Work plan for tuberculosis prevention and control

Time is an arrow, coming and going in a hurry, and we will usher in new joy and new harvest. Write a work plan to prepare for the next step! I believe everyone is worried about writing a work plan again! The following is the work plan for tuberculosis prevention and control in 2022 that I have compiled for you. Welcome to reading. I hope you will like it.

Work plan for tuberculosis prevention and control 1 In order to further strengthen the prevention and control of infectious diseases in our hospital, curb the epidemic of tuberculosis and ensure people's health, according to the work requirements of the tuberculosis control project of Pingwu County Health Bureau and Pingwu County CDC, the following plan is formulated:

First, the overall goal:

1. Continue to strengthen the standardized management of project work, and the population coverage rate of the project will reach 100%.

2, do a good job in the discovery and referral of suspected tuberculosis patients and tuberculosis patients.

3, strengthen the propaganda work of tuberculosis knowledge, improve the awareness of tuberculosis prevention and control.

Two. Operational measures

1. Suspected patient referral and patient discovery: Finding and curing tuberculosis patients is the most important measure to control the epidemic of tuberculosis. Our hospital should conscientiously implement the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC) and the Measures for the Centralized Management of Tuberculosis, and do a good job in the discovery and referral of suspected tuberculosis patients.

2. Carry out training to improve the ability level of professional and technical personnel: According to the needs of tuberculosis prevention and control work, and aiming at the problem of weak skills, conduct various trainings on a regular basis.

3. Prevention and treatment of tuberculosis in floating population.

Three. Data management and information work

Strengthen the registration, collection and management of TB patients' data, do a good job in the registration book, make statistics and report the TB control project report on time, make the handwriting clear and the data accurate, and strengthen the exchange of TB information.

Four, tuberculosis knowledge propaganda

1, strengthen the publicity of tuberculosis knowledge and enhance the awareness of tuberculosis prevention among the whole people. Medical staff in our hospital should focus on the "3.24" World Tuberculosis Prevention and Control Publicity Day, and adopt columns and other publicity methods to strengthen the publicity of tuberculosis prevention and control knowledge.

2. Strengthen the management of floating population pulmonary tuberculosis patients, establish good medical records, understand the patient flow, prevent the loss of patients, and make the whole treatment rate of floating population pulmonary tuberculosis patients reach at least 60%.

In order to better implement the spirit requirements of the relevant documents of national, provincial and municipal tuberculosis prevention and control projects, combined with the actual work situation of our county, the 20xx tuberculosis prevention and control work plan is formulated:

First, the annual target.

1. Formulate and implement the 13th Five-Year Plan for TB control (20xx-20xx years);

2. The smear positive patients account for ≥25% of the total registered patients, and the sputum culture rate of pulmonary tuberculosis patients is ≥ 95%;

3. The reporting rate of suspected pulmonary tuberculosis patients 100%, the referral rate 100%, the overall in-place rate of 90%, the screening rate of patients' families 100%, and the patient system management rate ≥ 95%;

4. The timeliness, completeness and coincidence rate of medical records and networks of patients with pulmonary tuberculosis (including multidrug-resistant pulmonary tuberculosis) are all100%;

5. The popularization and utilization rate of anti-tuberculosis fixed dose compound preparation (FDC) reached100%;

6. The screening rate of suspected MDR-TB patients is 1 0,000%, and the sputum culture rate of treated TB patients is ≥ 95%, so as to standardize the diagnosis, treatment and management of MDR-TB patients.

7. Strengthen the prevention and control of tuberculosis among special groups such as AIDS/tuberculosis co-infection in schools.

8. Complete the evaluation index of tuberculosis control quality issued by Suqian Municipal Health Planning Commission, and strive for a better ranking in the city in terms of comprehensive score.

Second, the work arrangement

(a) the formulation and implementation of prevention and control planning

1. According to the requirements of relevant documents from higher authorities and the actual situation of tuberculosis prevention and control in our county, the government has formulated and issued a five-year plan for tuberculosis prevention and control in our county.

2. Do a good job in the formulation of the annual work plan, the central and provincial special funds for tuberculosis prevention and control, and the plan for the use of basic public health funds, so as to combine the plan with the planning objectives, with clear tasks, corresponding projects and standards, earmarking, timely cash, and save the issuance vouchers.

