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目的分析2014年四川省国家免疫规划(National Immunization Program,NIP)疫苗常规免疫接种率监测报告情况,进一步提高免疫服务质量。方法通过描述性分析结合比值(Ratio,R值)评价,对2014年四川省NIP疫苗常规免疫接种率监测报告接种率、报告数据质量进行分析评价。结果 2014年四川省常规免疫接种率监测报告县、乡报告率分别为98.75%和91.35%。2014年四川省报告接种NIP疫苗共计19 652 842剂,22剂NIP疫苗报告接种率均≥98%。90.91%的县所有NIP疫苗报告接种率>96%。四川省40.64%的县白喉-破伤风-百日咳联合疫苗(Diphtheria,Tetanus and Pertussis Combined Vaccine;DTP)的脱漏率>5%,16.04%的县DTP脱漏率≥10%。R值评价结果显示,对应儿童不同年龄段疫苗剂次,可信度不同,其中12月龄段数据似可信度最高,儿童6岁段报告数据似可信度最低。结论 2014年四川省NIP疫苗常规免疫接种率监测报告完整性和报告接种率均处于较高水平。部分疫苗接种率可信度较低,数据报告质量有待提高。
Objective To analyze the surveillance reports on the routine immunization rate of the National Immunization Program (NIP) vaccine in Sichuan Province in 2014 to further improve the quality of immunization services. Methods Through the descriptive analysis of the ratio (Ratio, R value) evaluation, in 2014 Sichuan Province routine immunization coverage of NIP vaccine monitoring report coverage rate, the quality of the report data analysis and evaluation. Results The reporting rates of routine immunization surveillance in Sichuan Province in 2014 were 98.75% and 91.35% respectively in counties and townships. In 2014, Sichuan Province reported a total of 19,652,842 doses of NIP vaccine and 22 doses of NIP vaccine. All reported vaccination rates were ≥98%. 90.91% of all county NIP vaccines reported inoculation rates> 96%. Leakage rate of Diphtheria, Tetanus and Pertussis Combined Vaccine (DTP)> 5% in 40.64% of counties of Sichuan Province, and> 10% of DTP in 16.04% of counties. The results of R value evaluation showed that the credibility of the vaccine was different for children of different age groups, of which the 12-month-old data seemed to have the highest credibility and the child 6-year-old reported the lowest credibility. Conclusion In 2014, the integrity of the routine immunization surveillance report of NIP vaccine in Sichuan Province and the report vaccination rate were all at a high level. Some vaccination rates have low credibility and data reporting needs to be improved.