贵州省2007～2013年免疫规划工作黄牌警告制度效果分析

Effect of Implementation of the Yellow Card Warning System for the Expanded Program on Immunization in Guizhou Province,2007-2013

目的分析评价贵州省2007~2013年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2007年、2010年和2013年3个黄牌警告考核年度的免疫规划工作经费投入、专职人员配备、规范化管理、免疫规划针对疾病监测和发病及儿童预防接种情况等进行调查,采用描述流行病学方法进行分析。结果黄牌警告制度的实施,使免疫规划工作经费投入和人员配备得到保障,规范化管理得到加强,疫苗接种率和免疫规划针对疾病监测指标保持在较高水平,免疫规划针对疾病发病维持在较低水平。结论建立免疫规划工作黄牌警告制度,由省政府对考核不达标的县政府实施黄牌警告,对推动全省免疫规划工作健康、稳定发展效果显著。

Objective This study was to evaluate the implementation effect of the Yellow Card Warning System（YCWS） for Guizhou provincial Expanded Program on Immunizations（EPI）.Methods EPI funds investment,full-time staff,standardized management,surveillance of EPI targeted diseases,and immunization coverage rates were reviewed in 2007,2010 and 2013 in all 88 counties of Guizhou province.We used these data to analyze the effect of YCWS through descriptive epidemiological methods.Results Through carrying out YCWS,funding investments and staff for EPI were ensured,standardized management was strengthened,immunization coverage rates and monitoring indicators for EPI targeted diseases were maintained higher levels,and the morbidity of EPI targeted diseases maintained a lower level.Conclusions The establishment of YCWS,in which provincial government implemented yellow card warnings for those counties failing YCWS reviews,significantly promoted a healthy and stable development of EPI in Guizhou province.