In order to do a good job in the work of the tuberculosis prevention and control project subsidized by the central government, give full play to the benefits of the project work, and improve the detection and cure level of tuberculosis patients, according to the deployment of the central government-subsidized public health fund project by the Provincial Health Department, the requirements of Document No.39 of the Municipal Health Bureau and the Management Plan of the tuberculosis prevention and control project subsidized by the central government to local public health funds in Leling City in 20__ _. The prevention and treatment of tuberculosis in 20__ years is summarized as follows:
I. Project objectives
(1) overall goal: to ensure that the tuberculosis prevention and control plan in Laoling City is completed on time (20__-20__), reduce the infection rate, morbidity and mortality of tuberculosis, and improve the health level of the people.
(two) 20__ annual target. 1, DOTS coverage 100%, and constantly improve the quality of DOTS implementation. 2. The detection rate of new smear positive pulmonary tuberculosis patients reached more than 80%. 3. The cure rate of new smear-positive pulmonary tuberculosis patients remains above 90%, and the treatment rate of newly treated smear-negative pulmonary tuberculosis patients remains above 90%. 4.20__ * *, 2688 newly diagnosed patients were registered, and 263 patients with pulmonary tuberculosis were treated free of charge, including 205 new smear positive patients, 20 severe smear positive patients 1 case, 20 newly diagnosed smear positive patients and 30 re-treated smear positive patients.
Second, the work situation
With the joint efforts of tuberculosis prevention and control workers at all levels in our city and the guidance and support of provincial and municipal business departments, the five-rate tuberculosis control project was successfully completed in our city at the end of March and passed the provincial effect evaluation. It has played a positive role in promoting tuberculosis control in our city. Work on each project is progressing smoothly. In the past 20 years, the special funds of the central government1288,800 yuan have not been put in place, and patients are provided with free filming, free sputum examination and free treatment according to the requirements of their superiors. In order to further improve the curative effect and reduce the occurrence of side effects, the patients were treated comprehensively, and the gross income of economic benefits was 64,656 yuan, achieving a double harvest of social benefits and economic benefits. All work indicators have also reached the requirements of the project implementation plan. The completion of each indicator is as follows:
(1) DOTS implementation: DOTS coverage rate reaches 100%.
(2) Patient discovery and treatment: there were 205 new smear positive patients 1, and 1, 000% of them completed the annual work tasks. 2. 20 newly diagnosed smear positive patients, 16.9% completed the annual task. 3. Patients with severe smear negative 1 person, 16.7% who completed the annual task. 4. Retreat 30 cases of smear positive patients, and complete the annual task of 565438 0.7%.
(3) Case discovery and report: In order to improve the detection level of tuberculosis patients, sputum smear examination points have been established in township health centers such as Hualou, An Yang Town, Zhuji and Huangjia, equipped with inspection equipment such as microscopes and consumables such as reagents provided by the provincial CDC. 9 yuan/case work subsidy was given to township sputum examination.
(4) Epidemic tracking: The epidemic monitoring system was used to understand the reported situation of tuberculosis, and the suspicious patients reported by general hospitals but not yet treated in the anti-tuberculosis institutions were tracked in time. The tracking rate was 1.000% and the tracking rate was 97%.
(5) Training: In March and June, 2000, the town-level training courses on tuberculosis prevention and control technology and the city-wide training courses on planned immunization and infectious disease prevention and control were held respectively. The main contents of the training are the discovery of suspected pulmonary tuberculosis patients, the registration, reporting and management of pulmonary tuberculosis patients, and the technical operation specifications of sputum examination.
(6) Network special report: A special person shall be responsible for the network special report of tuberculosis, and the network data record of the special report shall be timely and accurate, which shall be consistent with the manual registration report.
