【摘要】 目的　分析临沂市实施世界银行贷款结核病控制项目 10年的成本 -效益。方法　对1992— 2 0 0 1年临沂市世界银行贷款额度、地方配套经费使用与病人发现、治疗情况进行分析。结果　 10年利用世界银行贷款 5 5 1.87万元 ,地方配套经费 775 .74万元 ,共计 132 7.6 1万元 ,治愈涂阳肺结核病人 2 14 4 0例。减少结核菌感染 2 1.4 4～ 32 .16万人。减少肺结核传染源发生 1.2～ 1.8万人。节约治疗资金 2 85 9.6 6万元。减少治疗误工费 190 8.37万元。因减少活动性肺结核的发生而避免经济损失 194 8.0 0～ 4 42 1.99万元。结论　临沂市 10年世界银行贷款结核病控制项目成效显著 ,使2 1.4 4～ 32 .16万人免受结核菌感染 ,减少传染源发生 1.0 72～ 1.6 0 8万人。共投入资金 132 7.6 1万元 ,减少或避免了各种费用约 7715 .82～ 9189.81万元。世界银行贷款结核病控制项目是一项投入少 ,经济效益和社会效益巨大的疾病控制项目更多还原

【Abstract】 Objective To analyze the cost-effects of World Bank Loaned TB Control Project in Linyi in the past 10 years.Methods The uterlization of loans,the counterpart funds and data of case detection and treatment between 1992 and 2001 were analyzed.Results 21?440 cases of pulmonary tuberculosis were cured by using of the World Bank loans of RMB 5.5 million Yuan and counterpart funds of 7.7 million Yuan in the past ten years.21.44～32.16 thousands people are avoided from infection with tuberculosis and 1.072～1.608 thousands people avoid suffering from it.The treatment costs were saved for 2.8 million Yuan.19 million Yuan were saved for avoiding missing work.19～44 million Yuan were saved for reducing TB cases.Conclusion Good preventive and curative effects were got in the implementation of World Bank Loaned TB Control Project in the past ten years.21.44～32.16 thousands people are made free from tuberculosis and 10.72～16.08 thousands people avoid suffering from it.13?276?100 Yuan was invested but 77?158?211～91?898?131.1 Yuan was saved.Although the investment is low,good social and economic benefits have been achieved of World Bank Loaned TB Control Project.更多还原