The work plan for the second section of tuberculosis is 1.
In order to further strengthen the prevention and control of infectious diseases in our town, curb the epidemic of tuberculosis and ensure people's health, this plan is formulated as follows according to the annual work requirements of tuberculosis control projects in cities and counties:
First, the overall goal:
1. Continue to strengthen the standardized management of project work, and the population coverage rate of the project will reach 100%.
2. Do a good job in the discovery, referral, supervision and management of suspected tuberculosis patients and tuberculosis patients;
3. Strive to find and treat 9 cases of smear positive patients and severe smear positive patients throughout the year;
4. The treatment coverage rate of smear-positive pulmonary tuberculosis patients is 100%, and the cure rate is over 85%;
5. Strengthen the publicity of TB prevention and control knowledge and raise the awareness of TB prevention and control of the whole people;
6, to further strengthen the network tracking, tuberculosis project management and supervision.
Two. Operational measures
1, referral and patient discovery of suspected tuberculosis patients
Finding and curing smear-positive tuberculosis patients is the most important measure to control the epidemic of tuberculosis. Hospitals and village clinics should conscientiously implement the Law of People's Republic of China (PRC) People's Procuratorate, the Law on the Prevention and Control of Infectious Diseases and the Measures for the Centralized Management of Tuberculosis in Yunnan Province, and do a good job in the discovery and referral of suspected tuberculosis patients and tuberculosis patients;
Seriously carry out sputum examination, and refer tuberculosis patients and suspected tuberculosis patients immediately after sputum examination;
Hospitals and village clinics should track patients according to the requirements of network tracking and fidelis project, urge patients to see a doctor, and improve the patient discovery rate;
The referral of pulmonary tuberculosis patients and suspected patients by various departments of health centers and village clinics must be made in accordance with the requirements of the Department of Chronic Diseases of the County CDC and relevant records should be kept for future reference.
The specific requirements for the annual tasks of village clinics are as follows:
2. Management of tuberculosis
(1) Strengthen the supervision of tuberculosis control projects. The town prevention and protection group regularly supervises the village clinics, 2 to 3 times a month, and each village is not less than 24 times a year. Town health centers focus on the management of smear-positive patients, the referral of suspected patients and tuberculosis patients, the completeness and reporting of various materials, the supervision of village doctors on the implementation of short-term chemotherapy under direct observation, the completeness of materials and the publicity of tuberculosis prevention and control knowledge. Requirements for supervision of village clinics: supervise patients every other day 1 time, and every month 15 times. The contents of supervision include: urging patients to take medicine until they see oral medicine, urging patients to review on time to find out the drug use situation of patients and whether there are any side effects. If there are side effects, they should be handled and reported in time, and the knowledge about tuberculosis should be publicized to patients and their families.
(2) Strengthen the visits to tuberculosis patients: the town health center should make at least 12 home visits to smear-positive patients, and make six visits to smear-positive patients, at least twice a month, and write the visit records; Village clinic staff should give specific medication guidance and supervision to patients, at least 15 times a month, and fill in the patient medication card. Interview contents: patients' medication and side effects, patients' timely review and drug collection, awareness rate of tuberculosis prevention and treatment, etc.
(3) The town supervisor should complete a supervision report every time, with detailed content and accurate data, which can reflect the specific situation of the supervised units and individuals in patient treatment management, find problems, timely feedback information, and better implement the project work.
3. Data management and information work
Strengthen the registration, collection and management of the data of tuberculosis patients, do a good job in the completeness and accuracy of the use of the three volumes of registration books and cards, and report the monthly, quarterly and annual reports of tuberculosis control projects on time, so that the traces are clear and the data are accurate, strengthen the exchange of tuberculosis information, and inform the higher authorities and neighboring towns and villages each other.
4, tuberculosis knowledge training
Strengthen the knowledge training of TB prevention and control personnel in the town and improve their professional quality. It is planned to conduct 1 business training for TB prevention and control personnel in the village in March. Training content: the significance of centralized management of tuberculosis and the current situation of tuberculosis epidemic. The responsibilities of rural tuberculosis prevention and control personnel in the project work, the specific requirements of management at all levels of the project work, the observation and corresponding treatment of the side effects of tuberculosis drugs, and the filling of patients' medication cards.