(7) Examination of close contacts of tuberculosis patients: Examination of close contacts of tuberculosis patients (mainly family members of patients), mobilization of suspected tuberculosis patients for timely treatment, and tuberculin test (PPD test). Close contacts examined 2,500 people, including 1 1,000 teachers and students of English-Chinese bilingual schools.
(VIII) Health education and publicity: On March 24th, the theme publicity activity "3.24 World Tuberculosis Day" was held with the theme of "Everyone is responsible for controlling tuberculosis-paying attention to migrant workers and enjoying health". Distribute publicity materials on tuberculosis prevention and control to the masses and carry out consultation activities on tuberculosis prevention and control. During the event, more than 65.438 million copies of publicity materials were distributed to the masses and nearly 500 people were consulted by the masses. The news was broadcast three times.
(9) Supervision and management: The county has completed the monthly supervision and inspection of villages and towns, focusing on some villages and towns.
Third, the next work plan
1. Further publicize the significance of the project work, actively publicize the knowledge of tuberculosis prevention and control through various forms, and make the project work play an important role in improving the level of tuberculosis prevention and control in our city, safeguarding people's health rights and interests, developing public health undertakings, and promoting comprehensive and coordinated social development. Actively strive for the support and participation of the whole society in tuberculosis prevention and treatment.
2. The municipal government attaches great importance to the prevention and treatment of tuberculosis, clarifies the responsibilities and tasks of various departments in the prevention and treatment of tuberculosis, actively coordinates with the financial department, timely allocates the special funds for public health subsidized by the central government to the project implementation unit, and actively implements the matching funds to ensure the project implementation plan. The work indicators and tasks of the project were clarified, and subsidies and disease report rewards were issued in strict accordance with the project requirements, so that financial subsidies were linked to the completion of tasks.
3, strengthen the supervision of project work, to ensure the quality of project work.
4 continue to strengthen the construction of TB prevention and control institutions and TB prevention and control teams, and provide professional training for relevant personnel, especially township hospitals and rural doctors, to further improve the ability of TB prevention and control.
5. Strengthen the prevention and treatment of tuberculosis in schools, and carry out PPD test inspection for middle school teachers and students in counties and cities under the jurisdiction of our city, so as to achieve early detection, early isolation and early treatment, and create a harmonious TB-free campus.
6. Incorporate TB prevention and treatment into the new rural cooperative medical system as soon as possible, actively create a reasonable treatment environment for patients and reduce their economic burden.
2.2022 Summary of Tuberculosis Prevention and Control Work
20__ years passed quickly. Looking back on this year, under the correct guidance of the district CDC and the direct leadership of the hospital leaders, the tuberculosis prevention and control work in our hospital was successfully completed. The work in the past year is briefly described as follows:
I. Main Work Completed
1, do a good job in publicity and education.
The most important thing in tuberculosis prevention and treatment is to raise people's awareness of prevention and treatment, focusing on prevention and nip in the bud. Therefore, it is very important to publicize the knowledge of tuberculosis prevention and treatment. To this end, our hospital has carried out publicity and education on TB prevention and control knowledge in this year's TB prevention and control work, such as setting up points on "3.24" TB prevention and control day, publicizing TB prevention and control knowledge, conducting health consultation and distributing publicity materials. Go to the village to carry out tuberculosis prevention and treatment education from time to time; Follow-up, drug supervision and preventive guidance for close contacts of tuberculosis patients and their families within their jurisdiction; Conduct irregular relevant knowledge training for medical staff and rural doctors in our hospital. In order to improve the awareness and level of tuberculosis prevention and treatment of people and medical staff in the area.
2, strengthen the prevention of tuberculosis, timely BCG vaccination for newborns.
3. Patient screening: strengthen the sense of responsibility of outpatient doctors, and require outpatient doctors to routinely screen newly diagnosed patients with chronic cough and expectoration for more than 2 weeks. If suspected patients are found, they will be transferred to the county CDC for diagnosis.
