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Summary of the work of the Tuberculosis Control Project of the Center for Disease Control and Prevention in 2019 and the work plan for 2019


Under the attention and support of the party and government at all levels and the close cooperation of relevant departments, the city's first and fourth rounds of the Global Fund's tuberculosis control project work and tb/ in accordance with the requirements of the Global Fund's Project Implementation Plan. The hiv double infection prevention and control project has progressed smoothly and achieved certain results. At the beginning of the year, the Municipal Health Bureau organized a city-wide project control project management meeting, summed up the work of the TB tube control project in XX, proposed the problems in the project work and the solutions to the problems, and formulated the XX-year work plan. The work plan was carried out normally, and the work situation for the whole year is summarized as follows:
I. Health education work:
In accordance with the project requirements, the Municipal Control Office cooperates with various medical institutions, education departments and city women's federations to conduct training on the fourth and fifth rounds of the Global Fund's tuberculosis control project in the city, and organizes 22 training sessions. The hospitals under the jurisdiction of the hospital, the head of the hospital, the head of the health department, the president of the township health center, the doctor of prevention, the village doctors, townships, villages, group cadres, women's federation directors, women's team leaders, school teachers, principals totaled 1875. At the same time, more than 100,000 copies of tuberculosis publicity materials were issued, and television, newspapers and other propaganda media were used to promote tuberculosis prevention and control, and the use of science, technology, culture and sanitation activities organized by the municipal government and the “3.24 World Tuberculosis Day” publicity activities were distributed. The information on tuberculosis prevention and prevention and prevention of AIDS prevention and control materials, a total of more than 10,000 TB prevention and control posters and publicity materials were issued throughout the year, and more than 100 people were consulted about tuberculosis.
Second, the patient's findings and outcomes:
Through the promotion of various situations and training work, the number of suspected tuberculosis patients referred to major hospitals this year has increased. A total of 2,434 patients with suspected tuberculosis were admitted free of charge throughout the year, with a consultation rate of 362.38, 1754 person-times for tuberculosis, 2274 free chests, and 2,324 photos, of which 1,189 were free, and 1,036 were free of charge. The positive rate was 400, the positive rate was 38.61; the number of reexamination was 1754, and the total number was 6616. There were 1608 cases of liver function, and 487 cases of tuberculosis patients were diagnosed and treated free of charge, including 334 cases of newly diagnosed smear-positive patients, 39 cases of re-treatment of smear-positive patients, and 114 cases of newly diagnosed smear-negative patients. 130 patients with confirmed extrapulmonary tuberculosis and retreatment of smear-negative pulmonary tuberculosis were diagnosed and treated at their own expense. 467 people were informed of the informed consent form of the tuberculosis routine examination project, and the 467 people were screened by hiv. The results showed that the hiv screening was positive for 17 people, and the cdc-positive 17 patients were confirmed by the state cdc. The positive rate of hiv screening was 3.64. In addition, tuberculosis was screened in patients with hiv/aids, a total of 321 person-times were screened, and 5 cases of tuberculosis were diagnosed. Of the 487 patients with tuberculosis who receive free treatment, 22 are tb/hiv dual-infected patients.
A total of hrze961, hre217, hrz23, hr1789, sm1170, 1170 disposable syringes and 1,170 water for injection were issued throughout the year.
The patient's return: XX confirmed and free treatment of 509 patients with pulmonary tuberculosis, including 355 cases of initial treatment of smear positive, 330 cases of cure, 10 cases of death, 11 cases of failure, 1 case of migration, 3 cases of other cases, the cure rate was 92.96; In the treatment of 51 cases of smear-positive patients, 46 cases were cured, 3 cases failed, and the other 2 cases, the cure rate was 90.19. 103 cases of y-type cavities and initial treatment of smear-negative patients were treated, 98 cases were completed, 1 case died, 2 cases were removed, and 2 cases were other. The completion rate was 95.14. More than the national standards.
Third, supervision work:
Conducted tuberculosis supervision for 6 times in each township, and interviewed the current patient 435
example. RESULTS: There were 10 patients without supervision by doctors. 5 patients were treated with irregular medications, missed medications and drug withdrawals. It is hoped that all townships will strengthen the supervision and management of tuberculosis patients and ensure that patients are prescribed medication.