5, tuberculosis knowledge propaganda
Strengthen the publicity of tuberculosis knowledge and enhance the awareness of tuberculosis prevention and treatment. Town health centers and village-level TB prevention and control personnel should focus on the "3.24" World Tuberculosis Prevention and Control Publicity Day, adopt columns and other publicity methods to strengthen the publicity of TB prevention and control knowledge. Widely and deeply publicize the national policy of free treatment for infectious and severe smear-negative pulmonary tuberculosis and preferential treatment for other pulmonary tuberculosis patients; Improve the awareness rate of tuberculosis prevention and control knowledge among the whole people, mobilize all sectors of society to understand and support tuberculosis prevention and control work, so that patients with tuberculosis and suspected tuberculosis in our town can consciously see a doctor for examination, and realize timely and standardized treatment and management.
Third, the work assessment
The central health center carried out two village-level tuberculosis prevention and control inspections throughout the year, and the inspections were not regular at ordinary times. The inspection situation is included in the year-end assessment of each village, which is also the basis for issuing funds for tuberculosis prevention and control.
Section II Overall Plan for Tuberculosis Work 2
In _ _ _ _, the tuberculosis health promotion work of Xincheng Sub-district Community Health Service Center will continue to take the in-depth health action plan as the main line, implement the comprehensive, reform, service and highlights proposed by _ _ Municipal Health Bureau and the two eight policies of "respecting morality, precision work and benefiting the people" proposed by our city, and make every effort to create the highlights of tuberculosis prevention and control work. Adhere to the working principle of combining daily publicity with centralized publicity, vigorously advocate the concept of health, promote the implementation of various tuberculosis prevention and control measures, and effectively control our flag.
First, the purpose of work:
Through extensive tuberculosis health promotion activities, advocating civilized and healthy lifestyles, mobilizing people to participate in activities extensively, changing unhealthy health behaviors and habits, improving people's health level and quality of life, improving people's awareness and formation rate of tuberculosis prevention and control knowledge, enhancing self-care awareness, and effectively controlling tuberculosis.
Second, the specific objectives:
Improve the broad masses of people's understanding of TB prevention and control knowledge and relevant national policies, so that the awareness rate of TB prevention and control knowledge in our district will reach more than 65% in cities and towns, the rate of behavior formation will reach more than 55% in cities and towns, the detection rate of TB patients will reach more than 75%, and the cure rate of patients will reach more than 85%.
Three. Principles and strategies:
1, under the leadership of the government and the administrative department of health, the prevention and treatment of tuberculosis and health promotion activities were widely carried out by means of multi-sectoral cooperation and the participation of the whole society.
2. Take a combination of centralized publicity and regular publicity to establish a multi-means, three-dimensional and long-term publicity mechanism.
3, focusing on the community, vigorously grasp the prevention and treatment of tuberculosis in key populations.
4, with the district tuberculosis control center as the core, scientifically formulate the health promotion work plan, and highlight the publicity effect.
Four. Specific activities:
1 and "March 24th" activities: around the publicity activities of "World Tuberculosis Day on March 24th, 2000", under the leadership of the leading group of the District Tuberculosis Prevention and Control Institute, 2-3 large banners were put up in downtown areas and major traffic arteries, free clinics were held, 20,000 leaflets were distributed, and posters and leaflets were distributed 10000.
2. Production of promotional materials: For different groups of people, 20,000 copies of relevant materials and leaflets in the "Health Promotion Resource Library" were consulted, and a total of 654.38 million copies of promotional materials such as brochures, posters and leaflets suitable for public use were produced.
3. Training, publicity and education: From March 1, community residents will be trained in health education.
4. Setting and publicity of banners, publicity columns and electronic screens: set up banners or publicity columns in prominent positions, and set up electronic screens in outpatient halls.
5, in cooperation with the Ministry of Education, the use of primary and secondary school health classes to explain the knowledge of tuberculosis prevention and control, up to 4 class hours (each academic year), so that the knowledge of tuberculosis prevention and control in every family.
6. According to the performance evaluation content of tuberculosis health promotion in the whole city, the survey on knowledge awareness rate and behavior formation rate of urban tuberculosis prevention and control was completed in early August and the end of September, and the survey results were reported to the municipal tuberculosis prevention and control office for publicity at the end of 10.
Verb (abbreviation of verb) Specific measures:
1. At the beginning of the year, a multi-department collaborative health promotion leading group was set up, which meets twice each time to uniformly lead and deploy the health promotion activities of this flag.
2, at the beginning of the year to develop health promotion work plan, and report to the city in electronic form.
3, 65438+February will report the annual TB health promotion work summary to the municipal office.
4. Set up a publicity column: set up a fixed publicity column in the community health service center to publicize the knowledge of tuberculosis prevention and treatment.