4. Whole process management of patients' treatment: All tuberculosis patients in our town are included in the follow-up management of tuberculosis, and they are regularly visited for follow-up supervision. The contents of supervision include: description of illness, medication guidance, filling in medication records, treatment of side effects of medication, and the importance of adhering to medication rules.
Do not forget to carry out publicity and education on tuberculosis prevention and treatment during the follow-up process, including:
(1) Tuberculosis is a respiratory infectious disease, so we must pay attention to the air transmission to family members and people around us in the first two months of treatment.
(2) Tuberculosis can be cured, so we should establish firm confidence and fully cooperate with doctors.
(3) The key to cure tuberculosis is to adhere to the rules of chemotherapy scheme and complete the prescribed course of treatment.
(4) There may be side effects after taking the medicine. If there are side effects, seek medical advice in time, and don't stop taking the medicine by yourself.
Second, the existing problems
1. The cultural quality of patients and their families in our town is low, so it is difficult to receive knowledge education on tuberculosis prevention and improve their awareness of disease prevention.
2. The patient's knowledge level is limited, and he does not listen to the doctor's advice and insists on taking medicine after drug reaction.
Three. Views on future work
1, strengthen the business and professional ethics study of clinicians and village doctors, and improve their sense of responsibility and professional level.
2, often carry out various training courses to improve the professional level of village doctors.
3, increase the propaganda of health education, especially the propaganda of tuberculosis prevention and control knowledge. Strengthen awareness and improve people's awareness of disease prevention.
3.2022 Summary of Tuberculosis Prevention and Control Work
According to the spirit of the National Tuberculosis Prevention and Control Plan (20__) and the Xinjiang Uygur Autonomous Region Tuberculosis Prevention and Control Plan (20__-20__), a new tuberculosis prevention and control service system will be implemented during the Twelfth Five-Year Plan period. Xinhe County was identified by the Health Department of the Autonomous Region and the Regional Health Bureau as one of the first pilot counties of the "Trinity" new TB prevention and control model, and took the lead in carrying out the pilot work of the new TB prevention and control model in Aksu area. According to the documents issued, in April of 20 _ _ _, our county held a mobilization meeting for the "trinity" work of tuberculosis, and on June _ _ _, held a "trinity" handover work between the tuberculosis department of the county CDC and the county hospital. On July 20th, 2006, 1, County People's Hospital officially started the "Trinity" work of tuberculosis.
On July 1 day, 20__, the new trinity tuberculosis prevention and treatment service system in Xinhe County was carried out in an orderly manner, which standardized the three key links of tuberculosis patient discovery, treatment and management, improved the referral rate of suspected patients, the systematic management rate and management quality of tuberculosis patients, and achieved remarkable results in tuberculosis prevention and treatment. In the past, the quality control center was responsible for the diagnosis, examination, sputum examination and supervision of tuberculosis. Since the trinity, diagnosis, examination, sputum examination and drug supply have been completed by tuberculosis outpatient department of county hospital.
Under the arrangement and guidance of the county party Committee, government, health bureau, CDC and county hospitals, and with the support of the town government, the tuberculosis work in our hospital is as follows:
I. Organizational leadership
Set up a leading group, with the chairman as the team leader and members: personnel from epidemic prevention departments, village doctors from clinics in administrative villages, and the leading group for tuberculosis prevention and control in the health center of Yurdusbagh town, responsible for the development and operation of tuberculosis prevention and control work in our town. The leading group for tuberculosis prevention and control has an office in the prevention and protection group, and Comrade Zhang Dachao is responsible for the daily work.
Second, business training and learning.
This year, our hospital * * * held two special training sessions and two regular meetings on tuberculosis prevention and treatment for village doctors, and repeatedly explained and studied the epidemic situation, incidence trend, clinical manifestations, diagnosis and treatment of tuberculosis, as well as the relevant policies of the state for free treatment of tuberculosis patients. Let all the medical staff in our town master the knowledge about tuberculosis.