4. Accepting the work of the supervisors and business departments at the higher level to check the project:
In January, the company accepted the statewide tuberculosis cross-check conducted by the State Project Office. In April, it accepted the joint supervision and inspection by the provincial and state project offices. The supervision and inspection team carried out the report to the XX City after listening to the report, watching the site, viewing the funds, and visiting the patients. The work of the knot control project gives full affirmation and high evaluation. It is unanimously considered that the work of the XX City Link Control Project, the leadership attaches importance to coordination, the system is sound, the defense organization and the Ai defense organization cooperate well, the staff has strong sense of responsibility, the business quality is high, the technical operation is standardized, and the project requirements are met.
V. Other:
The work briefing was completed throughout the year. Completed the final evaluation report of the first round of Global Fund tuberculosis control project in XX City, and tracked 382 cases of tuberculosis patients reported in the epidemic situation, and 141 cases were in place, with a seating rate of 36.91. According to the requirements, the close contacts of smear patients were examined, a total of 1005 people were examined, and 4 patients with active tuberculosis were found, including 3 cases of infectious tuberculosis. Complete monthly work summary, monthly report and quarterly report work on time, and report in time as required. Drug management practices, to achieve advance planning, monthly inventory, no shortage of drugs, no expired, no mildew. The prescriptive tasks issued by the superiors were completed according to the quality and quantity.
The XX year work plan of the XX City Tuberculosis Control Project is to further fully implement the National Tuberculosis Control Plan and the Sichuan Province Tuberculosis Control Plan, and implement the project requirements according to the fourth and fifth round of tuberculosis control projects of the Sichuan Global Fund. In the first round of XX, the Global Fund began to implement the rolling six-year requirement. Based on the actual situation of the city, the XX year work plan for the XX tuberculosis control project was formulated.
In XX, the work of tuberculosis control project in our city was mainly to complete the annual target tasks according to the requirements of the first round, fourth round and fifth round of tuberculosis control projects of the Global Fund.
I. Work content, continue to consolidate the effectiveness of the tuberculosis control project, and strengthen the implementation of the fourth and fifth rounds of the Global Fund's tuberculosis control project and the first round of global fund rolling projects in the city.
Around the implementation of the project, carry out tuberculosis health education, through the popularization of basic knowledge of tuberculosis disease prevention and "double exemption" policy to improve the active medical awareness of various types of people in the city, enhance and enhance the discovery ability of tuberculosis patients.
Continue to carry out cooperation between the defense agencies and general hospitals, the Municipal Women's Federation and other departments to improve the comprehensive quality of the comprehensive medical institutions and rural doctors in the registration, reporting, referral, follow-up and supervision of tuberculosis patients.
Strengthen the construction of checkpoints in township hospitals.
According to the requirements of the fifth round of the Global Fund's tuberculosis control project, do a good job in prevention and control of tb/hiv dual infection.
Second, the project implementation content and requirements
1. Work objectives
The dot coverage rate reached 100 in the city, and the rate of suspected tuberculosis patients reached 300/100,000.
The discovery rate of new smear-positive patients in the city reached 75%, and 331 patients completed the initial treatment of smear-positive patients.
There were 60 cases of smear-positive patients and 50 cases of severe smear-negative patients, totaling 441 cases. For the newly diagnosed smear-positive patients, 1 case was found and 1 case was treated.
The cure rate of smear-positive pulmonary tuberculosis patients is over 85.
Strengthen the "five-rate" work, and strive to achieve the reporting rate of medical institutions, patient referral rate, and patient system management rate of 95 or above according to national requirements. The tracking rate of the prevention and control institutions and the screening rate of the family members of the smear-positive patients reached 85 or more.
2. Work content to strengthen the centralized management of tuberculosis patients.
Strengthen cooperation between the prevention and prevention institutions and general hospitals, improve the referral rate and discovery rate of tuberculosis patients, honor the reward for disease awards, supervise management fees for patients, and implement incentive mechanisms.
In cooperation with local women's federations, the village women's directors and group women's team leaders and village doctors were trained on tuberculosis prevention knowledge and interpersonal communication skills, mobilized to carry out tuberculosis prevention and health education at the grassroots level, and to increase the tuberculosis awareness rate of the local population.
While strengthening the supervision and management of free treatment of tuberculosis patients, the supervision and management of medical staff and village doctors in township hospitals will be assessed.
Create a supportive environment for tb/hiv dual infection prevention efforts.
Continue to monitor the rate of HIV infection in tuberculosis patients.
Improve the discovery of AIDS patients in tuberculosis and the discovery of tuberculosis patients in AIDS infections.
Third, health education, in the implementation of the project, the townships should further strengthen the TB health education in accordance with the requirements of the "Key Disease Health Education Program" and the "Implementation Plan", and carry out regular and large-scale health education activities.
The key groups of health education are grassroots cadres in the rural areas, students in school, and villagers. According to three different groups of people, local government organizations organized training on tuberculosis prevention and control at different levels and depths.
