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目的探索免疫规划综合评估方案设计及其对免疫规划工作的引导作用。方法将免疫规划评估方案的评分分为行政职能及业务管理两大类别,给予合理权重并在全区县市贯彻实施,对低于85分的非贫困县和低于80分的贫困县进行黄牌警告整改,将2001～2005年评估方案的异同以及对全区工作促进的效果进行对比分析。结果综合评估方案在2004年行政职权重提到47分后,免疫规划工作从人员工资保障到工作经费等保障性措施等分都比行政职能得分低于47分的2004年前大幅度提高,其中工作经费从2001年的0.08元增至0.17元;防保接种四室从2001年的33%增至97%;县乡两级防保人员达标率增至93%和98%;县乡两级疾控人员全额工资分别增至要求的90%和82%;免疫规划估计接种率达97.7%,比2001年增加了19%;麻疹发病率2004年首次降至2.9/10万,2006年为1.85/10万。结论加大对行政职能在免疫规划综合评估方案中的权重,引导和推进免疫规划工作,遏制免疫规划工作滑坡势头的同时使之步入可持续发展的正轨,在少数民族地区、边远山区和经济欠发达地区尤其明显。
Objective To explore the design of a comprehensive assessment program of immunization programs and its guiding role in immunization planning. Methods Divided the scores of the immunization plan assessment into two categories: administrative functions and business management, gave reasonable weight and implemented it in all counties and cities in the whole region, and booked yellow cards for non-poor counties below 85 and poor counties below 80 Warned rectification, the similarities and differences between 2001-2005 assessment program as well as the effect of promoting the work of the region for comparative analysis. Results After the comprehensive evaluation program re-cited the administrative authority in 2004 to 47 points, the immunization planning work improved substantially from 2004 to the year when administrative functions were scored lower than 47 points, from the protection of staff salary to the funding of work. However, The funding for work increased from 0.08 yuan in 2001 to 0.17 yuan; the four-room vaccination room increased from 33% in 2001 to 97%; the compliance rate of anti-protection personnel at county and township levels increased to 93% and 98%; the county and township levels The full salary of CDC members increased to 90% and 82% respectively of the requirements. The immunization program estimated the vaccination rate to reach 97.7%, an increase of 19% over 2001. The incidence of measles dropped to 2.9% in 2004 for the first time in 2004, 1.85 / 100,000. Conclusions Increasing the weight of administrative functions in the comprehensive evaluation plan of immunization programs, guiding and advancing the immunization planning work, curbing the decline in the immunization planning work and putting it on the right track of sustainable development, in the minority ethnic areas, remote mountainous areas and the economy Underdeveloped areas are particularly noticeable.