Third, propaganda work.
My town has a total population of 20700, and the epidemic prevention work in our hospital is carried out exclusively by four people. In order to do a thorough investigation of tuberculosis prevention and control in each village, do a good job in propaganda work, let farmers and herdsmen know the good policy of the new rural cooperative medical system to incorporate tuberculosis into chronic disease management, preach that the reimbursement rate of tuberculosis county hospitals is 80%, and publicize that tuberculosis county hospitals diagnose free of charge. Make full use of 3. On the 24th tuberculosis publicity day, we went to the streets to publicize, set up consultation points, distributed leaflets and posters, and organized rural doctors to publicize. This year, I went to the streets to publicize twice, issued two issues, two slogans and more than 20 leaflets, and received good results.
Fourth, the work situation
In order to find tuberculosis and follow up, our hospital conducted fluoroscopy and sputum examination on suspected patients, and referred suspected patients to county hospitals for diagnosis in time, ensuring regular examination of tuberculosis and timely distribution of drugs. In 20 years, 60 people were assigned to our hospital by superiors. It was found that 6 1 person was treated free of charge, with sputum positive 13 and sputum negative 100%. These patients with pulmonary tuberculosis were treated and supervised by classification to ensure that the patients with pulmonary tuberculosis could get better and be cured as soon as possible. Among them, 20 cases of pulmonary tuberculosis were completely cured and 4 cases were basically cured. In 20__ years, the task assigned by the superior to our hospital was 64 people. Since 65438+ 10 month, 22 cases of pulmonary tuberculosis patients have been found to have received free treatment, of which 3 cases were positive for sputum examination and 9 cases were negative for10, with a completion rate of 37%.
Verb (abbreviation of verb) tuberculosis management
1, we conscientiously summed up our experience, repeatedly thought about it, formulated a new work plan, set up a leading group for tuberculosis prevention and control, and formulated a complete work plan and work plan, and the tuberculosis prevention and control work was carried out smoothly.
Tuberculosis supervision and management: At every cold chain operation work meeting this year, the management of tuberculosis patients was trained at the same time, which increased the awareness of tuberculosis prevention and treatment of village doctors and medical staff, visited the project patients in place for 7 days, and implemented the training of family supervisors to ensure the standardized medication of patients. The hospital visited the patients at least 4 times to understand the medication situation of patients and inform them to send sputum to take medicine in time. The supervisor shall be implemented as required for each project patient, and the village doctor shall be responsible for the management. After seeing a doctor in the health center for four times, I learned that the patient took the medicine as required, and the cure rate was 90%.
2. Sputum examination: Our town has carried out sputum examination for all tuberculosis patients as required, and improved smear, registration and filing as required.
It is a long-term work to further improve the construction of sputum examination facilities and improve the accuracy of sputum examination reports. In the second half of the year, we will formulate a more perfect work plan and new working methods, carry out our work conscientiously and practically, and do a better job in tuberculosis prevention and control.
4.2022 Summary of Tuberculosis Prevention and Control Work
This year is the 26th World Tuberculosis Day. According to the instructions of the superior leaders, our hospital revolves around this year's propaganda theme "It is everyone's responsibility to control tuberculosis-pay attention to the health of migrant workers". Carry out various forms of publicity activities, which are summarized as follows:
First, after receiving the propaganda notice from the superior leaders, our hospital immediately made preparations for publicity boards and banners, and the leaders of our hospital also arranged business personnel to provide free clinics for the masses.
Second, our hospital organized staff to actively publicize all kinds of knowledge about tuberculosis prevention and treatment in Linhai Road, and publicize all kinds of preferential policies of the state on tuberculosis prevention and treatment, publicize the severe forms of tuberculosis prevention and treatment in China at present, understand the long-term arduousness of tuberculosis prevention and treatment in China, advocate "everyone is responsible for controlling tuberculosis", and form a good atmosphere of extensive social participation.
