Abstract:

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.

Key words: Malaria elimination； Global Fund； Implementation effect； Shaanxi Province

摘要：

目的 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 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 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 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。

关键词: 疟疾； 全球基金； 效果评价； 陕西省