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目的:探索预防艾滋病母婴传播信息质量控制体系建立的可行性,为方案进一步修改、完善和推广提供科学依据。方法:根据艾滋病流行状况,选择云南省开远市和隆阳区开展建立预防艾滋病母婴传播信息质量控制体系试点。主要做法包括:在当地建立质量控制小组,抽取妇幼保健院、疾控中心和一定比例的助产机构,每季度做1次数据质量控制,分析数据质量的变化情况。结果:通过质量控制,建立原始登记台帐的机构由60.00%上升到100.00%,信息管理人员固定的助产机构的孕产妇HIV抗体检测人数错报率由1.58%下降到0.15%,婚姻登记人群HIV抗体检测人数错报率从0.63%下降到0,孕产妇HIV抗体阳性漏报率从4.82%下降到0。综合医院孕产妇HIV抗体检测人数错报率高于妇幼保健院,信息人员更换会影响数据质量。结论:建立预防艾滋病母婴传播信息质量控制体系对规范信息管理和提高数据质量十分重要和必要。
Objective: To explore the feasibility of establishing information quality control system for prevention of mother-to-child transmission of AIDS, and to provide a scientific basis for further revision, improvement and promotion of the program. Methods: According to the prevalence of HIV / AIDS, a pilot program was set up to establish information quality control system for prevention of mother-to-child transmission of HIV in Kaiyuan City and Longyang District of Yunnan Province. The main practices include: establishing a quality control group in the local area, extracting MCHCs, CDC and a certain proportion of midwifery institutions, performing data quality control once a quarter and analyzing changes in data quality. Results: Through quality control, the number of establishments with original registration accounts increased from 60.00% to 100.00%, the number of maternal HIV antibody detectives in the fixed midwifery of information management staff dropped from 1.58% to 0.15%, and the marriage registration population The rate of false positive rate of HIV antibody test decreased from 0.63% to 0, and the negative rate of HIV antibody positive rate among pregnant women dropped from 4.82% to 0. General hospital maternal HIV antibody detection rate of false positive rate higher than that of MCH, the replacement of information personnel will affect the data quality. Conclusion: It is very important and necessary to establish information quality control system for prevention of mother-to-child transmission of HIV to standardize information management and improve data quality.