3. Designated tuberculosis hospitals conscientiously implement the national free policy for tuberculosis patients (including anti-tuberculosis drugs, sputum examination, chest X-ray twice, liver function examination twice and chest X-ray screening for family members of smear positive patients, etc.). ).

(2) The "Trinity" system is operating normally.

1. Continue to do a good job in communication, coordination and information communication between disease control institutions and designated medical institutions, do a good job in quality control of patient treatment and management information in designated hospitals and primary medical and health institutions, and ensure the normal operation of the tuberculosis prevention and control service system.

2. Strengthen the professional guidance and work supervision on the standardized diagnosis and treatment of patients in designated hospitals and the management of patients in township hospitals, hospitals and village clinics, give full play to the incentive mechanism of tuberculosis prevention and control assessment indicators in basic public health services, promote grassroots prevention and control personnel to wholeheartedly supervise patients' medication and review, and improve patient compliance and system management rate.

(3) Discovery and treatment of pulmonary tuberculosis patients

1. Complete the task of finding tuberculosis patients: continue to improve the detection level of tuberculosis patients through various measures. In 20xx, 580 cases of active pulmonary tuberculosis were found and treated in the county, among which sputum smear positive patients accounted for ≥25% of the total registered patients.

2. Do a good job in recommending suspected tuberculosis patients. Village clinics recommended suspected symptoms of tuberculosis to township hospitals, accounting for 3% of the population.

3. The laboratory of tuberculosis designated hospital earnestly implements sputum smear microscopy and tuberculosis culture. 1 blind examination and re-examination of sputum smear every quarter, 6 provincial and municipal examinations every year to ensure that sputum smear has no qualitative deviation.

4. Comprehensively promote the collaborative management mode of doctors and family supervisors, formulate practical implementation plans and assessment methods according to specific conditions, and effectively improve the compliance of patients in medication, follow-up and inspection, the timeliness of adverse drug reactions observation and the quality of follow-up management.

5. Fully promote the use of fixed-dose anti-tuberculosis compound drugs (FDC), and replace cases with free bulk anti-tuberculosis drugs for adverse reactions caused by fixed-dose compound drugs.

6. Input the diagnosis and treatment information of patients (including multidrug-resistant patients) into the tuberculosis management information system in time, and the timely and complete rate of input is 100%. After the treatment, the patient's related data were sorted and filed. County CDC carefully monitors the quality of information and reports all kinds of monitoring reports on time.

7. The free anti-tuberculosis drug warehouse meets the standards, the drugs in stock are not damaged or expired, the registration of drugs in and out of the warehouse is complete, and the drug inventory is consistent with the account.

(4) prevention and control of multidrug-resistant tuberculosis

1. Continue to screen suspected MDR-TB patients. The sputum culture examination rate of all smear positive patients was 100%, the culture contamination rate was less than 5%, and the smear positive rate was less than 10%.

2. According to the "Implementation Plan for Improving the Medical Security Level of Rural Residents with MDR-TB in Jiangsu Province" and the "Implementation Plan for Carrying out the Pilot Work of Collecting and Paying for Some Major Diseases in Urban Basic Medical Insurance in Jiangsu Province", on the basis of continuing to do a good job in the treatment and management of MDR-patients in the new rural cooperative medical system, we will carry out the treatment and management of MDR-patients in urban workers and residents' medical insurance, and try our best to include eligible MDR-patients into the clinical treatment path.

3. Develop a standardized process for reimbursement of MDR-TB expenses to assist MDR-TB patients in reimbursement.

4. Timely report the monthly and annual reports of multidrug resistance as required.

(5) Prevention and control of tuberculosis in special population.

1. Incorporate the tuberculin test into the compulsory items for freshmen in primary and secondary schools, and take preventive measures for students with strong positive according to regulations. Deal with the school tuberculosis epidemic in time according to the norms. Organize school health personnel (mainly for school doctors in colleges and boarding middle schools) to carry out training on tuberculosis prevention and treatment knowledge.

2. Continue to assist the AIDS prevention and control department to do a good job in tuberculosis examination of AIDS-infected people.

