Objective To evaluate the performance of core indicators of Global Fund Malaria Program (NSA program) in Henan province, and provide scientific evidence and guidance for implementation of malaria elimination after NSA program.Methods According to "National plan for terminal evaluation of the Global Fund malaria program", achievement rate of set indexes and key activities, utilization rate of available funds and incidence rate by year were collected by all 159 counties including of 90 counties of NSA program. Data were audited, summarized and analyzed by Henan provincial NSA program office.Results The total incidence of malaria in Henan province had declined during the year 2009-2012, whereas the incidence of imported malaria increased by 2.4 times in 2012 comparing with that in 2009, and Plasmodium species were more diverse than before. No autochthonous malaria case was reported in 2012 for thefirst time, and the proportion of counties without autochthonous malaria case was significantly higher than 53.46% (85/159) in 2008(P<0.05). The death rate of malaria in 2009-2012 was 0.06%(1/1616),0.33%(3/896),0.64%(2/314) and 0.64%(1/156) respectively. In the 2nd year of NSA program, the proportion of malaria patients diagnosed by microscope/RDT (Rapid Diagnostic Test) and the percentage of malaria patients being taken epidemiological investigation were 77.51% and 100%, which were significantly higher than 45.67% and 50.62% respectively in 2008(P<0.05). In the 1st year and the 2nd year of the NSA program, the completion rates of microscopists training were 109.6% (1816/1657) and 129.75% (2150/1657) separately, the completion rates of fever patients being taken blood tests were 112.42% (469145/417301) and 204.11% (712553/349110) respectively. Totally 29779371.75 yuan was received during NSA project, and the implementation rate of funds was 99.81%.ConclusionThe NSA project was successfully accomplished with a good effect in Henan province, but it should continue to strengthen the management of imported malaria for fear of the death of malaria, and strengthen the training of microscopists in order to further improve the proportion of malaria patients diagnosed by microscopy or RDT.%目的评估河南省全球基金疟疾项目（NSA项目）核心指标完成情况，为项目结束后的疟疾消除工作提供依据和指导。方法按照《国家全球基金疟疾项目终期评估方案》，全省159个县（市、区）（包括90个全球基金疟疾项目县）对项目规定指标完成率、关键活动任务完成率、资金执行率和年报告发病率的数据指标进行收集，省项目办对该数据进行审核、汇总和分析。结果2009～2012年，河南省疟疾总发病率逐年下降，但2012年输入性疟疾发病率较2009年上升2.4倍，疟原虫种类呈现多样化。2012年首次实现全省无本地感染病例，较2008年的无本地感染县区比例53.46%(85/159)显著提高（P<0.05）。2009～2012年疟疾病例死亡率分别为0.06%（1/1616）、0.33%（3/896）、0.64%（2/314）、0.64%（1/156）。项目第2年疟疾病例实验室（包括显微镜和疟疾快速诊断试剂即RDT）确诊比例为77.51%，疟疾病例流行病学个案调查率为100%，分别较2009年基线值（45.67%和50.62%）明显提高（P<0.05）。项目第1年和第2年的镜检员培训目标完成率分别为109.6%（1816/1657）和129.75%（2150/1657），“三热”患者血检完成率分别为112.42%(469145/417301)和204.11%（712553/349110）。项目2年累计到位资金29779371.75元，资金总执行率为99.81%。结论河南省疟疾NSA项目整体完成情况良好，实施效果显著，但应继续加强输入性疟疾管理，减少死亡病例的发生，同时强化疟疾镜检技术培训，进一步提高疟疾病例显微镜/RDT确诊比例。
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