浙江省县级常规免疫接种率监测工作现状分析

Status of monitoring and influence factors of the routine immunization coverage in Zhejiang

目的:分析浙江省县级层面常规免疫接种率监测工作现状及其影响因素,针对薄弱环节,开展有效管理,提高全省儿童预防接种监测工作质量。方法:对2008-2010年县级常规免疫接种率监测数据和全省所有县区预防接种监测工作定量调查资料进行描述性分析。结果:浙江省以县为单位报告接种率可靠性总体上呈上升趋势。所有县区定期开展适龄流动儿童摸底调查,"到村等相关部门收集"和"到集聚地等进行摸底调查"的各占43.06%,67.61%的县区能较好地掌握县区流动儿童底数(自我评分达8分及以上)。所有县区均开展入托入学儿童的查验接种证和查漏补种工作,90.66%的县区开展散居儿童查漏补种工作,76.71%的县区使用单独的流动儿童卡册。94.59%的县区每年开展1次接种率调查,91.18%县区定期开展预防接种监测数据的分析评价,94.52%的县区对辖区各接种单位的报告数据进行复核检查。接种监测数据审核和评价方法掌握正确率为80.78%。结论:县区疾控机构需进一步做实流动儿童摸底调查和查漏补种工作,提高业务技术水平,规范接种率监测数据审核、分析和评价工作。

Objective To analyze the status and influence factor of the routine immunization coverage in all counties of Zhejiang,and to improve the quality of immunization coverage monitoring.Methods Data of the immunization coverage monitoring and the survey of the status of immunization monitoring were collected.The descriptive methodology was used.Results The trends related to the reliability of vaccination coverage were positive(χ2=34.0,P<0.01).The baseline survey on migrant children of vaccination age were carried out regularly in all counties.Counties(self-graded score ≥8)whose proportions on the baseline data collected from communities or gathering places were 43.06% and 67.61% respectively could master the count of migrant children perfectly.The children who would enter a nursery or school were examined on their vaccination card,and those who had not finished the full immunization were vaccinated in all counties.90.66% counties carried out the research and vaccination for the preschool children who had not had full or part vaccines.76.71% counties had established specific vaccination booklets for migrant children,and 94.59% counties carried out the survey on the immunization coverage every year.91.18% counties analyzed and evaluated the monitoring data of immunization coverage regularly.94.52% counties checked the monitoring data from vaccination units regularly.The accurate rate of the means of auditing and evaluation to the monitoring data was 80.78%.Conclusion All counties of Zhejiang should do their best for the baseline survey on migrant children and re-administration of immunization among children.The operation and technology must be improved,and the monitoring data of immunization coverage analyzed and evaluated need to be standardized further.