3. Continue to do a good job in the prevention and treatment of tuberculosis among detainees.

(six) health promotion and business training

1. Around "3.24 World Tuberculosis Day", carry out publicity activities on tuberculosis prevention and control in various forms. This year's publicity theme is "You and I * * * participate together to eliminate the harm of tuberculosis". County CDC should jointly carry out this publicity campaign with County People's Hospital and Shucheng Health Center, and plan to publicize tuberculosis knowledge once every quarter. During the year, at least 1 TV publicity was conducted, or contributions were made to national, provincial and municipal information briefings.

2 to carry out household publicity for urban and rural residents, at least one publicity material should contain the core information of tuberculosis prevention and control or the popular science knowledge of tuberculosis prevention and control.

3. The county CDC holds a regular meeting of TB prevention doctors every quarter. Rural doctors in charge of tuberculosis prevention and treatment should receive 1 training on tuberculosis-related technologies, and all kinds of training courses, meeting materials and assessment materials are complete.

Three. Monitoring and annual evaluation

1. Supervise the work of relevant units at least 1 time every quarter, totaling 1 time, and report the results. Supervise medical institutions directly under the county, township hospitals, hospitals and village clinics every time. Six rounds of supervision are planned throughout the year, and the coverage rate of medical institutions, township hospitals and hospitals directly under the county reaches 100% throughout the year. Every supervisor should have a supervision report or record, and every quarter, according to "xx", the supervisor will not send another notice, and the specific time will be notified by telephone.

2 county CDC should make a summary of the implementation of the central and provincial special funds for tuberculosis prevention and control projects, and report relevant work data.

3. According to "Key Points and Evaluation Criteria of Tuberculosis Prevention and Control Work in xx County in 20xx" and "Quality Evaluation Index of Tuberculosis Prevention and Control Work of Provincial Health Planning Commission", combined with annual work and quarterly supervision, the county health planning commission made a comprehensive evaluation of tuberculosis prevention and control work in all units at the end of the year.

The third part of TB prevention and control work plan: strengthen TB health education in our school, popularize TB prevention and control knowledge, enhance awareness of TB prevention and control, ensure the health of teachers and students, radiate from school to families and communities, improve the awareness rate of TB prevention and control knowledge, reduce the incidence and mortality of TB, promote the better implementation of TB prevention and control planning in our city, and complete the goal of creating a healthy city. This plan is specially formulated:

I. Organizational leadership

Establish a leading group for tuberculosis prevention and control

Team leader: xx

Deputy leader: xx

Member: xx

Second, the main work:

1. The leading group for TB prevention and control should strengthen its leadership in TB prevention and control, hold regular or irregular meetings, review the TB prevention and control plan, and clarify the responsibilities and tasks of all levels and departments; Ensure that TB prevention and control is in place.

2. 1 school leaders and 65438 health education teachers should actively participate in the unified training of municipal tuberculosis prevention and control knowledge;

3, to participate in municipal training or responsible for health education teachers, can use brochures in the form of lectures for the whole school teachers to carry out special training on tuberculosis prevention and control knowledge;

4, the school will impart knowledge of tuberculosis prevention and control into the regular health education curriculum of the school, and organize the training of students on tuberculosis prevention and control knowledge, which can be publicized by carrying out theme class meetings, organizing students to watch CDs, special lectures, speeches under the national flag, knowledge contests, blackboard newspapers, windows and other forms.

5. The school will spread the knowledge of tuberculosis prevention and control from school to family by holding parent-teacher conference or students distributing a letter to parents (collecting the feedback from parents after reading).

6. Strengthen the morning check-up in schools, implement various measures for patient discovery, and carry out patient discovery among students.

7, increase the publicity of the national TB free treatment policy, and actively and effectively carry out TB prevention and health promotion activities.

8. Establish and improve various files.

Third, the safeguard mechanism.

1, implement target responsibility system and accountability system. Tuberculosis prevention and control work should be included in the assessment and target assessment. If there are mistakes or serious consequences in this work, the relevant personnel should be held accountable.

2, hospital leaders to conduct regular and irregular inspection and supervision of tuberculosis prevention and control work, found that the problem is solved in time.

3, the school should give strong support in terms of funds and materials.

