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Effectiveness and Determinants of Implementing the "Xinjiang Model" for Tuberculosis Prevention and Control: A
Yan Zhang1, Senlu Wang1, Xinqi Wang2
1Department of Epidemiology and Health Statistics, College of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, 830011, People's Republic of China.
Infection and Drug Resistance
|July 1, 2024
Summary
The "Xinjiang Model" effectively reduced tuberculosis in Kashgar, with improved patient knowledge and reduced treatment burden being key factors. Understanding drug side effects and costs is crucial for successful tuberculosis control.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Control
Background:
- Tuberculosis (TB) remains a significant global health challenge.
- Effective control strategies are essential for reducing TB incidence and mortality.
- The
Purpose of the Study:
- To evaluate the effectiveness of the
Main Methods:
- Analysis of pulmonary tuberculosis (PTB) patient registration data from Kashgar Prefecture (2012-2021).
- Questionnaire surveys of PTB patients in Zepu and Shache Counties (2022-2023) to identify implementation determinants.
- Statistical analysis of incidence trends and factors influencing policy effectiveness.
Main Results:
- PTB registered incidence in Kashgar showed an increasing trend from 2012-2018 (APC=18.7%) and a decreasing trend from 2018-2021 (APC=-28.8%).
- Significant declines in incidence were observed in Shufu, Maigaiti, and Zepu Counties, while Shache County saw an increase.
- Improved health status and greater awareness of TB treatment were noted in Zepu compared to Shache; drug-related discomfort impacted treatment burden in both counties.
Conclusions:
- The
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