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

  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.