Tuberculosis prevention and control work plan ppt model

In order to implement the "Twelfth Five-Year Plan" for County Tuberculosis Prevention and Control, and effectively implement the tasks of central financial transfer payments and provincial special funds for tuberculosis prevention and control projects, To curb the prevalence of tuberculosis and ensure the health of the people, the "County 2019 Tuberculosis Prevention and Control Work Plan" has been formulated.

1. Annual goals

(1) Improve the construction of the new tuberculosis prevention and control service system, continuously straighten out and improve the working mechanism, and ensure the high-quality operation of the service system.

(2) More than 620 cases of active pulmonary tuberculosis patients were discovered and standardized in the county, and the specific tasks of each township are listed in the attachment.

(3) Continue to improve laboratory construction and improve the working ability of tuberculosis laboratory personnel. develop skills.

(4) The "five rates" of tuberculosis prevention and control work meet the national, provincial and municipal requirements.

(5) Carry out effective publicity and prevention work for special groups such as schools, floating population, AIDS/tuberculosis dual infection,

(6) Actively explore the compensation mechanism of the new tuberculosis prevention and treatment service system, promote the policy reform of free anti-tuberculosis drugs, optimize and adjust the treatment costs of ordinary tuberculosis patients Comply with the reimbursement policy.

Second, key work arrangements

(1) Strengthen work deployment and improve the operation quality of tuberculosis prevention and control system

All units should further strengthen the leadership of tuberculosis prevention and control work, the main leaders should personally grasp it, and timely adjust the tuberculosis control leading group, technical group members and relevant departments For business personnel, the adjusted list should be reported to the Disease Control Division of the Health Bureau. General hospitals and township health centers should set up and resume tuberculosis prevention clinics. (City bureau article did not find relevant content)

According to the requirements of the "Twelfth Five-Year Plan for County Tuberculosis Prevention and Control", further improve the new tuberculosis prevention and control service system and strengthen medical and prevention cooperation. The county people's hospital should do a good job in the work related to the designated outpatient service of tuberculosis. The county disease control center should give full play to the role of disease control agencies in guiding and supervising designated medical institutions to ensure the high-quality operation of the service system. All townships should formulate annual tuberculosis prevention and control implementation plans in a timely manner in accordance with relevant requirements such as the "County 12th Five-Year Plan for Tuberculosis Prevention and Control" and "County Tuberculosis Prevention and Control Work Plan for 20xx" in combination with local conditions, and clarify responsible departments and responsible persons to ensure work Get down to it.

(2) Standardize the detection and treatment of tuberculosis patients

1. Focus on improving the detection, diagnosis and treatment of tuberculosis patients. Tuberculosis patients can be detected early through various means such as physical examination and monitoring of high-risk groups such as diabetes, tumors, and mental illness. Strengthen the reporting of tuberculosis in comprehensive medical institutions, especially grassroots medical institutions. The reporting rate of tuberculosis and suspected tuberculosis patients has reached 100%, and the referral rate has reached more than 95%. Continue to do a good job in the referral and tracking of tuberculosis patients reported online, and implement the recommendation and screening of people with suspicious symptoms of tuberculosis in basic public health projects in townships. The free screening rate of close contacts is higher than 95%. Diagnosis system, at least once a week collective consultation, to reduce misdiagnosis or overdiagnosis, sputum examination rate of suspicious patients at first diagnosis reached 100%, effectively improving the level of patient diagnosis and treatment.

2. Improve the standard treatment rate and systematic management rate of tuberculosis patients. Taking tuberculosis patients as the center, actively explore new methods and models of direct-to-observation chemotherapy (DOT), adopt scientific and reasonable supervision and treatment management methods according to the different needs of patients, improve patient treatment compliance, and ensure that the regular treatment rate of tuberculosis patients reaches More than 90%, the system management rate is more than 95%, the cure rate of new smear-positive tuberculosis patients is 85%, the rate of taking medicine on time and checking sputum on time is 95%, and all kinds of work materials and data are complete and true. The designated institutions for diagnosis and treatment should standardize the auxiliary examination and treatment, standardize the implementation of the policy of reduction and exemption of diagnosis and treatment expenses, and effectively reduce the burden on patients. Do a good job in the management of cross-regional patients, and the feedback rate of transferred patient information is over 90%.

3. Do a good job in drug management and adverse drug reaction monitoring. Do a good job in the standardized management of anti-tuberculosis drugs. Strengthen the monitoring and treatment of adverse drug reactions of patients, at least 2 free liver function tests in the whole course of treatment, and the township or county-level tuberculosis prevention and control supervisors should meet with the patients at least once in the first month of treatment.