The core content of health education is the basic symptoms of tuberculosis and the “double exemption” policy.
It uses various forms such as posting notices, television, radio, newspapers, columns, distribution of propaganda posters, propaganda materials, etc., and widely publicizes and popularizes the awareness rate of tuberculosis prevention and control among the public.
Fourth, safeguard measures, strengthen management:
The city's 37 townships and 6 sub-district offices will continue to implement the fourth and fifth rounds of the Global Fund's tuberculosis control project and the first round of rolling projects. The city's CDC prevention department should do a free diagnosis, treatment management, and policy publicity mobilization. , personnel training work. The Municipal Health Bureau will do a good job in the implementation of government supporting funds, sign the target responsibility documents at all levels and incorporate them into the management of health administrative objectives, and continuously carry out patient discovery and management, and strengthen project supervision and assessment.
, funding, implementation of drugs
1. Implementation of supporting funds: On the basis of the free supply of medicines, according to the requirements of the National Tuberculosis Prevention and Control Plan and the Sichuan Provincial Tuberculosis Control Plan, report the current situation of the epidemic situation and the required amount of local supporting funds to the local government, and request the government to cash in Commitment to ensure that the local special funds for tuberculosis prevention and control are fully and timely.
2. The provincial project office provides free drugs for tuberculosis control projects based on the number of patients reported by the city.
Training
1. Textbooks and contents: The “Chinese Tuberculosis Prevention and Health Education Materials Resource Library” compiled by the Ministry of Health is a unified textbook and classified. The focus of rural doctors on health education, patient discovery recommendations, daily recommendations, methods, treatment management, supervision visits and the role of rural doctors; the city's focus is to improve the diagnostic level, patient management and report quality. In XX, we continued to use the infectious disease network direct reporting system to track the tuberculosis patients reported by the outbreak.
2. Training targets: Outpatient infectious doctors, rural doctors, township, village, and group women cadres at all levels of medical institutions, school doctors, teachers, and volunteers who supervise chemotherapy should also conduct necessary training.
3. Training methods: In order to ensure quality, we will implement various trainings in a step-by-step manner. The municipal level is responsible for training doctors, village doctors, rural women's cadres and school doctors in the district.
The main technical specifications shall be carried out in accordance with the "Guidelines for the Implementation of China's Tuberculosis Control Plan", "Patient Discovery, Treatment Management, Sputum Inspection, Registration Reporting."
Supervise the principle of hierarchical supervision during the implementation of the project, improve the quality of work through supervision, and promptly feedback the recommendations and opinions after supervision to the supervised unit to improve the work.
1. City-level supervision: Supervise every 2 months of health clinics in each township. Contents: Discovery, report, referral or interception of suspected tuberculosis patients; visit the patients with current symptoms of sputum yang, understand the doctors of the township supervisors for chemotherapy patients Treatment management and supervision.
2. Township and village level supervision: Require the township health center flood control doctor to inspect and evaluate the work of village doctors and volunteer supervisors every month. Each patient who was treated free of charge was interviewed to check the receipt, storage, and standardization of the drug, and the filling of the treatment record card. The village doctors should regularly supervise the patients, supervise the patients to take the drugs and review them on time, and find that the patient's toxic and side effects report to the township supervisors or the city CDC's defense department in time for timely treatment.
The quality control of the inspection will strengthen the quality control of the inspection and carry out the work in accordance with the requirements of the quality control plan. Continue to complete the construction and training of the township checkpoint.
Drug management
1. Drug plan: According to the requirements of the higher level, the drug demand plan will be reported to the XX State Project Office in time.
2. Strengthen management according to the requirements of drug and equipment management, do a good job in drug collection, storage, distribution and account creation, so as to ensure uninterrupted supply of drugs, prevent expiration, failure, moisture, mildew, and must not be sold or lost.
Monitoring and evaluation
1. Establish a complete report, registration, report and evaluation system. The person in charge is responsible for tuberculosis registration, statistics and statements. At the same time, the network direct report and tuberculosis epidemic reporting system are implemented to confirm the reported epidemic situation. Since the Global Fund support funds are allocated according to the completion of the implementation of the project's work objectives and the implementation of the local government's commitments, it is necessary to follow the implementation requirements of the Sichuan Global Fund's tuberculosis control project and do all the work in a timely and accurate manner. Report quarterly and annual reports.
2. Conduct an analysis of the city's control work every six months. Each analysis must clarify the completion of the work plan, analyze the existing problems and the reasons for the formation, and explore measures to solve the problem.

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