世界卫生组织有效疫苗管理方法试点评估分析

发布时间：2018-03-17 20:15

本文选题：疫苗管理　切入点：有效疫苗管理(EVM)评估　出处：《中国疫苗和免疫》2015年06期 　论文类型：期刊论文

【摘要】：目的利用世界卫生组织(World Health Organization,WHO)研发的有效疫苗管理(Effective Vaccine Management,EVM)方法对中国4个试点省(自治区、直辖市,下同)的疫苗管理现状进行评估。方法利用EVM格式化问卷,对4个省的4个级别共38个单位的疫苗运输及接收(E1)、温度监控(E2)、储存能力(E3)、建筑设备和运输(E4)、运转维护(E5)、储存管理(E6)、疫苗分发(E7)、人员技能(E8)、信息系统及相关支持性系统管理(E9)9项指标进行评分和分析,每项得分80%以上为合格。结果所有被评估单位9项指标总平均分分别为E390%,E1、E2、E4、E5、E6、E9在80~89%之间,E7、E880%。4个省在7项指标的得分差异有统计学意义,其中西部省得分(75%)低于所有单位的总分(83%)。4个级别单位在6项指标的得分差异均有统计学意义,其中市级疾病预防控制中心(CDC)(82%)、县级CDC(81%)得分均低于所有单位总分(83%)。结论试点省份疫苗管理水平已基本达到WHO要求。但仍需加强对西部省份和县级CDC疫苗管理的技术指导。
[Abstract]:Objective to evaluate the current situation of vaccine management in four pilot provinces (autonomous regions, municipalities, and the same) in China by using the effective Vaccine management method developed by the World Health Organization (WHO). Methods EVM formatted questionnaire was used to evaluate the current status of vaccine management in four pilot provinces (autonomous regions, municipalities directly under the Central Government, the same as below). Transportation and reception of vaccines for 4 levels in 4 provinces with 38 units of E1, temperature monitoring, E2, storage capacity, construction equipment and transport, E5, E6, E7, E8, information systems and related support. The 9 indexes of sexual system management were evaluated and analyzed. Results the total average score of 9 indexes in all the units evaluated was E390, E390, E390, E390, E390, E390, E390, E390, E4E5E5E6E9, 880.4 provinces, E7E880.4, E390, E390, E390, E390, E390, E390, E390, E390, E5, E5, E6, E9, respectively. The score of the western province is 75%) lower than the total score of all the units (833%). The scores of the four grade units have statistical significance in the six indexes. Among them, city-level disease prevention and control center had lower score than total score of all units and 830.Conclusion the level of vaccine management in experimental provinces has basically met the requirements of WHO, but technical guidance for CDC vaccine management in western provinces and county-level areas is still needed.
【作者单位】：中国疾病预防控制中心免疫规划中心;湖北省疾病预防控制中心;北京市疾病预防控制中心;山东省疾病预防控制中心;新疆维吾尔自治区疾病预防控制中心;世界卫生组织驻华办事处;联合国儿童基金会驻华代表处;
【基金】：卫生部/联合国儿童基金会有效疫苗管理项目(项目号:0135YH603-01)
【分类号】：R186

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