CAJ | 학술논문

目的：评价陕西省消除疟疾全球基金项目的实施效果，为科学实施消除疟疾行动计划及考核评估工作提供参考依据。方法收集整理2010-2012年陕西省27个全球基金疟疾项目县疟疾防治工作资料并进行统计学分析，评价陕西省消除疟疾全球基金项目的实施效果。结果2010-2012年陕西省全球基金项目实施地区共报告疟疾病例64例，年均发病率为0.15/10万，发病率呈逐年下降趋势；病例感染地来源以境外输入性为主，占总病例数的79.69%；“三热”病人血检工作完成率为94.14%，血检工作开展范围扩大到88个县（含61个三类县）；疟防知识和技能培训覆盖率达到100%，中小学生和居民疟防知识知晓率分别为91.68%和89.44%；病例诊断后24 h内网络报告、个案调查和疫点处置、实验室检测和确诊等病例管理能力显著提高。结论全球基金疟疾项目的实施加速了陕西省消除疟疾工作的进程，项目实施地区的疟疾防治工作能力得到显著提升。
목적：평개합서성소제학질전구기금항목적실시효과，위과학실시소제학질행동계화급고핵평고공작제공삼고의거。방법수집정리2010-2012년합서성27개전구기금학질항목현학질방치공작자료병진행통계학분석，평개합서성소제학질전구기금항목적실시효과。결과2010-2012년합서성전구기금항목실시지구공보고학질병례64례，년균발병솔위0.15/10만，발병솔정축년하강추세；병례감염지래원이경외수입성위주，점총병례수적79.69%；“삼열”병인혈검공작완성솔위94.14%，혈검공작개전범위확대도88개현（함61개삼류현）；학방지식화기능배훈복개솔체도100%，중소학생화거민학방지식지효솔분별위91.68%화89.44%；병례진단후24 h내망락보고、개안조사화역점처치、실험실검측화학진등병례관리능력현저제고。결론전구기금학질항목적실시가속료합서성소제학질공작적진정，항목실시지구적학질방치공작능력득도현저제승。
Objective To evaluate the implementation effect of Malaria Elimination Project supported by the Global Fund in Shaanxi Province so as to provide the evidence for the scientific implementation of Malaria Elimination Action Plan and the exami-nation and evaluation work. Methods The data of malaria prevention and control work were collected and analyzed statistically in 27 counties from 2010 to 2012 in order to evaluate the measures and effects of malaria control. Results There were 64 reported cases in the project areas from 2010 to 2012,and the average annual incidence rate was 0.15/10 million with a declining trend. The infected area sources of patients were mainly imported overseas accounting for 79.69%of the total cases. The blood completion rate of febrile patients was 94.14%,and the scope of the blood smears testing work had expanded to 88 counties(including 61 third-class counties). The training coverage rate of malaria prevention knowledge and skills had achieved to 100%. The awareness rates of malaria prevention and control were 91.68%and 89.44%in the students and local residentsrespectively. The case reporting with-in 24 h after diagnosed,epidemiological case study and outbreak disposal,laboratory testing and confirming and the other case management capabilities had also improved significantly. Conclusions The implementation of the Global Fund Malaria Project in Shaanxi Province has accelerated the process of Malaria Elimination work and improved significantly the malaria control ability in the project areas.