5. Lecture on health knowledge: In April and September, the staff of the Propaganda Department held a lecture on tuberculosis prevention and treatment in the community service center, and the number of participants in each lecture should be guaranteed to account for 5% of the population in the jurisdiction.
Section II Overall Plan for Tuberculosis Work 3
I. Prevention and treatment of tuberculosis
(1) Registration of tuberculosis patients
In the whole year, 902 newly diagnosed patients were registered, and 20 1 person were newly diagnosed, completing the annual plan101%; 54 cases of retreated smear positive patients completed the annual plan100%; 39 cases were negative in smear; The network of non-TB institutions reported 290 cases of suspected pulmonary tuberculosis, and 56 cases of severe cases were excluded; Among them, 224 cases were referred, with a referral rate of 95.7%; 58 cases need to be followed up, 58 cases have been followed up, and 53 cases have been tracked in place, with a tracking rate of 100% and a tracking rate of 9 1%. Summarize the information of tuberculosis prevention every quarter and report it to all relevant units in the county once.
(two) the treatment outcome of new smear positive patients in the previous year.
203 cases of new smear-positive pulmonary tuberculosis were registered in, of which 187 cases were cured, and the cure rate was 92%. 4 cases completed the course of treatment; 2 cases died of non-tuberculosis; 10 cases of adverse reactions; The patient system management rate is 98%; All the above data were completed at the beginning of the year.
(iii) Capital investment
According to the national, provincial and municipal planning, the county finance included the TB prevention and control funds of 6.5438+0.8 million yuan in the budget, which ensured the development of TB treatment management, publicity and education and planning activities. Make full use of the central transfer payment of 1.29 million yuan to do a good job in reporting, managing, supervising and tracking pulmonary tuberculosis patients.
(4) Supervision and visits
The township prevention and protection stations are supervised every two months, and the social defense department has designed a "free patient drug collection monitoring table". If a patient does not take medicine or stop taking medicine in time, he will call the patient or his family immediately. Throughout the year, * * * supervisors visited more than 220 tuberculosis patients, striving to visit every tuberculosis family, especially to re-educate patients who stopped taking drugs or used drugs irregularly. 165438+ 10, which took a week, traveled 1200 kilometers, and paid the referral fee to the rural doctors.
(five) publicity "3.24 World Tuberculosis Day"
March 24th, 20001is the15th World Tuberculosis Day. This year's slogan is "Stop TB, be healthy and harmonious". Accompanied by the Basic Education Department of the Education Bureau, this activity mainly went to five primary and secondary schools in the city to publicize tuberculosis knowledge, focusing on health education courses, posting 20 posters, distributing 50 CDs on "Preventing Tuberculosis" and "Curing Tuberculosis", and distributing 3,000 pamphlets on "Preventing Tuberculosis, Being Healthy and Harmonious", especially 1 for freshmen, so that every teacher and student can see, hear and learn. In addition, we left _ _ copies of publicity brochures for the Basic Education Department of the Education Bureau and distributed them to primary and secondary schools in villages and towns, so that teachers and students in the county can understand the knowledge of tuberculosis prevention and treatment. Through publicity, teachers and students have improved their understanding of the importance of tuberculosis prevention and control, understood the knowledge of tuberculosis prevention and control, and enhanced their awareness of tuberculosis prevention and control.
(six) held the county tuberculosis prevention and control work conference.
On April 8, the county-wide tuberculosis prevention and control work conference was held in the conference room of tuberculosis hospital. The director in charge of the county health bureau, the chief of the prevention and control department, the president of the prevention and control hospital, the president of the CDC, the president of the general hospital and the township prevention and control stationmasters attended the meeting. At the meeting, the county-wide tuberculosis control work in _ _ was comprehensively summarized, and the work indicators, tasks and priorities of the county-wide tuberculosis control work in _ _ _ were formulated. Deputy Director Wang of the Health Bureau pointed out the priorities of this year, such as implementing the free policy, improving the quality of work, strengthening the prevention and control of key groups, publicity and education, and doing a good job in the fifth national transfer. Finally, the Municipal Institute for Tuberculosis Control and Prevention signed the target responsibility letter for tuberculosis control on _ _ _ _ _. The convening of this meeting timely summarized and analyzed the achievements and existing problems of tuberculosis prevention and control in our county, and made clear the focus and objectives of the work in 2008. It also laid a solid foundation for the smooth implementation of various tuberculosis prevention and control work, the fifth national tuberculosis epidemiological survey and the full implementation of tuberculosis prevention and control planning.
