Evaluation of the implementation effect of the"13th Five Year Plan"tuberculosis prevention and control program in Xinjiang Uygur Autonomous Region
Objective To evaluate the implementation effect of the"13th Five Year Plan"tuberculosis prevention and control program in Xinjiang,and provide reference for the formulation of tuberculosis prevention and control measures in Xinjiang during the"14th Five Year Plan".Methods By using the infectious disease monitoring and reporting system and on-site special surveys,data on the incidence,registration and treatment of tuberculosis patients,and the construction of the prevention and control service system were collected from January 1,2016 to December 31,2020,and evaluated the key indicators of tuberculosis prevention and control.Results During the"13th Five Year Plan"period,the reported incidence rate of pulmonary tuberculosis in Xinjiang showed a trend of first rising and then declining year by year,with a statistically significant difference between years(x2=103.723,P<0.05);decreased from 185.66/100 000 in 2016 to 109.89/100 000 in 2020,with an average annual decline rate of 12.29%.By the end of 2020,the successful treatment rate of pulmonary tuberculosis patients was 95.26%,and there was no statistically significant difference between different years(x2=3.994,P=0.407);the pathogenic positive rate of pulmonary tuberculosis patients was 57.94%,the overall arrival rate of pulmonary tuberculosis patients and suspected pulmonary tuberculosis patients was 98.37%,the screening rate for multidrug-resistant high-risk population was 99.80%,the drug resistance screening rate of the new pathogen positive population was 99.81%,and the difference between different years were statistically significant(x2=57.711,10.305,105.829,176.191;all P<0.05).The coverage rate of molecular biology detection capabilities at the prefecture(state,city),county(city,district)level was 100.00%.The awareness rate of public tuberculosis prevention and control core knowledge was 83.70%.Conclusion The objectives of the tuberculosis prevention and control plan of the"13th Five Year Plan"in Xinjiang Uygur Autonomous Region had basically reached the standard,but the sustainability of the current prevention and control measures,the refined diagnosis and treatment management of tuberculosis patients,and the tuberculosis prevention and control in high epidemic areas were still challenges for the next step.
The"13th Five Year Plan"Tuberculosis control and preventionImplementation effectXinjiang Uygur Autonomous Region