Abstract: Objective Objective To investigate the current situation of management of institutions of schistosomiasis prevention and control in Hubei Province，so as to explore the probable competency building standards for these institutions at the county and township levels. Methods Methods By using a combination of quantitative and qualitative methods，the institutions of schistosomiasis prevention and control at county and township levels were investigated for the institutional setup，staffing and fulfillment func? tions since the reform of 2004. Results Results Among 63 schistosomiasis endemic counties（cities，districts）of Hubei Province， there were 26 independent schistosomiasis control institutions（41.27%），there were 24 institutions which were incorporated in? to CDC（38.10%），and there were no institutions in 13 counties（20.63%） . Among 518 endemic towns，there were 299 institu? tions（57.72%） . The total staffing size were 1 932，but there were 1 586（82.09%）people actually working in the post，and therefore there were 346（17.91%）empty positions. The average rates of carrying out the six functions were 91.48%-71.19%， but only 19.23% of the institutions participated in the comprehensive schistosomiasis control management project and its effect assessment. Conclusion Conclusion According to the management model for schistosomiasis control institutions under the current institu? tional mechanisms，we need a rigorous industry standard to constrain，guide and standardize the management and capacity ? building of the institutions in different historical periods.

Key words: Schistosomiasis；Management of institution；Competency standard；Current investigation；Hubei Province

摘要： 目的 目的 调查分析湖北省血吸虫病预防控制 （血防） 机构管理现状， 探讨适合县、 乡两级血防机构的能力建设标 准。 方法 方法 以县、 乡两级血防机构为研究对象， 采用定量与定性相结合的方法， 对2004年体制改革以来的机构设置、 人 员编制和职能履行情况进行分析。 结果 结果 湖北省63个流行区县 （市、 区） 中， 血防机构为独立机构的占41.27% （26/63）， 归并为疾病预防控制中心的占38.10% （24/63）， 未设机构的占20.63% （13/63）； 518个流行乡 （镇） 的机构配置覆盖率为 57.72% （299/518）； 人员编制总数为1 932人， 实际在职在岗的有1 586人， 空编率为17.91%； 6项职能工作的平均开展率 为91.48%～71.19%， 其中参与辖区血防综合治理项目与效果评估仅为19.23%。 结论 结论 现有体制下的血防功能管理模 式需要制定严谨的行业标准， 以约束、 指导不同历史时期机构规范管理与能力建设。

关键词: 血吸虫病； 机构管理； 能力标准； 现况调查； 湖北省