摘要
目的 调查了解现有血防机构存在的主要问题 ,研究适应我国血吸虫病流行规律的有效县级防治管理体系。 方法 以针对性抽样信访问卷调查方式 ,对血吸虫病专家、管理者和专业人员进行半定量问卷调查。用SPSS1 0 .0软件对调查结果进行统计。疫情原因分析采用百分比和评分法。研究现有血防管理模式和人力资源存在的主要问题 ,并提出建议。 结果 共发调查表 380份 ,其中专家和管理者 4 0份 ,回收 33份 (回收率为 82 .5% )。专业人员 ,监测点及非监测点各 1 70份 ,回收 2 85份 (回收率 83.8% )。认为以往的血防模式发挥了有效作用。近年来国家血防经费投入不足是血吸虫病疫情徘徊、回升的最重要因素。对于血防部门纳入疾病预防控制中心的建议存在争议。认为县级血防机构功能应坚持以血吸虫病的预防、疫情的监测、人群的化疗为主。流行区血防人力资源分布不平衡 ,高学历专业人员匮乏。待遇低、升职难、无成就感是重要原因。 结论 应针对血吸虫病不同疫情和发展趋势对管理模式进行改革 。
Objective To investigate current status of schistosomiasis control system at the county level and make recommendations to improve the infrastructure adapting to the prevalent condition of the disease. Methods Through pertinently sampling and semi-quantitative questionnaire among the professional workers, experts and administrators in schistosomiasis control, the primary weaknesses involved in the management system and human resources were analyzed. Results 380 questionnaires were distributed, 33 out of 40 were returned from experts/administrators and 285 out of 340 were received from the professionals. In general, the participants acknowledged the effectiveness of the mechanism on anti-schistosomiasis campaign during the past 40 years. It was found that lack of funds for schistosomiasis control and the poor administrative model of anti-schistosomiasis activities were the main barriers to the control. About half of the participants agreed that the policy about merging the county level anti-schistosomiasis facilities into the Center for Disease Prevention and Control (CDPC) system. The study also showed an inbalanced distribution of the manpower for schistosomiasis control across the endemic regions. The dropout rate of human resources was high due to the poor management and welfare. Conclusion Reforms on the management model should be performed and multiform compensation system should be built in accordance with the prevalence and trends of schistosomiasis.
出处
《中国寄生虫学与寄生虫病杂志》
CAS
CSCD
北大核心
2003年第6期349-352,共4页
Chinese Journal of Parasitology and Parasitic Diseases
