诊、涂阳患病、痰菌阴转、治愈情况等及费用筹集和使用的有关资料, 并在项目实施前后进行结核病流行病学调查和耐药监测, 从服务公平性、健康可及性、项目效果、项目效益、项目效率等方面对该项目进行评价。
      结果   (1) 服务公平: 将外来人口纳入结核病控制项目管理, 实施全人口控制策略, 并取得了与户籍人口一致的效果; (2)健康可及: 健全了市、区、镇三级防治网络, 全面实施归口管治, 推行全程督导管理方式(DOTS)策略; (3)效果明显: 减少了1.5万新发病人, 患病率下降超过50%, 初始涂阳耐多药率下降7%;(4)效益巨大: 直接经济效益1.42亿元, 间接经济效益挽回GDP损失30.6亿元, 减少个人收入17.6亿元; (5)效率高: 2月末痰菌阴转率88.8%, 3月末痰菌阴转率96.0%。
      结论   该项目实施8年绩效明显, 政府承诺保证该项目可持续发展是非常必要的。

     

    Abstract:
      Objective   To evaluate the performance of All Population Tuberculosis Control Project of the World Bank Loan for 8 years and discuss the method of evaluation in project's performance.
      Methods   Data were collected from 1993 to 2001 for transfer and acception of suspected patients, the smear-positive, the smear-negative of sputum TB, cure, raise and usage of the fund. Epidemic investigation on pulmonary TB and drug resistance monitoring was completed. The evaluation was done from the aspect of service equity, health accessibility, project effect, project benefit and project efficiency.
      Results   (1) service equity: The external population was bring into the project management and the strategy of all population control was done, the effect was the same as population with residence card's; (2)health accessibility: three-level prevention and control network of city, area and town was perfected, and take measure of DOTS strategy; (3)effect evident: The project result in reducing 1.5×104 incidence and dropping beyond 50% in prevalence rate, multiple drug resistance rate in initial smear-positive dropping 7%.(4)benefit great: its direct economic returns were ¥1.42×109 and its indirect economic returns were redeem GDP ¥30.6×109; it retrieve individual income for tuberculosis ¥17.6×109.(5)efficiency high: the sputum conversion rate was 88.8% in the end of February and was 96.0% in the end of March.
      Conclusion   It was developing great social effects and economic returns since the project was done for 8 years and it was essential for government promise to develop the project continously.

     

/

返回文章
返回