避孕药具不良反应监测点运行现状督导评估结果分析

Analysis of the results of the monitoring and evaluating the running status of national contraceptives adverse reactions surveillance sites

目的:了解全国避孕药具不良反应监测点运行现状,为完善和加强避孕药具不良反应监测体系提供科学依据。方法:对23个国家避孕药具不良反应监测点,采用现场访谈和资料查阅的方法对其运行情况进行督导评估。结果:23个监测点平均评估分值为70.09分,计划生育服务机构、妇幼保健和卫生机构对宫内节育器手术登记要求不完全一致,各监测点宫内节育器不良事件漏报率、百万人口报告率等指标有较大差异。结论:应加强避孕药具不良反应监测工作的组织领导,规范信息收集要求,全面提升技术人员的专业监测水平。

Objective：To understand the running status of national contraceptives adverse reactions surveillance sites,as well as to provide scientific evidence for improving and strengthening the contraceptives adverse reactions surveillance system.Methods：23 state surveillance sites were selected randomly and evaluated by face-to-face interview and by reviewed working records.Results：The mean evaluation score of the included 23 state surveillance sites was 70.09 points.The requirements of Intrauterine devices（IUD）inserted or removed medical record had varied among different surveillance sites,such as family planning service stations,maternal and child health care institutions and hospitals.Reporting rates per million population and under reporting rates of IUD adverse events also had large differences in different surveillance sites.Conclusion：Organizational leadership of contraceptives adverse reactions surveillance should be strengthened,related information collecting should be regulated,and monitoring level of professionalism of surveillance personnel should be promoted.