Bass A G
Child Survival Support Project, Port Moresby, Papua New Guinea.
P N G Med J. 1993 Jun;36(2):141-57.
Papua New Guinea has been providing expanded immunization services for more than 14 years. While immunization coverage has risen dramatically, recent surveys have raised serious questions regarding vaccine potency at the service delivery level. Operational practices in vaccine distribution and in the delivery system have been identified in this paper. The international and national standards for vaccine management are described along with the main requirements for maintaining vaccine potency. Quality assurance measures, the responsible personnel and the appropriate intervention points are detailed, along with easily applied guidelines for implementation. An approach to assessing the effectiveness of the quality assurance measures is proposed.
巴布亚新几内亚提供扩大免疫服务已有14年多时间。虽然免疫接种覆盖率大幅提高，但最近的调查对服务提供层面的疫苗效力提出了严重质疑。本文确定了疫苗分发和交付系统中的操作规范。介绍了疫苗管理的国际和国家标准以及维持疫苗效力的主要要求。详细说明了质量保证措施、责任人员和适当的干预点，以及易于应用的实施指南。提出了一种评估质量保证措施有效性的方法。
