量化甄别出预防接种薄弱区域后实施分类指导效果分析

Quantified screening of vaccination weak areas after the implementation of classification guidance effect analysis

目的探讨量化甄别出预防接种薄弱区域后实施分类指导的效果。方法根据一类疫苗接种率的高低预测针对疾病流行可能性的大小,分别赋值5分、4分、3分、2分和1分,按评分分值范围从高到低划分为极高薄弱、高薄弱、中薄弱、低薄弱和极低薄弱5个等级,用流行病学观察法进行分析。结果2020年凤山县甄别出极低薄弱区1个、低薄弱区3个、中薄弱区7个、高薄弱区1个,经分类指导后,1个高薄弱区降为低薄弱区、7个中薄弱区降为极低薄弱区、3个低薄弱区降为极低薄弱区、1个极低薄弱区保持不变。接种率由甄别时的88.76%提高到94.52%,差异有统计学意义(P<0.01)。年未考核分值较年初甄别时大幅降低,差别有统计学意义(P<0.05)。南宁市第四人民医院对接种率薄弱的剂次进行针对性管理,效果显著。结论在量化甄别出预防接种的薄弱区域后再实施分类指导,有利于维持高水平的接种率。

Objective To explore the effect of implementing classification guidance after quantifying the weak areas of vaccination.Methods Predicting the likelihood of a pandemic based on the level of coverage for one type of vaccine,hey were assigned 5 points,4 points,3 points,2 points and 1 point respectively,and were divided into five grades according to the scoring range from high to low:very high vulnerability,high vulnerability,medium vulnerability,low vulnerability and very low vulnerability.Epidemiological observation was used for analysis.Results In 2020,Fengshan County will identify 1 very low vulnerability area,3 low vulnerability areas,7 medium vulnerability areas and 1 high vulnerability area.After classification guidance,1 high vulnerability area was reduced to low vulnerability area,7 medium vulnerability areas were reduced to very low vulnerability area,3 low vulnerability areas were reduced to very low vulnerability area,and 1 very low vulnerability area remained unchanged.There was statistical significance(P<0.01).Compared with the screening at the beginning of the year,the scores of the two groups were significantly reduced,and the difference was statistically significant(P<0.05).The fourth people’s hospital of nanning carried out targeted management of the inoculation rate which was weak,and the effect was remarkable.Conclusions The implementation of classification guidance after the identification of vulnerable areas for vaccination has been quantified is conducive to maintaining a high level of coverage.