(7) The site work of the fifth national water diversion project in Surabaya was completed.
From May 10, after 14 days' efforts, and with the full cooperation of Jining Sixth Dispatching Team and Jinzhuang Village Committee, the villagers of Xiyinyi Village 1 1667 were examined by chest X-ray, and the detection rate was 95.26%. Four suspected pulmonary tuberculosis patients were found at the transfer point, and smear-positive pulmonary tuberculosis patients were diagnosed 1 case, and the free treatment policy was implemented according to the requirements of the guidelines. On the 24th, a chest X-ray examination was done for those who had not been selected, and souvenirs were distributed. The mobile team provided thoughtful service for the masses, which was well received by the members of the village Committee and the masses and established a profound friendship with them. In order to express gratitude, the village Committee specially made a banner of "serving the people wholeheartedly and with superb skills", and the village party secretary personally presented it to the Sixth Dispatching Team.
(eight) the completion of the final evaluation report of tuberculosis prevention and control planning (_ _ _ _ _ _).
① Maintain the coverage rate of modern tuberculosis control strategy (dots)100%;
② The referral rate of pulmonary tuberculosis patients and suspected pulmonary tuberculosis patients reached over 85%;
③ The detection rate of new smear positive pulmonary tuberculosis patients is above 70%;
④ The cure rate of new smear positive pulmonary tuberculosis patients reached over 85%;
⑤ The participation of medical institutions in tuberculosis prevention and treatment reached1.000%;
⑥ The treatment rate of MDR-TB patients is 90%.
⑦ The treatment rate of tuberculosis patients in floating population is over 90%;
⑧ The training rate of rural doctors in tuberculosis prevention and treatment technology for more than two times reached 90%;
Pet-name ruby TB prevention and control knowledge awareness rate of more than 80%.
Attending the "planning" period to reduce the number of deaths by 658; The number of people who cured infectious patients and avoided new pulmonary tuberculosis was1531; The social medical expenses reduced by avoiding new patients are 6.5438+0.04 million yuan; The social and economic benefits saved by avoiding the loss of labor force are 98.966 million yuan.
(9) The physical examination of freshmen in primary and secondary schools in the county was completed.
According to the requirements of "Management Measures for Physical Examination of Primary and Secondary School Students" issued by the Ministry of Health and the Ministry of Education, 10 to 12 carried out tuberculin detection on 697 1 primary and secondary school students in the county, and informed 2 16 students with strong positive results to come to our hospital for free chest X-ray and sputum smear examination.
(10) Improve efficiency and complete performance appraisal.
In order to scientifically evaluate the work of tuberculosis prevention and control and promote the comprehensive and sustainable development of tuberculosis prevention and control, according to the Work Plan for Performance Appraisal of Disease Prevention and Control issued by the Ministry of Health, our hospital has solidly carried out the performance appraisal of disease prevention and control (tuberculosis part). This performance appraisal is an evaluation of the work carried out in _ _ and _ _ _, mainly including nine business indicators, such as the detection rate of new smear-positive patients, dots coverage rate, systematic management rate of tuberculosis patients, cure rate of new smear-positive patients, reporting rate of tuberculosis patients in medical institutions, referral rate of tuberculosis patients, follow-up rate of tuberculosis prevention and control institutions, screening rate of family members of tuberculosis patients, and coverage rate of quality assurance system among sputum smear microscopy rooms. Staff have been sent to Qufu, Jining and other places to observe and study, and to conduct on-the-spot investigations on the experience and practices of performance appraisal, which has enhanced their perceptual understanding of performance appraisal. Through the active efforts of nearly 1 month, the tuberculosis part of our hospital's performance appraisal is progressing smoothly, and the data preparation work is fully completed. On February 23, 65438, the municipal performance evaluation team came to our county to inspect the work, comprehensively and objectively evaluated the achievements of tuberculosis prevention and control in our county, and put forward some shortcomings such as incomplete and detailed preservation of some original materials. Performance appraisal has played a guiding role in our future work and promoted the level of tuberculosis prevention and control.
(eleven) business skills.
1, participated in the first medical skills competition in our county, set up a leading group, and selected young business backbones from July. After three months of hard training, although the final results were not satisfactory, the overall quality and technical level were really improved through the competition.
2. Participated in many training courses on tuberculosis knowledge, social prevention and health education held by provinces and cities. Through training, the professional level and working ability of TB control personnel have been improved, and the smooth implementation of TB control plan has been ensured.
Second, the development of other work.
(A) the Party branch to carry out in-depth activities for excellence.
