在国家免疫计划信息系统中记录的信息的可靠性
José Cássio de Moraes1, Ana Paula França1, Ione Aquemi Guibu1
1Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brasil.
概括
巴西国家免疫计划信息系统 (SI-PNI) 的数据可靠性显示了一些小差异,但突出了记录不足的问题. 提高SI-PNI数据质量对于准确的儿童疫苗接种覆盖率估计至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生信息系统 卫生信息系统
背景情况:
- 国家免疫计划信息系统 (SI-PNI) 对于监测巴西的疫苗接种覆盖率至关重要.
- 评估SI-PNI数据与疫苗接种卡的准确性对于可靠的公共卫生监测至关重要.
- 之前的研究表明,免疫注册表中的数据质量可能存在问题.
研究的目的:
- 通过与疫苗接种卡进行比较,评估SI-PNI中疫苗接种记录的可靠性.
- 分析SI-PNI和疫苗接种卡之间的协议和记录剂量和日期之间的差异.
- 在SI-PNI中确定儿童和疫苗接种事件未充分记录的程度.
主要方法:
- 从全国调查中选择了4050名24个月完整疫苗接种计划的儿童的子样本.
- 在SI-PNI和个人疫苗接种卡之间比较了疫苗接种剂量和日期的数据.
- 进行了统计分析,以确定协议率,并确定两个数据源之间的差异.
主要成果:
- 在研究的4050名儿童中,有11%的儿童没有被记录在SI-PNI中.
- 32%的儿童在SI-PNI中没有记录疫苗接种剂量或日期.
- 接种卡和SI-PNI记录之间的总体一致性为86%,在分析单个剂量时有显著差异.
结论:
- 虽然总体一致性很高,但SI-PNI中儿童和疫苗接种事件的记录不足令人担忧.
- 数据的差异可能导致对儿童疫苗接种覆盖率的不准确估计.
- 提高数据质量和解决SI-PNI中的不足记录对于有效的免疫计划监测至关重要.
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