In order to further strengthen the prevention and control of infectious diseases in our township, curb the epidemic of tuberculosis, and ensure people's health, according to the work requirements of the annual tuberculosis control project of the municipal and district CDC, this plan is formulated as follows:

First, the overall goal:

1. Continue to strengthen the standardized management of project work, and the population coverage rate of the project will reach 100%.

2. Do a good job in the discovery, referral, supervision and management of suspected tuberculosis patients and tuberculosis patients;

3. Strive to find and treat 57 cases of smear positive patients and smear negative patients throughout the year.

4. The referral rate of tuberculosis patients reached 100%, and the referral rate reached 75%.

5. Strengthen the publicity of TB prevention and control knowledge and raise the awareness of TB prevention and control of the whole people;

6. Further strengthen network tracking, FIDELIS project management and supervision.

Two. Operational measures

1, referral and patient discovery of suspected tuberculosis patients

Finding and curing smear-positive tuberculosis patients is the most important measure to control the epidemic of tuberculosis. Hospitals and village clinics should conscientiously implement the Law of People's Republic of China (PRC) People's Procuratorate, the Law on the Prevention and Control of Infectious Diseases and the Measures for the Centralized Management of Tuberculosis in Shaanxi Province, and do a good job in the discovery and referral of suspected tuberculosis patients and tuberculosis patients; Seriously carry out sputum examination, and refer tuberculosis patients and suspected tuberculosis patients immediately after sputum examination; Health centers and village clinics should track patients according to the requirements of network tracking and FIDELIS project, urge patients to see a doctor, and improve the patient discovery rate;

2. Management of tuberculosis

(1) Strengthen the supervision of tuberculosis control projects. Health centers regularly supervise village clinics, focusing on the management of smear-positive patients, the referral of suspected patients and tuberculosis patients, the completeness and reporting of various materials, the implementation of short-term chemotherapy under the direct observation of village doctors, the integrity of materials and the publicity of tuberculosis prevention and control knowledge.

(2) Strengthen visits to tuberculosis patients: township health centers should make at least 12 home visits to smear-positive patients, 6 visits to smear-positive patients, and visit patients at least twice a month, and write visit records; Village clinic staff should give specific medication guidance and supervision to patients, at least 15 times a month, and fill in the patient medication card. Interview contents: patients' medication and side effects, patients' timely review and drug collection, awareness rate of tuberculosis prevention and treatment, etc.

(3) Supervisors should complete a supervision report every time, with detailed content and accurate data, which can reflect the specific situation of supervised units and individuals in patient treatment management, find problems, feedback information in time, and better implement the project work.

3. Data management and information work

Strengthen the registration, collection and management of the data of tuberculosis patients, do a good job in the completeness and accuracy of the use of the three volumes of registration books and cards, report the monthly, quarterly and annual reports of tuberculosis control projects on time, ensure clear handwriting, accurate data and late information, strengthen the exchange of tuberculosis information, and inform each other to the relevant departments at higher levels and neighboring towns and villages.

4, tuberculosis knowledge training

Strengthen the knowledge training of township TB prevention and control personnel and improve their professional quality. In March of 20xx, it is planned to conduct business training for village TB prevention and control personnel 1 time; Training content: the significance of centralized management of tuberculosis and the current situation of tuberculosis epidemic. The responsibilities of rural tuberculosis prevention and control personnel in the project work, the specific requirements of management at all levels of the project work, the observation and corresponding treatment of the side effects of tuberculosis drugs, and the filling of patients' medication cards.

5, tuberculosis knowledge propaganda

Strengthen the publicity of tuberculosis knowledge and enhance the awareness of tuberculosis prevention and treatment. Town health centers and village-level TB prevention and control personnel should focus on the "3 24" World Tuberculosis Prevention and Control Publicity Day, adopt columns and other publicity methods to strengthen the publicity of TB prevention and control knowledge. Widely and deeply publicize the national policy of free treatment for infectious and severe smear-negative pulmonary tuberculosis and preferential treatment for other pulmonary tuberculosis patients; Improve the awareness rate of tuberculosis prevention and control knowledge among the whole people, mobilize all sectors of society to understand and support tuberculosis prevention and control work, so that patients with tuberculosis and suspected tuberculosis in our township can consciously see a doctor and realize timely and standardized treatment and management.

