**Tuberculosis control work at all levels of party and government attention, support and close cooperation with relevant departments, in accordance with the requirements of the Global Fund's "Project Implementation Program", the city's first and fourth round of the Global Fund's tuberculosis control project work and tb/hiv dual infection prevention and treatment project work is progressing smoothly, and has made certain achievements. At the beginning of the year, the Municipal Health Bureau organized the city's tuberculosis control project management work will be summarized in 2009 tuberculosis control project work, put forward the project work problems and solutions to the problem, and formulate and issue the 2009 work plan, in accordance with the "work plan" work can be carried out normally, is now the whole year's work is summarized as follows:
A, health Education work:
In accordance with the project requirements, the city TB control office with various types of medical institutions at all levels, the education sector, the city women's federation, the city to carry out the fourth and fifth round of the Global Fund tuberculosis control project related to the content of the training, held a training course of 22 training sessions, training of municipal hospitals under the jurisdiction of the director in charge of the head of the health section, the townships (townships) of the head of the Health Center, the prevention of the doctor, Village doctors, township, village and group cadres, directors of women's federations, heads of women's groups, school teachers and principals*** were trained 1,875 times. At the same time, more than 100,000 copies of tuberculosis publicity materials were issued, and full use was made of television, newspapers and other publicity media to carry out tuberculosis prevention and control publicity, and a large number of publicity materials about tuberculosis prevention and control and AIDS prevention and control knowledge were issued in the "Science and Technology, Culture, and Hygiene to the Countryside" activities organized by the Municipal Government, as well as in the publicity activities for the "3.24 World Tuberculosis Day". Publicity materials, annual **** issued by the tuberculosis prevention and control of posters and publicity materials amounting to more than 10,000 copies, acceptance of tuberculosis-related consultations more than 100 people.
Second, the patient's discovery and referral:
Through the implementation of a variety of situations of publicity activities and training, this year, the major hospitals referral of suspected tuberculosis patients increased. Annual **** free consultation of suspected tuberculosis patients 2434 people, the consultation rate of 362.38%, 1754 follow-up tuberculosis patients, free chest X-ray 2274 people, 2324 films, of which 1189 free films, free initial sputum examination 1036 people, found 400 people positive, positive rate of 38.61%; review sputum examination 1754 people, a total of 6616 sputum film The rate of positivity is 38.61%. There were 1,608 liver tests, 487 cases of tuberculosis patients were diagnosed and treated free of charge, of which 334 cases were initially coated-positive patients, 39 cases were retested coated-positive patients, and 114 cases were initially coated-negative patients. 130 cases of extrapulmonary tuberculosis and retreatment of smear-negative tuberculosis patients were diagnosed and treated at their own expense. Signed the informed consent for routine tuberculosis examination program 467 people, and these 467 people were screened for hiv , the results of hiv initial screening positive 17 people, confirmed by the state cdc hiv positive 17 people, hiv initial screening positive rate of 3.64%. In addition in hiv/aids patients screening for tuberculosis, *** screening 321 people, diagnosed tuberculosis 5 cases. Currently among the 487 TB patients receiving free treatment, 22 are tb/hiv dual infection patients.
Throughout the year*** free medicines hrze961 hrze, hre217 hrze, hrz23 hrze, hr1789 hrze, 1170 sm, 1170 disposable syringes, 1170 water for injection were issued.
The patient's return: 2009*** diagnosed and free treatment of 509 cases of tuberculosis patients, of which 355 cases of the first treatment of smear-positive patients, cured 330 cases, 10 cases of death, 11 cases of failure, 1 case of relocation, other 3 cases, the cure rate of 92.96%; treatment of 51 cases of re-treatment of smear-positive patients, cured 46 cases, 3 cases of failure, 2 cases of other cases, the cure rate of 90.19%. Treating 103 cases of type-ii vacuolar coated patients and first-time coated patients, 98 cases completed the treatment, 1 case died, 2 cases moved out, 2 other cases, the completion rate of treatment 95.14%. Reach the national target above.
Three, supervision:
The townships (townships) to carry out tuberculosis supervision 6 times, visit the current patient 435
cases. Results: 10% of the patients have no supervisory doctor management, 5% of the patients take medication irregularly, there is a leakage and break the phenomenon of medication, I hope that the townships (townships) to strengthen the supervision and management of tuberculosis patients to ensure that the patients take medication rules.
Fourth, accept the higher authorities, business departments to check the work of the project:
January accepted the state project office organized by the state tuberculosis cross-checks, in April accepted the province, the state project office of the joint supervisory inspections, the supervisory inspection team through the hearing report, see the scene, check the information, visit the patient after the ** city of the tuberculosis control project to carry out The work of the supervisory inspection team by listening to the report, see the scene, check the resources, visit the patients on the ** city to carry out the knot control program to give full affirmation and high evaluation. The unanimous opinion of the ** city knot control project work, leadership attention, coordination in place, a sound system, knot prevention agencies and AIDS prevention agencies to cooperate well, the staff responsibility, high business quality, technical operation standardization, to meet the requirements of the project.
V. Other:
The year completed the work of the newsletter 8 issues. Completed the ** City, the first round of the Global Fund tuberculosis control project final evaluation report (April 1, XX - March 31, 2009), tracking the pandemic reported 382 cases of tuberculosis patients, in place 141 cases, in place rate of 36.91%. Examined close contacts of smear-positive patients as required, *** examined 1,005 people and found 4 cases of active tuberculosis patients, including 3 cases of infectious tuberculosis. Completed the monthly summary, monthly report and quarterly report of each month's work on time, and reported them in time as required. Drug management is standardized, so as to achieve advance planning, monthly inventory, no shortage of drugs, no expiration date, no mold. Quality and quantity to complete the directive tasks issued by the superiors.
