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Implementación de la política nacional central de microscopía en China: encuesta de centros sanitarios en la Provincia de Shandong
Author(s) -
Wei Xiaolin,
Zou Guanyang,
Zhang Hongmei,
Walley John,
Liu Zhimin,
Newell James,
Sun Qiang,
Li Renzhong
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2011.02769.x
Subject(s) - environmental health , political science , geography , medicine
Summary Objective In compliance with Chinese national policy, Shandong province set up microscopy centres (MCs) in one‐third of all township hospitals where sputum smear microscopy is performed. We assessed the centres’ performance and any factors influencing it. Methods A cross‐sectional, structured, facility‐based questionnaire survey was conducted in 2006, collecting data from all 113 counties with established MCs as well as tuberculosis (TB) routine reporting data from the county TB dispensary. Results One hundred and thirteen of 142 counties in Shandong had established 497 MCs. The centres identified 3.3% of smear‐positive patients in the province. Sixty‐six percentage of MCs did not identify any patients with TB; only 5% identified more than 10. Poor performance arose from low quality of staff training in township hospitals, but inappropriate geographical provision of services was the main cause of low additional case finding. Conclusion The MC policy did not achieve its goal of improving TB case finding in Shandong.