摘要
广西采用行政职能及业务与管理两大类别给予合理权重的免疫规划综合评估方案,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,由政府宣布责令整改并跟踪管理,收到明显效果。常规免疫估计接种率从2001年的79%增加至2005年的93%,麻疹发病率从2001年的13.32/10万降至2006年的1.85/10万,使免疫规划工作步入良性循环的可持续发展轨道,值得贫困省区参考和借鉴。
The vaccine immunization program experienced period of campaign during winter and spring seasons, period of cold chain equipped immunization every two months and period of EP1 with expanded with HBV in China. And it also got the goal of coverage over 85 % by provincial, county and township in 1989, 1990 and 1995 respectively. However, the estimated coverage of routine immunization just about 70 % to 80 %, the measles incidence rebounded lately. The main reasons is the central government invest was far enough to promote the local government invest more to EPI, and the local government also not established working mechanism promoting the lower level by encouraging or penalty based on the objective and feasible assessment tool. Since 2001, Guangxi trying the a suitable comprehensive assessment framework combining with implementation of Yellow Card Warning System（YCWS） on the poor performance county in Expanded Program on Immunization management which resulted in pretty desirable outcome. The investment on EPI increased twice after Implementation of YCWS as much as before, the estimated coverage in routine immunization increased from 79% in 2001 to over 93 % in 2005, meanwhile the incidence of measles decreased from 13/100,000 in 2001 to 1.85/100,000 in 2006. This results shows the Guangxi EPI has been getting sustain development and the Yellow Card Warning System may serve as an example for those poor developing area for EPI implementation and its management.
出处
《中国公共卫生管理》
2008年第5期455-457,共3页
Chinese Journal of Public Health Management
关键词
免疫预防
管理
进展
EPI, Implementation and management
