MMWR Morb Mortal Wkly Rep. 2018 Jul 6;67(26):742-746. doi: 10.15585/mmwr.mm6726a3.
In 2013, during the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR), the 11 SEAR countries* adopted goals to eliminate measles and control rubella and congenital rubella syndrome by 2020 (1). To accelerate progress in India (2,3), a phased nationwide supplementary immunization activity (SIA) using measles-rubella vaccine and targeting approximately 410 million children aged 9 months-14 years commenced in 2017 and will be completed by first quarter of 2019. To ensure a high-quality SIA, planning and preparation were monitored using a readiness assessment tool adapted from the WHO global field guide** (4) by the India Ministry of Health and Family Welfare. This report describes the results and experience gained from conducting SIA readiness assessments in 24 districts of three Indian states (Andhra Pradesh, Kerala, and Telangana) during the second phase of the SIA. In each selected area, assessments were conducted 4-6 weeks and 1-2 weeks before the scheduled SIA. At the first assessment, none of the states and districts were on track with preparations for the SIA. However, at the second assessment, two (67%) states and 21 (88%) districts were on track. The SIA readiness assessment identified several preparedness gaps; early assessment results were immediately communicated to authorities and led to necessary corrective actions to ensure high-quality SIA implementation.
2013 年，在第 66 届世界卫生组织（世卫组织）东南亚区域委员会（东南亚区域）会议期间，11 个东南亚区域国家*通过了到 2020 年消除麻疹和控制风疹及先天性风疹综合征的目标（1）。为加快印度的进展（2,3），2017 年开始在全国分阶段开展使用麻疹-风疹疫苗的补充免疫活动（SIA），目标人群为约 4.10 亿 9 月龄-14 岁儿童，并将于 2019 年第一季度完成（2,3）。为确保 SIA 高质量实施，印度卫生和家庭福利部使用世卫组织全球现场指南（4）中的准备情况评估工具对规划和筹备情况进行监测（4）。本报告介绍了在印度三个邦（安得拉邦、喀拉拉邦和特伦甘纳邦）的 24 个地区开展 SIA 准备情况评估的结果和经验，这些地区是 SIA 的第二阶段。在每个选定地区，评估在 SIA 前 4-6 周和 1-2 周进行。第一次评估时，没有一个邦和地区的准备工作符合 SIA 要求。然而，第二次评估时，两个邦（67%）和 21 个区（88%）符合要求。SIA 准备情况评估发现了一些准备差距；早期评估结果立即通报给当局，并采取必要的纠正措施，以确保 SIA 高质量实施。