Third, through the publicity in the morning, let them take the initiative to receive free examination and treatment in tuberculosis prevention and control institutions, and at the same time care for tuberculosis patients and families in need, reflecting the warmth of society.
Three, our hospital through the establishment of publicity sites, consultation, free clinic, distribution of publicity materials and other forms, popularized the knowledge of tuberculosis prevention and treatment.
Iv. In this publicity, our hospital set up information desks, banners and posters, conducted free consultations for past 15 people, conducted more than 20 consultations on tuberculosis knowledge, and distributed more than 200 publicity materials on tuberculosis prevention and treatment. It has been recognized and praised by the broad masses.
5.2022 Summary of Tuberculosis Prevention and Control Work
In order to make the knowledge of tuberculosis prevention and control widely known, improve the people's awareness rate of tuberculosis prevention and control knowledge, and mobilize the whole society to participate in and pay attention to tuberculosis prevention and control work, on March 24, 2000, according to the requirements and unified deployment of the county tuberculosis prevention and control institute, Baogai Town Health Center launched a massive publicity campaign in Baogai Town. Focusing on the propaganda theme of "You and I participate together to eliminate the harm of tuberculosis", the knowledge of tuberculosis prevention and control has entered thousands of households, greatly improving the popularization rate of tuberculosis prevention and control knowledge among the masses. This activity is summarized as follows:
First, careful deployment and arrangement.
In order to do a good job in this publicity campaign, the leaders of the county health bureau attached great importance to this publicity campaign according to the Notice on Launching the Publicity Campaign for World Tuberculosis Day issued by the county tuberculosis prevention and control research institute, and demanded that this work be done seriously. The County Tuberculosis Prevention and Control Institute emphasized that this publicity activity should aim at improving the detection rate of tuberculosis, focusing on the Millennium Development Goal of reducing the global incidence and mortality of tuberculosis by 50% by 20 15 proposed by the World Health Organization, the national tuberculosis prevention and control planning goal and free policy, the core information of tuberculosis harm and prevention and control, and modern tuberculosis control strategies. A large number of leaflets, posters, slogans and other materials have been carefully prepared by the county tuberculosis prevention and treatment institute, the county health education institute and the Baogai town prevention and protection institute.
Second, earnestly implement it in various forms and rich in content.
On March 24th, a publicity desk was set up in the fever clinic and waiting hall of the hospital, and posters were posted by relevant departments. At the same time, the banner of "You and I * * * participate together to eliminate the harm of tuberculosis" was hung up to carry out publicity activities. Publicity boards were placed at the event site to introduce the national free preferential policies on tuberculosis treatment and related knowledge on tuberculosis prevention and treatment. The staff wore white work clothes and sat at the information desk to publicize seriously. Outside the hospital, we distributed publicity materials to the past people, accepted public consultation, patiently and meticulously publicized modern TB prevention and control strategies, free policies and related TB prevention and control knowledge, and answered the difficult questions and puzzles raised by the masses, which was well received by the masses. The lively, lively and lively scene of this activity attracted past residents to come to consult and watch leaflets.
In short, the publicity campaign has achieved good results. In order to reduce the epidemic situation of tuberculosis in our town and play the most active role in ensuring people's health, we will focus on health education and publicity on tuberculosis prevention and control in the future, continue to carry out a series of daily publicity activities, innovate publicity forms, enrich publicity content, give full play to the propaganda role of county tuberculosis prevention and control institutes, form a chain of tuberculosis knowledge dissemination, and build the whole society. Popularizing the knowledge of tuberculosis prevention and control to thousands of households will make the work of tuberculosis prevention and control in our town more deeply rooted in the hearts of the people, further improve the awareness rate of tuberculosis prevention and control knowledge among the people in our town, and provide a strong guarantee for the timely realization of the planning objectives of tuberculosis prevention and control in our town.