Reasearch On Epidemiological Analysis And Control Strategies Of Tuberculosis In Guizhou Province

Objective:Carries on the analysis through the Guizhou Province TB epidemiology investigation and TB prevention present situation,focusing on TB prevention in the existing problems and the influencing factor exists,put forward the policy suggestions and measures.to provide basis for prevention and cure of TB in Guizhou province.Methods:Literature consultation,interview.questionnaire investigation were preliminarily determined of TB prevents the influencing factors.the main influence factors.according to the influence factors of tuberculosis prevention and control aspects of the related policies and measures.Results:1.The TB patient male is higher than the female.Male to female ratio1.56:1,the TB patient age many in is bigger than above15years old.15-60years old accounted for77.8%.65.1%of the TB patients were farmers or no workers.82.7%of the TB patients in the medical safeguard is a new type of rural cooperative medical insurance.49%of the TB patient income from farming.TB patients within two weeks of treatment rate59.2%.41.1%of the TB patients first choice for hospital in the county and above general hospital.20.6%of the TB patients first choice for hospital in the county TB or County Center for Disease Control and prevention treatment.TB transmission route58%konw.China’s TB screening and treatment policy of free49.8%know.2. Investigation of TB prevention personnel a total of54cities and counties.according to the population proportion is0.13people/million people.54of TB prevention and control personnel aged30～50years old accounted for70.4%:Structure of record of formal schooling of high school (including school or technical secondary school)44.4%.College38.9%.Bachelor degree or above14.8%.TB prevention and control professionals without titles accounted for25.9%,50%junior titles.Intermediate title24.1%.Certified staff of40,74.1%. Without qualifications of14.25.9%. 3. Investigate place newly diagnosed TB sputum examination rate all be in90%above. TB patients with smear positive rate is20.9%～44.1%.new smear-positive patients in the whole course supervision rate of99.4%.retreatment of smear-positive patients in the whole course supervision rate reached100%. New smear positive tuberculosis cure rate of the patients in the77.3%～93.8%, average cure rate of83.1%. Retreatment of smear-positive tuberculosis cure rate of the patients in the43.8%～92,6%. average cure rate of63.8%. Non Tubercular Institutions TB patient referral rates from33.7%-99.4%. the average rate of referral for55.5%. Laboratory developed sputum smear examination,bacterial culture,drug sensitivity sensitivity determination and TB strain identification did not begin.4. Investigation of33experts.the positive coefficient experts of100%. the authoritative coefficient0.8014.Influence factors of TB prevention and control from the aspects of patient factors and control mechanism of the10aspects of factors.The TB control are the major influence factors:.there are treatment delay for patients with TB. villages and towns patients could be very inconvenient to Center for Disease Control getting the medicine, the TB patient fluidity is big. TB prevents and controls the knowledge to lack. TB cognition insufficiency or takes the degree to be insufficient. Family member to TB degree of support above six aspects:TB prevention organization aspect to have prevents the personnel to lack, the prevention funds are insufficient, the hospital and NTP system assume the discrete state, lacking of unified patient information sharing platform above four aspects.5.According to the main influencing factors of tuberculosis prevention and control of tuberculosis control policies and measures.there are mainly six aspects, from the scientific sex. feasibility,economy,fairness, suitability, implementation of the six aspects of the evaluation.In turnthe establishment reimburses the channel or the special aid fund specially:building TB patients information platform in Guizhou Province:the outpatient refers to in-patient to reimburse:TB prevents organization to earry on patients management and the outpatient treats:the General hospital carries on hospital treatment;TB medicine providing and treatment management in villages and towns Public health center. Conclusion:1. The present investigation of outpatient and inpatient tuberculosis patients in males than in females.TB occurs in young adults.mainly agricultural population.TB culture is not high.TB prevention and control awareness low.acceptance of tuberculosis health education about the situation.Tips of rural young male population at high risk for TB.2. TB prevention and control staff and full-time staff shortage,without preparation, employed staff.non-qualified personnel accounted for a certain proportion.3. First visit to check sputum rate was high in TB.TB patients with smear-positive rate is low; TB new smear-positive and Smear positive patients were high of full supervision rate; High cure rate of new smear-positive patients.retreated smear positive patients.the cure rate is relatively low.Retreatment smear positive cure rate is lower than the cure rate of new smear-positive patients; TB was low of Referral rates. The laboratory work is only carried out smears.4. The main influence factors of TB control and Prevention are treatment delay for patients with TB. villages and towns patients could be very inconvenient to Center for Disease Control getting the medicine, the TB patient fluidity is big.TB prevents and controls the knowledge to lack.TB cognition insufficiency or takes the degree to be insufficient. Family member to TB degree of support; TB prevention organization aspect to have prevents the personnel to lack, the prevention funds are insufficient, the hospital and NTP system assume the discrete state, lacking of unified patient information sharing platform above eight aspects.5.Put forward six main measures of tuberculosis prevention and control:build TB patients information platform in Guizhou Province:the General hospital carries on hospital treatment:TB prevents organization to carry on patients management and the outpatient treats:TB medicine providing and treatment management in villages and towns Public health center;the outpatient refers to in-patient to reimburse;The establishment reimburses the channel or the special aid fund specially.