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为了解浙江省常规免疫接种率监测系统的运转情况及效果 ,采用统一的监测评价方法 ,对 1995年以来的监测资料进行分析。结果显示 :全省市 (地区 ,下同 )、县 (区、市 )级报告的及时性和完整性 1995年分别为 77 8%和86 4% ,1997年以后提高到 80 1%和 10 0 %。 1995～ 1999年卡介苗、口服脊髓灰质炎疫苗、百白破混合制剂、麻疹疫苗、乙型肝炎疫苗的常规免疫报告接种率为 94 1%～ 98 6 % ,1997～ 1999年卡介苗等 4种疫备 3年平均估算接种率为 78 8%～ 83 4% ,与报告接种率之间还有差距。D值显示 :3个市的资料为可信 ;4个市可疑 ;4个市为不可信。提示计划免疫工作各市间发展不平衡 ,主要与流动儿童的计划免疫管理不完善和部分市工作薄弱有关。
In order to understand the operation status and effect of routine immunization rate monitoring system in Zhejiang Province, a unified monitoring and evaluation method was adopted to analyze the monitoring data since 1995. The results showed that the timeliness and completeness of the reports of the provinces (regions, the same below) and the counties (districts and cities) were 77.8% and 86.4% respectively in 1995 and 80.1% and 100% after 1997 %. The routine immunization coverage rates of BCG, oral polio vaccine, baibaban mixture, measles vaccine and hepatitis B vaccine were 94 1% ~ 98 6% from 1995 to 1999, and 4 kinds of vaccines including BCG from 1997 to 1999 The 3-year average estimated vaccination rates ranged from 78 8% to 83 4%. There was still a gap between reporting the vaccination rates. D value shows: the information of 3 cities is credible; 4 cities are suspicious; 4 cities are not credible. It is suggested that there is an imbalance in the development of planned immunization work among cities, which is mainly related to the imperfect management of planned immunization of migrant children and the weak work in some cities.