【摘要】：目的探索利用預(yù)防接種單位客戶(hù)端(Immunization Unit Client,IUC)中的預(yù)防接種個(gè)案,評(píng)估國(guó)家免疫規(guī)劃疫苗(National Immunization Programme Vaccine,NIPV)接種率的應(yīng)用條件。方法采用多階段隨機(jī)抽樣的方法,在2個(gè)省8個(gè)縣(市,下同)開(kāi)展調(diào)查,每個(gè)調(diào)查縣隨機(jī)抽取5個(gè)鄉(xiāng)(鎮(zhèn)、街道,下同)。調(diào)查被抽取的40個(gè)鄉(xiāng)內(nèi)2009年9月1日~2011年8月31日出生兒童預(yù)防接種情況(以預(yù)防接種證為準(zhǔn)),并備份各鄉(xiāng)轄區(qū)內(nèi)IUC數(shù)據(jù)庫(kù),利用IUC督導(dǎo)工具"數(shù)據(jù)質(zhì)量模塊"對(duì)IUC數(shù)據(jù)質(zhì)量進(jìn)行評(píng)價(jià),采用統(tǒng)計(jì)產(chǎn)品與服務(wù)解決方案17.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果IUC估算覆蓋率為91.25%,除E縣外,其余各縣估算覆蓋率均80%。核查的1680名兒童的建預(yù)防接種證率為100.00%,IUC兒童錄入率99.58%,8個(gè)縣NIPV的一致率最低為87.98%。3個(gè)縣NIPV調(diào)查合格接種率高于IUC個(gè)案統(tǒng)計(jì)合格接種率,NIPV調(diào)查合格接種率低于IUC個(gè)案統(tǒng)計(jì)合格接種率的5個(gè)縣,除B縣3劑口服脊髓灰質(zhì)炎減毒活疫苗IUC個(gè)案統(tǒng)計(jì)合格接種率為99.04%,調(diào)查合格接種率為96.67%[95%可信區(qū)間(Confidence Interval,CI):94.24%~99.10%),第4劑百日咳-白喉-破傷風(fēng)聯(lián)合疫苗分別為97.41%、94.29(95%CI:91.15%~97.43%),首劑含麻疹成份疫苗分別為98.03%、95.24%(95%CI:92.36%~98.12%),首劑甲型肝炎減毒活疫苗分別為97.30%、94.76%(95%CI:91.75%~97.77%),差異有統(tǒng)計(jì)學(xué)意義外,其余縣NIPV調(diào)查合格接種率與IUC個(gè)案統(tǒng)計(jì)合格接種率的差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論當(dāng)IUC估算覆蓋率80%,不同NIPV接種劑次一致率90%時(shí),可用IUC中的個(gè)案評(píng)估NIPV接種率。
[Abstract]:Objective to evaluate the application conditions of national immunization planning vaccine (National Immunization Programme Vaccine,NIPV) vaccination rate by using the cases of (Immunization Unit Client,IUC in the client side of vaccination unit. Methods Multi-stage random sampling was carried out in 8 counties in 2 provinces. Five townships (towns, streets, the same below) were randomly selected from each county. From September 1, 2009 to August 31, 2011, the vaccination status of children born in 40 townships was investigated, and the IUC database was backed up. The data quality of IUC is evaluated by the IUC supervisory tool "data quality module", and the statistical product and service solution software 17.0 is used to carry on the statistical analysis. Results the estimated coverage rate of IUC was 91.25, except E county, the estimated coverage rate of all other counties was 80. The rate of establishing vaccination certificate for 1680 children verified was 99.58%. The lowest rate of conformity of NIPV in 8 counties was 87.98.3 counties. The rate of qualified vaccination in NIPV survey was higher than that in IUC cases. The rate of qualified vaccination in NIPV survey was lower than that in IUC case survey. 5 counties with qualified coverage rates, In addition to county B, 3 doses of live oral poliomyelitis attenuated vaccine (IUC) accounted for 99.04 doses, the rate of qualified vaccination was 96.67% [95% confidence interval (Confidence Interval,CI): 94.24 99.10%), and the fourth dose of combined vaccine of pertussis diphtheria and tetanus was 97.4194.29 (95CIW 91.150.43%), and the first dose contained measles. The constituent vaccines were 98.03% and 95.24%, respectively. The first dose of live attenuated hepatitis A vaccine was 97.30% and 94.76% (95% CI: 91.75% 97.77%, respectively). The difference was statistically significant. There was no significant difference between the rate of qualified vaccination in NIPV survey and the rate of qualified vaccination in IUC cases in other counties (P0.05). Conclusion when IUC estimates the coverage rate of 80% and the second consistency rate of different NIPV inoculants is 90%, the case of IUC can be used to evaluate the rate of NIPV vaccination.
【作者單位】： 中國(guó)疾病預(yù)防控制中心免疫規(guī)劃中心;
【分類(lèi)號(hào)】：R186

【共引文獻(xiàn)】

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