Carrying out the activity of striving for excellence is an important test to implement Scientific Outlook on Development. All the party member cadres in our hospital are fully organized, promoted and implemented with a highly responsible attitude, a spirit of reform and innovation and a pragmatic style. Combine grasping business with grasping party building, focus on the determined work objectives, lead work with activities, promote activities with work, really work hard on the implementation of work, and turn activities into a powerful driving force for all work. At the same time, we insist on party building leading the league building, party building leading the league building and party building leading the league building. Through the activities, the enthusiasm of creating advanced collectives and striving to be advanced individuals was promoted, and a good atmosphere of striving for Excellence was formed.
(two) do a good job of medical quality inspection twice a year.
Effectively improve medical services, strengthen the education of medical ethics and medical laws and regulations, so that employees can further establish the idea of serving patients wholeheartedly, adhere to the "patient-centered" service concept, and continuously improve the level of medical services.
(C) the new rural cooperative medical reimbursement system
Since the reimbursement of the new rural cooperative medical system was started in our hospital, under the correct leadership of the new rural cooperative medical system jointly organized by the Health Bureau, we have earnestly carried out various tasks and achieved certain results. Business personnel earnestly study the rules and regulations of the new rural cooperative medical system and operate in strict accordance with the rules and regulations. No violation of laws and regulations was found in the inspection of the new rural cooperative medical system in the county, and the accumulated compensation fee for the whole year was 1 1.7 million yuan.
(D) change the work style of cadres
Since the prohibition of alcohol, the county government has attached great importance to it, adopted various forms to carry out study and education, and paid close attention to implementation. Hospital leaders and middle-level cadres have strengthened the daily education and management of employees, forming a form of hierarchical education management. The cadres and workers of the hospital implemented the prohibition of alcohol with practical actions, and there were no unhealthy phenomena such as drinking and drinking at noon.
(five) actively participate in patriotic health activities.
Our institute actively participates in the activities of creating civilized cities. In the environmental sanitation renovation, more than 20 dead ends were cleared, 64 illegal advertisements and 38 sprayed materials were removed, which contributed to keeping the overall environmental sanitation in our county in a good state.
(six) the situation of safe production
Attach great importance to medical quality and safety, always put medical quality and safety in the first place, strictly implement various rules and regulations, earnestly implement them, and pay close attention to medical quality, so that there will be no medical accidents in medical safety work in our hospital for one year.
(seven) temporary office relocation work
Due to the demolition of the original leased land, a private house was rented in the east of Sicheng Hongyu Gas Station1south of the national highway 300m327. After the relocation, all departments can work normally.
(8) The construction of the new hospital has been basically completed.
The address of the new hospital is located on the east side of the road in the east of the factory, covering an area of 20 mu, with a building area of 1300 square meters. Now the main body and supporting houses have been basically completed and are being renovated internally. After the completion of the new hospital, it will bring us great development space.
(9) Cultural life
In May, organize all employees to visit and study in the beautiful coastal city of Dalian. The whole activity schedule is compact and rich, and everyone feels the breath of big cities and modernization. Feel the essence of metropolis and the spirit of civilization. During the three days, we were United and friendly, communicated with each other, and achieved the goals of relaxing mood, cultivating sentiment, broadening our horizons and enhancing friendship, and were well educated in reform, innovation, patriotism and spiritual civilization.
165438+ The first fun sports meeting was held in our hospital on126 October. It's the first time to hold such a group activity, and it's difficult to plan at the initial stage. Lack of experience is the biggest obstacle. After the help of colleagues and many discussions, the planning was on the right track. Although the weather is cold, it has not affected the active participation of employees. These events are slow cycling, one-minute skipping, badminton and table tennis. Everyone's mood is high, the atmosphere is cheerful, and the competition process is extremely fierce. They all took an active part in the competition, which not only enjoyed the fun of the competition, but also played a role in keeping fit and boosting morale in a difficult environment.
In the past year, under the leadership of the Health Bureau, we have made some achievements and made some progress in tuberculosis control, but we also have to see many difficulties and challenges. In _ _ years, we will face great challenges, such as whether our medical and nursing ability and management ability can keep up with the development of the situation after the completion of the new hospital, and whether the planning, construction and utilization of wards can be carried out smoothly will also be a great challenge, and there is still a gap between the actual work and the standard county. These problems need close cooperation of all departments, and everyone should update their ideas to meet the needs of medical reform and the masses. As long as everyone has the attitude of loving the hospital and family, our tomorrow will be like sesame blossoms.