贵州省免疫规划工作黄牌警告制度实施效果评价

Effect Assessment on Implementing Yellow Card System to EPI Work in Guizhou Province

目的评价贵州省免疫规划工作黄牌警告制度的实施效果。方法对全省88个县(市、区,下同)在黄牌警告制度实施前后的免疫规划工作经费投入、人员配备、规范化管理及疫苗接种率等进行调查,采用描述流行病学方法进行分析。结果黄牌警告制度实施后,免疫规划工作经费投入和人员配备有所增加,规范化管理得到加强,各种疫苗调查接种率有不同程度提高。结论将免疫规划工作纳入政府考核,并对考核不达标的县政府实施黄牌警告,是推动全省免疫规划工作持续、深入发展的有效措施。

Objective To evaluate the effect of implementing Yellow Card Warning System for Expanded Programme on Immunizations（EPI） in Guizhou province.MethodsInvestigating the EPI funds input,staff arrangement,normal standardized management and vaccine coverage rate before and after Yellow Card Warning System implementation in all 88 counties of Guizhou Province,and analyzing the data with descriptive epidemiology.ResultsAfter carrying out Yellow Card Warning System,funds devotion and staff arrangement on EPI were increased,normalization management was strengthened,and coverage rate of various vaccines were raised.ConclusionTo bring EPI work into government assessment system and implement Yellow Card Warning System to inacceptable county governments is an effective measure,which impulses the provincial EPI work sustained and deep development.