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目的了解2010-2013年天津市东丽区常规免疫接种率监测现状,分析影响常规免疫疫苗接种率的因素。方法收集2010-2013年的常规免疫接种率监测数据,采用估算接种率、差值(D值)、比值(R值)评价方法进行评价。结果 2010-2013年天津市东丽区各预防接种门诊“七苗”基础免疫接种报告及时率、完整率均为100.00%,报告接种率均>99.00%,估算接种率为100.24%~146.30%;D值评价显示,评价为可信的指标占14.29%,评价为可疑的占28.57%,评价为不可信的占57.14%;R值评价显示,评价为可信的占18.75%,评价为可疑的占50.00%,评价为不可信的占31.25%。结论 2010-2013年天津市东丽区常规免疫接种率监测数据真实性较差,主要与流动儿童的流动性大和接种不规范有关,流动儿童的管理仍然是今后东丽区免疫规划工作的重点。
Objective To understand the status of routine immunization surveillance in Dongli District of Tianjin from 2010 to 2013 and analyze the factors influencing the immunization coverage rate. Methods The data of routine immunization surveillance from 2010 to 2013 were collected and evaluated by the evaluation of vaccination rate, difference (D value) and ratio (R value). Results The reported rates of timely immunization and basic immunization were all 100.00% in all vaccination clinics in Dongli District of Tianjin from 2010 to 2013. The reported immunization rates were both> 99.00% and the estimated vaccination rates were 100.24% ~ 146.30 %; D value evaluation showed that 14.29% of the indicators were rated as trustworthy, 28.57% rated as suspicious and 57.14% rated as untrustworthy. The evaluation of R value showed that the evaluation was credible 18.75%, which was evaluated as 50.00% were suspicious, 31.25% were untrustworthy. CONCLUSION: The routine immunization monitoring rates in Dongli District of Tianjin during 2010-2013 are poorly authentic. The data are mainly related to the high mobility of migrant children and the non-standard vaccination. The management of migrant children is still the focus of immunization planning in Dongli District in the future.