Objective To Learn the status of spirit incentive to TB prevention and control staff in the TB control work in China.Methods one district and one county in each province of Henan,and Gansu Zhejiang were selected as the survey fields.In-depth interviews were conducted with the TB prevention and control staff in the three provinces.Interview data were analyzed with thematic framework analysis method.Results The spirit incentives measures mainly include recognition incentives,training incentives,leadership incentives,goal incentives and so on.Most interviewees thought the effect of spirit incentives was important,but also had some limitations to improve.Conclusion The significant effect of the spirit incentives and conduct different spirit incentive measures should be recognized according different environments and different individuals.