Hu Yu, Zhang Xinpei, Li Qian, Chen Yaping
Institute of Immunization and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310021, China.
Shangyu District Center for Disease Control and Prevention, Shangyu 312300, China.
Int J Environ Res Public Health. 2016 Nov 18;13(11):1158. doi: 10.3390/ijerph13111158.
To evaluate the immunization data quality in Shangyu District, East China. An audit for immunization data for the year 2014 was conducted in 20 vaccination clinics of Shangyu District. The consistency of immunization data was estimated by verification factors (VFs), which was the proportion of vaccine doses reported as being administered that could be verified by written documentation at vaccination clinics. The quality of monitoring systems was evaluated using the quality index (QI). The VFs of 20 vaccine doses ranged from 0.94 to 1.04 at the district level. The VFs for the 20 vaccination clinics ranged from 0.57 to 1.07. The VFs for Shangyu District was 0.98. The mean of total QI score of the 20 vaccination clinics was 80.32%. A significant correlation between the VFs of the 3rd dose of the diphtheria-tetanus-pertussis combined vaccine (DTP) and QI scores was observed at the vaccination clinic level. Deficiencies in data consistency and immunization reporting practice in Shangyu District were observed. Targeted measures are suggested to improve the quality of the immunization reporting system in vaccination clinics with poor data consistency.
为评估中国东部上虞区的免疫接种数据质量，对上虞区20家预防接种门诊2014年的免疫接种数据进行了审核。通过核实因子（VF）评估免疫接种数据的一致性，核实因子是指在预防接种门诊可通过书面记录核实的已报告接种疫苗剂量的比例。使用质量指数（QI）评估监测系统的质量。在区级层面，20种疫苗剂量的核实因子范围为0.94至1.04。20家预防接种门诊的核实因子范围为0.57至1.07。上虞区的核实因子为0.98。20家预防接种门诊的总质量指数得分均值为80.32%。在预防接种门诊层面，观察到白喉-破伤风-百日咳联合疫苗（DTP）第3剂的核实因子与质量指数得分之间存在显著相关性。观察到上虞区在数据一致性和免疫接种报告实践方面存在不足。建议采取针对性措施，以提高数据一致性较差的预防接种门诊的免疫接种报告系统质量。