Third, the work assessment

Hospitals carry out two village-level tuberculosis prevention and control inspections throughout the year, and do not carry out inspections regularly at ordinary times. The inspection situation is included in the year-end assessment of each village, which is also the basis for issuing funds for tuberculosis prevention and control.

Work plan for tuberculosis prevention and control 5 I. Work objectives

1. The overall ratio of tuberculosis patients/suspected patients exceeds 90%;

2. The screening rate of close contacts of smear-positive pulmonary tuberculosis patients is over 95%;

3. The feedback rate of in-place information of transferred patients is100%;

4. The cure rate of new smear positive patients is over 85%;

5. Supervision completion rate100%;

6. The timely entry rate of medical record information in the TB information management system is over 99%;

7. The information integrity rate of the TB information management system is over 95%;

8. The newly discovered patients with active pulmonary tuberculosis have reached the index issued by the superior;

9. Complete the monitoring task indicators of tuberculosis drug resistance assigned by the superior.

Second, the work measures

(1) Further intensify protection and prevention. First, continue to strive for the government's attention to support, increase local financial input, appropriately increase the amount of matching funds, and fully ensure the funding needs for prevention and control work; Second, continue to include tuberculosis in the scope of compensation for chronic diseases of the new rural cooperative medical system and improve the compensation standard; Third, hold regular meetings of the coordination group for TB prevention and control planning to solve specific problems in TB prevention and control work in a timely manner; Fourth, consolidate the community and rural tuberculosis prevention and control teams to ensure that the personnel are relatively stable; Fifth, the task of tuberculosis prevention and control will be included in the annual performance appraisal of medical and health units in the county, and the assessment will be conducted at the end of the year, which will be linked to the allocated public health funds.

(2) Continuously strengthen the capacity building of prevention and control. First, standardize and transform the tuberculosis laboratory of the county CDC and update the testing equipment and facilities; The second is to train clinicians in county-level non-TB institutions, township hospitals and community health service centers, and rural doctors in village health stations in TB reporting, referral, health education, patient management and other business skills to further improve the level of prevention and treatment.

(3) extensive health education. Closely around the "3.24 World Tuberculosis Day" publicity theme, according to local conditions, the use of mobile phone text messages, holding special events, printing and distributing promotional materials, health classes and other ways to widely publicize and popularize tuberculosis prevention and control knowledge. To further raise people's awareness of active prevention and control.

(4) Standardize management.

1. Further implement the patient referral and recommendation system. Non-TB institutions at all levels should promptly refer or recommend suspected TB patients and patients with suspicious symptoms to the Tuberculosis Prevention and Control Institute of the county CDC for confirmed registration and standardized treatment management. County CDC supervises once every two months, and the supervision area is 1.000%.

2. Continue to actively find active pulmonary tuberculosis patients through diagnosis, referral, centralized recommendation and close contact screening of smear positive patients.

3, strictly implement the policy within the scope of free examination and free treatment, and constantly improve the patient discovery rate and cure rate.

4. Strengthen the quality control of sputum examination, strictly implement the operating rules of sputum examination, and ensure that the detection rate of positive patients reaches the national standard.

5. Strengthen supervision and patient management. In strict accordance with the requirements of the "Guidelines for the Implementation of Tuberculosis Prevention and Control Planning in China", the county level supervises the community and township hospitals once every two months, and the annual supervision coverage rate reaches1.000%; Township-level supervision over the whole process of management of villages and patients shall be no less than 4 times (including: 2 times in the strengthening period and 2 times in the continuation period); The community and village level shall supervise and visit the patients who receive free treatment within their jurisdiction once a day, and make records.

6. Standardize information management, and ensure that medical record information is timely, complete and accurate for the first time, feedback, input and transmitted to patients.

7. Strengthen the management of drug expenses. First, implement the drug collection plan to ensure that the accounts are consistent with the facts; The second is to standardize the facilities such as fire prevention, rat prevention, insect prevention and theft prevention in drug warehouses; Third, strictly implement the principle of "expired first, distributed first" to prevent the occurrence of expired drugs.

8. Do a good job in financial management. First, an independent account must be established for the special funds for tuberculosis prevention and control, and the use should be planned and standardized to ensure earmarking; Second, use funds in strict accordance with expenditure categories, and may not be withheld or misappropriated.