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目的评价中国(未包括香港、澳门特别行政区和台湾地区,下同)2009年儿童预防接种信息管理系统(Childhood Immunization Information Management System,CIIMS)实施情况。方法对中国2009年CIIMS收集的儿童预防接种个案和国家终审的用户档案表进行分析。结果 2009年全国省(自治区、直辖市,下同)级CIIMS实施率为90.32%(28/31),以县(区、市、旗,下同)为单位实施率为78.02%(2307/2957),以乡(镇、街道、苏木,下同)为单位实施率为69.70%(30008/43056)。以县为单位实施率≥90%的省有17个,比2008年多15个;以乡为单位实施率≥90%的省有15个,比2008年多12个。东、中、西部地区以县为单位CIIMS实施率分别为76.94%、75.09%、81.70%,以乡为单位CIIMS实施率分别为71.47%、70.52%、67.86%。共38213个预防接种单位有数据上传权限,客户端软件共收集儿童个案68746788条,<6岁儿童CIIMS覆盖率为71.44%。结论为保证CIIMS正常运转,应增加系统建设经费投入,构建独立的CIIMS平台,提高数据质量是非常必要的。
Objectives To evaluate the implementation of the 2009 Childhood Immunization Information Management System (CIIMS) in China (excluding Hong Kong, Macau Special Administrative Region and Taiwan). Methods Analyzed the childhood vaccination cases collected by China CIIMS in 2009 and the national archives of final users. Results The implementation rate of CIIMS in all provinces (autonomous regions and municipalities directly under the Central Government and the same below) was 90.32% (28/31) in 2009 and 78.02% (2307/2957) in units of counties (districts, cities and prefectures) , And the implementation rate of township (town, street, hematoxylin, the same below) is 69.70% (30008/43056). There are 17 provinces with an implementation rate of ≥90%, 15 more than in 2008; 15 provinces with a rate of ≥90%, 12 more than in 2008. The implementation rates of CIIMS in counties in the eastern, central and western regions are respectively 76.94%, 75.09% and 81.70%. The CIIMS implementation rates in rural areas are 71.47%, 70.52% and 67.86% respectively. A total of 38,213 vaccination units have data upload permissions, client software collected a total of 68,746,788 cases of children, CIIMS coverage of children <6 years of age was 71.44%. Conclusion In order to ensure the normal operation of CIIMS, it is necessary to increase system investment, build an independent CIIMS platform and improve data quality.