** Municipal TB control program 2010 work plan
To further fully implement the "National Tuberculosis Prevention and Control Program (XX-2010)" and "Sichuan Province Tuberculosis Prevention and Control Program (XX-2010)", according to the fourth and fifth rounds of the Sichuan Global Fund TB control program implementation plan requirements and 09 years. Control project implementation plan requirements and 09 the first round of the Global Fund began to implement the rolling six-year requirement, combined with the actual situation in the city, the development of ** City TB control program 2010 work plan.
In 2010, the city's tuberculosis control program work, mainly according to the Global Fund's first, fourth and fifth round of tuberculosis control program requirements to complete the annual target task.
First, the content of the work
(a), continue to consolidate the effectiveness of the tuberculosis control program, to strengthen the fourth and fifth rounds of the Global Fund tuberculosis control program and the first round of the Global Fund rolling program in the city.
(2), around the implementation of the project, to carry out health education on tuberculosis, through the popularization of the basic knowledge of tuberculosis prevention and "double free" policy to improve the city's various groups of people's awareness of the initiative to seek medical treatment, to enhance and improve the ability to detect tuberculosis patients.
(3), continue to carry out cooperation between the tuberculosis prevention institutions and general hospitals, the Municipal Women's Federation and other departments, to improve the comprehensive quality of the personnel of the general medical institutions and rural doctors on the registration of tuberculosis patients, reporting, referral, tracking, supervision and other aspects.
(iv), strengthen the construction of sputum examination points in township health centers.
(v), according to the Global Fund's fifth round of tuberculosis control program requirements, to do a good job of tb/hiv dual infection prevention and treatment. To honor the commitment to ensure that local supporting special funds for tuberculosis prevention and treatment are in place in full and in a timely manner.
2, the provincial program office in accordance with the number of patients reported by the city to provide free drugs for tuberculosis control program.
(C), training
1, teaching materials and content: the State Ministry of Health compiled and printed ` China Tuberculosis Prevention and Control Health Education Materials Resource Bank' as a unified teaching materials, classification. The rural doctors focus on training health education, patient discovery and recommendation, daily recommendation and other measures, methods, treatment management, the significance of supervisory visits and rural doctors' duties; the city's work focuses on improving the level of diagnosis, patient management and the quality of the report. 2010 continue to use the direct reporting system of infectious disease network, the epidemic reported tuberculosis patients to track.
2, the training object: medical units at all levels of outpatient infectious diseases doctors, rural doctors, township, village, group women cadres, school doctors, teachers, and the implementation of supervised chemotherapy volunteers should also be necessary training.
3, training methods: in order to ensure the quality of the implementation of the training of the way to implement the training work level by level. The municipal level is responsible for the training of township (township) doctors, village doctors, rural women cadres and school doctors.
(D), the main technical specifications
In accordance with the "China Tuberculosis Prevention and Control Program Implementation Guidelines" to carry out "patient detection, treatment management, sputum examination, registration and reporting.
(E) Supervision
During the implementation of the project, the principle of graded supervision was implemented, through which the quality of work was improved and the suggestions and opinions after supervision were fed back to the supervised units in time to improve the work.
1, municipal supervision: the township (town)) health centers every 2 months supervision, content: suspected tuberculosis patients found, report, referral or interception; visit the current Tuyong patients, to understand the township supervisory doctor on the treatment of chemotherapy patients management and supervision.
2, township and village supervision: the township health center anti-TB doctors are required to check the work of village doctors and volunteer supervisors every month and evaluate their work. For each case of free treatment of patients to visit, check the implementation of the drug collection, storage, standardization of taking the situation, the filling of the treatment record card. The village doctor should carry out regular supervision of the patient, supervise the patient to take medication on time and review, found that the patient toxic side effects timely to the township supervisors or the city CDC knot prevention section report, in order to deal with in a timely manner.
(F), sputum test quality control
Strengthen sputum test quality control, according to the sputum test quality control program requirements to carry out the work. Continue to complete the construction and training of sputum testing sites in townships.
(VII), drug management
1, drug plan: according to the requirements of the higher level in a timely manner to the drug demand plan submitted to the Liangshan State Project Office.
2. Strengthen the management according to the requirements of drug and equipment management, and do a good job in collecting, keeping, distributing and accounting for the drugs, so that the supply of drugs is uninterrupted, preventing expiration, expiration, dampness, mold and mildew, and shall not be sold and lost.
(viii), monitoring and evaluation
1, the establishment of a complete system of reporting, registration, reporting and evaluation
The person in charge of tuberculosis registration, statistics and reporting is categorized as a person in charge of tuberculosis registration, statistics and reporting, and at the same time, the system of direct network reporting and reporting of tuberculosis outbreaks is implemented, so that the outbreaks that have been reported will be confirmed. As the Global Fund support funding is based on the implementation of the project work to set goals for the completion of the implementation of the local government commitment to supporting the implementation of the funding, in accordance with the requirements of the implementation plan of the Sichuan Province Global Fund tuberculosis control project, to do a good job, timely and accurate quarterly reports and annual reports.
2, every six months on the city's tuberculosis control work to conduct an analysis, each analysis should be clear that the completion of the work plan, analyze the problems and the reasons for the formation of the problem, to explore measures to solve the problem