2016年云南省普洱市常规免疫接种率监测结果评价分析

目的 了解云南省普洱市2016年常规免疫接种率监测工作情况，评价分析其常规免疫接种率水平、接种率质量并分析原因。方法 选取普洱市2016年EPI报告卡介苗（BCG）、乙肝疫苗（HepB）、脊灰疫苗（OPV）、百白破疫苗（DPT）和A群流脑疫苗（MPV - A）常规免疫接种数据，采用估算接种率、D值法、R值法、脱漏率等方法对报告接种率的可靠性进行评价分析。结果 普洱市2016年常规免疫接种率监测报告县、乡两级报告率都为100%；普洱市10县（区）BCG、HepB、OPV、DPT和MPV - A疫苗报告接种率在97.07%～100.00%之间，估算接种率在52.68%～175.60%之间。D 值评价，全市BCG为可信，OPV为可疑，HepB、DPT和MPV - A为不可信。R值评价，全市3BCG/HepB、3BCG/OPV、3BCG/DPT均为可疑。脱漏率评价，全市DPT、HepB 和OPV脱漏率都大于或接近10%。结论 普洱市常规免疫接种率保持在较高水平， R值评价、D值评价及脱漏率评价都提示可能存在接种率虚高与接种不完整的问题。

Evaluation and analysis on the results of routine immunization coverage in 2016 in Pu'er city of Yunnan province

Objective The aim of this study was to investigate the monitoring of routine immunization rate in Pu'er, Yunnan province in 2016, and to evaluate and analyze the level, quality and causes of routine immunization coverage. Methods the routine immunization data of Bacille Calmette-Guerin (BCG), hepatitis B vaccine (HepB), polio vaccine (OPV) poliomyelitis vaccine (DPT) and group A meningitis vaccine (MPV-A) were reported by EPI in Pu'er city in 2016. The reliability of the reported coverage rate was evaluated and analyzed by the methods of leak removal rate and so on. Results The reported rates of routine immunization coverage in Pu'er city in 2016 were 100, and the reported rates of BCG, HepB, OPV, DPT and MPV-A vaccine in 10 counties(districts) of Pu'er city were between 97.07% and 100%, and the estimated vaccination rates were between 52.68% and 175.6%. The BCG in the whole city was dubious. The evaluation of DPT and MPV-A were not credible. The 3BCG/Hep, 3BCG/OPV and 3BCG/DPT were all suspicious. The leakage rate of DPT, HepB and OPV were higher than or close to 10%. Conclusion The routine immunization coverage rate in Pu'er was kept at a high level. The evaluation of D value, R value and the evaluation of leakage rate indicated that there might be some problems of false high coverage rate and incomplete inoculation.