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目的评价福建省政和县儿童常规免疫接种情况,促进全县免疫规划工作平衡发展。方法利用估算接种率,差值(D值)、比值(R值)等方法,对政和县2010年儿童常规免疫接种率进行综合评价。结果全年平原区和高山区报告接种率均达99%以上,平原区估算接种率为100.92%～103.93%,高山区为81.51%～90.42%。D值评价,平原区5项指标为可信,高山区为不可信或可疑;高山区R值3 BCG/OPV和3 BCG/DPT为0.93和0.94,均为可疑,可信度较差。综合评价平原区报告接种率为可信,高山区报告接种率为可疑或不可信。结论要做好流动儿童摸底登记及管理工作,加快省级儿童预防接种信息管理平台建设,加强预防接种人员管理和培训工作,特别要加强高山区经济落后地区人员的管理和培训工作。
Objective To evaluate the routine immunization of children in Zhenghe County of Fujian Province and promote the balanced development of immunization planning in the county. Methods The methods of estimating vaccination rate, difference (D value) and ratio (R value) were used to evaluate the routine immunization rate of children in Zhenghe County in 2010. Results The reported coverage rates in the plain areas and high mountain areas reached over 99% throughout the year. The estimated inoculation rates in plain areas were 100.92% -103.93% and in high mountain areas 81.51% -90.42%. D value, the five indicators in the plains area are credible and the high mountain area is untrustworthy or suspicious. The RBC values of 3 BCG / OPV and 3 BCG / DPT in high mountain area are 0.93 and 0.94, both of which are suspicious and the credibility is poor. Comprehensive evaluation of plains reported coverage rate is credible, high mountain coverage rate of suspicious or not credible. Conclusion It is necessary to do well the registration and management of migrant children, accelerate the construction of provincial-level vaccination information management platform and strengthen the management and training of vaccination personnel. In particular, we should strengthen the management and training of personnel in economically underdeveloped areas.