Abstract:

Objective To investigate the effects of the establishment of the dengue fever prevention and control demonstration area on the government capacity of mass prevention and control and to explore sustainable prevention and control measures, so as to set up the foundation for the preventive strategies and measures for mosquito-borne diseases. Methods Chancheng District Government, Bureau of Health and Family Planning Commission at sub-district and town levels, Office of Patriotic Health Campaign Committee,and local villagers' committees and neighborhood committees were selected and reviewed for the investigation and assessment of dengue response capacity. Statistical analysis was conducted with SPSS 19.0 software. Chi-square test was used for the comparison of univariate analysis, while t-Test was applied for the comparison between two independent sample means. Results From Chancheng district government to its subordinate towns and sub-districts, the leadership establishment, the establishment of health emergency response system, the logistics support, the budget planning and supervising mechanisms were all put in place accordingly before and after the construction of the demonstration area. After the establishment of the demonstration area, the proportions of the organizational structure and the contingency planning management on the level of villagers' committee and neighborhood committee have been increased significantly(χ²=22.510, 47.890, P<0.05). The proportions of the establishment of emergency response team,the exercises of contingency drill,the strategic contingency material reservation and the implementation of supervising mechanisms(93.38%, 36.03%, 61.76%, 85.29%, and 51.47%)were all higher than the conditions before the establishment of the Demonstration Area,with statistically significant differences(χ²=9.890, 44.180, 63.520, 37.330, 52.270, P<0.05). Also, disinfection personnel of local villagers' committees and neighborhood committees increased from 4 people in 2014 to 7 people in 2015,with statistically significant difference(t=-3.600, P<0.05). Conclusion The establishment of dengue fever prevention and control demonstration area in Chancheng district improved the governmental capacity of mass prevention and control,established a normal mechanism of mass prevention and control, carried out the mosquito vector control projects efficiently, and mitigated the epidemics locally.

Key words: Dengue fever, Demonstration polt, Research

摘要：

目的 研究创建登革热防控示范区对政府群防群控能力建设的效果，探索可持续防控措施，为蚊媒传染病防治策略和措施的制定建立基础。方法 抽取实施示范区建设的禅城区政府以及镇街卫生和计生局（卫计局）、爱卫会办公室、村居委会等进行登革热应对能力调查。采用SPSS 19.0软件进行统计学分析，单因素分析率的比较采用χ²检验，两个独立样本均数的比较采用t检验。结果 禅城区政府及其下属各镇街道从领导架构的建立、卫生应急建设、后勤保障、经费预算和督办机制在创建示范区前后均能落实到位。在示范区创建后，各村居委会建立本级的组织架构和预案管理的比例有所上升，其差异均有统计学意义（χ²=22.510、47.890，均P<0.05）；村居委会建立本级应急队伍、开展应急演练、应急物资储备、消杀人员储备和督办机制的落实比例（93.38%、36.03%、61.76%、85.29%和51.47%）均高于创建示范区前，差异均有统计学意义（χ²=9.890、44.180、63.520、37.330、52.270，均P<0.05），其中各村居委会消杀人员的配备由2014年平均4人增至2015年平均7人，差异有统计学意义（t=-3.600，P<0.05）。结论 禅城区创建登革热防控示范区对政府群防群控能力有所提升，建立了常态化群防群控机制，可从根本上做好蚊媒控制工作，杜绝疫情传播和扩散。

关键词: 登革热, 示范区, 研究