摘要目的 对湖南省实施《中国预防与控制梅毒规划(2010—2020年)》工作成效进行评价,为今后湖南省梅毒防治策略与措施的制定提供理论依据。 方法 结合信息系统、专项调查、现场督导,收集并比较2015年与2020年湖南省梅毒规划中期评估与终期评估16项指标数据。采用逼近理想解排序法(technique for order preference by similarity to ideal solution, TOPSIS)对湖南省14个市(州)梅毒防治工作成效进行综合评价;以2015年中期评估指标值为参考值,采用综合指数法对湖南省14个市(州)梅毒防治水平进展情况进行综合评价。 结果 与2015年相比,2020年湖南省梅毒规划16项指标达标率均有大幅提升; TOPSIS法评价结果显示:株洲市Ci值最高为0.8271,岳阳市Ci值最低为0.0848;综合指数法评价结果显示:湖南省梅毒防治水平综合发展评价指数由2015年的100.00提升到2020年的 144.26,年均增速为7.60%;在14个市(州)中,永州市的综合发展评价指数最高,为242.25,年均增速为19.36%;湘潭市最低,为104.45,年均增速为0.87%。 结论 湖南省已经达到梅毒规划要求,但各市(州)梅毒规划落实情况存在差异,今后还需要加大各市(州)防治力度。
Abstract:Objective To assess the effect of implementing “China Syphilis Prevention and Control Plan (2010-2020)” in Hunan Province, and to provide a theoretical basis for formulating strategies and measures for syphilis prevention and treatment in future. Methods Combined with information system, special investigation and site supervision, we collected and compared the data concerning 16 indicators of mid-term and final evaluation of the syphilis plan in Hunan Province in 2015 and 2020. Technique for order preference by similarity to ideal solution (TOPSIS) was used to comprehensively evaluate the effectiveness of syphilis prevention and treatment in 14 cities (prefectures) of Hunan Province. The indicators of mid-term evaluation in 2015 wereselected as the baseline, and the comprehensive index method was employed to comprehensively appraise the development of syphilis prevention and treatment in 14 cities (prefectures) of Hunan Province. Results Compared with 2015, the compliance rate of 16 indicators of the syphilis plan in Hunan Province in 2020 improved significantly. The evaluation results based on TOPSIS method showed that the Ci value in Zhuzhou City wasthe highest (0.8271),while the Ci value in Yueyang City was the lowest (0.0848).The evaluation results based on comprehensive index method revealed that the comprehensive development index increased from 100.00 in 2015 to 144.26 in 2020, representing an annual average development speed of 7.60%. Among 14 cities (prefectures), the comprehensive development index in Yongzhou City was the highest (242.25), with an annual averagedevelopment speed of 19.36%. The comprehensive development index in Xiangtan City was the lowest (104.45), with an annual average development speed of 0.87%. Conclusion The goals of syphilis prevention and treatment in Hunan Province have been achieved, but there are differences in the implementation status of the syphilis plan in 14 cities (prefectures). Hence prevention and treatment measures in the cities (prefectures) should be improved in future.
高守芝, 张静航, 贺健梅, 郑军, 陈曦. 湖南省实施《中国预防与控制梅毒规划(2010—2020年)》效果评价[J]. 实用预防医学, 2021, 28(12): 1443-1446.
GAO Shou-zhi, ZHANG Jing-hang, HE Jian-mei, ZHENG Jun, CHEN Xi. Evaluation on the effect of implementation of “China Syphilis Prevention and Control Plan (2010-2020)” in Hunan Province. , 2021, 28(12): 1443-1446.