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分析影响安徽省常规免疫接种率报告质量的因素 ,实施干预措施 ,以期提高常规免疫接种率监测质量。在估算接种率 <5 0 %的县中 ,选择休宁等 3个县 ,在基线调查的基础上 ,采取干预措施 ,并对其结果进行评价。影响常规免疫接种率报告质量的因素有 :①漏报 ;②漏建卡 (证 ) ;③报表的质量。实施干预措施后 ,报表的准确性、完整性、及时性均有明显改善。提高做好常规免疫工作重要性的认识 ,加强领导 ,明确职责 ,开展多层次培训 ,特别是培训乡、村防保医生 ,以提高技术水平和责任心。加速乡级卫生院改革 ,完善防保体制 ,进一步完善常规免疫报告数据库的评价系统 ,是提高常规免疫接种率质量的主要措施。
Analyze the factors that affect the quality of routine immunization coverage in Anhui Province and implement intervention measures to improve the quality of routine immunization surveillance. In the counties where the inoculation rate was estimated to be less than 50%, three counties such as Xiuning were selected and based on the baseline survey, interventions were conducted and the results were evaluated. Factors that affect the quality of routine immunization coverage report are: ① omission; ② leakage card (card); ③ the quality of the report. After the implementation of the interventions, the accuracy, completeness and timeliness of the reports have been significantly improved. Raise awareness of the importance of doing routine immunization work, strengthen leadership, clarify responsibilities and carry out multi-level training, especially training township and village health insurance doctors so as to improve their technical level and sense of responsibility. Speed up the reform of township hospitals, improve the protection system, and further improve the routine immunization report database evaluation system is to improve the quality of routine immunization rate of the main measures.