4. Seriously carry out the control of tuberculosis/AIDS dual infection. Cooperate with AIDS prevention agencies to carry out tuberculosis screening for all HIV-positive patients, and the tuberculosis screening rate of HIV-infected people has reached 90%. TB/HIV co-infected patients found to be treated and managed as required.

(3) Improving the quality of treatment and management of multidrug-resistant tuberculosis

Do a good job in the screening of MDR-TB. The designated institutions for tuberculosis diagnosis and treatment will collect the sputum of all smear-positive patients and send it to the County People's Hospital (the county designated diagnosis and treatment institution for tuberculosis) on time. The county people's hospital should strictly follow the requirements of the "Multi-drug-resistant tuberculosis clinical pathway", standardize the development of sputum culture, drug sensitivity testing, and patient treatment and management, and be responsible for providing therapeutic drugs and implementing regular outpatient follow-up services. The County Center for Disease Control and Prevention is responsible for the management of patients' home medication, treatment and follow-up. Medical personnel in township health centers or village clinics standardize and implement face-to-face medication. All multidrug-resistant patients are strictly implemented DOT management, and ensure that the patient's case information is timely and accurately entered into the special reporting system. The timely entry rate reaches 95%, the completeness rate is not less than 95%, and the coincidence rate with the original data is over 98%. According to the requirements of the Municipal Health Bureau, establish and improve the compensation mechanism for the treatment and management of MDR-TB villages. (City bureau article did not find relevant content, the original article is to cooperate with the new rural medical insurance and other departments to do a good job of reimbursement, so that it is instant and convenient for patients)

(4) Strengthening the capacity building of tuberculosis laboratories

Conscientiously implement the quality assurance (EQA) system of sputum smear microscopy to improve the quality of sputum inspection. Participate in the municipal CDC's quarterly blind re-examination of the county-level tuberculosis bacteria laboratory.

Further improve the construction of tuberculosis sputum culture laboratory. The County People's Hospital must complete the reconstruction of the sputum culture laboratory in the first half of 20xx, and formulate standard documents and program documents for tuberculosis laboratory operations as required. After the preliminary work is ready, report to the Municipal Bureau for on-site acceptance. After the acceptance is passed, the training work will be carried out.

(5) Do a good job in the prevention and control of tuberculosis in schools

County CDCs and township health centers must strictly follow the requirements of the "School Tuberculosis Prevention and Control Work Standards (Trial)" and conscientiously implement the school tuberculosis epidemic situation Monitor various measures, timely discover and standardize the disposal of school tuberculosis epidemics, and prevent the spread of the epidemic. Cooperate with the education department to train school health personnel, strengthen technical guidance on the prevention and control of schools within the jurisdiction, monitor and grasp the tuberculosis epidemic situation in schools, and improve the ability and level of tuberculosis prevention and control in schools. Make full use of health-promoting schools, "3.24 World Tuberculosis Day" and school health education columns to strengthen the publicity of tuberculosis prevention and control knowledge in schools.

(6) Effectively carry out health promotion and training

Medical and health units should carefully organize and carry out various publicity activities in accordance with the requirements of "3.24 World Tuberculosis Day" and strengthen daily publicity , at least one TB health promotion event per quarter. The publicity materials distributed to households by the health centers of each town contain at least one promotional content of tuberculosis prevention and control. The County Center for Disease Control and Prevention will carry out at least one TV and one newspaper publicity this year, and continue to do a good job in the recruitment and guidance of "millions of tuberculosis health promotion volunteers".

The Center for Disease Control and Prevention is responsible for the training of tuberculosis prevention doctors in townships, holding more than one training course, the health center is responsible for the training of rural doctors, and rural doctors should receive TB once Relevant technical training, various training courses and assessment materials are complete. Actively participate in the training courses for tuberculosis laboratory personnel, new technologies for tuberculosis prevention and control, epidemic monitoring, and multidrug-resistant tuberculosis prevention and control held by the provincial and municipal CDCs. The trainees will serve as teachers to carry out secondary training for the local area.

3. Monitoring, supervision and assessment

It is necessary to ensure that the management personnel of the "TB Management Information System" are stable, the equipment and communication are running normally, and the patient case information is entered in a timely and accurate manner. 99%, the completeness rate is 98%, the coincidence rate with the original data is 98%, and various monitoring reports are submitted on time. According to the requirements of the "Guidelines for the Implementation of China's Tuberculosis Prevention and Control Program", our bureau will supervise the tuberculosis prevention and control units, and carry out key supervision on weak areas and weak links, and the supervision situation will be reported in a timely manner. According to the completion of work tasks, combined with the daily supervision situation, comprehensive assessment and evaluation of the annual work of each unit.

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