| 李智文,任爱国,张乐,朱江辉,张业武,岳银花,刘秀文,弓俊萍,李云,李竹.山西省四县出生缺陷监测质量的评估[J].Chinese journal of Epidemiology,2006,27(3):208-211 |
| 山西省四县出生缺陷监测质量的评估 |
| Evaluation on birth defects surveillance system in four counties of Shanxi province,China |
| Received:September 08, 2005 |
| DOI： |
| KeyWord: 出生缺陷 监测 漏报 评估 |
| English Key Word: Birth defects Surveillance Missing report Evaluation |
| FundProject:国家“十五”科技攻关资助项目(2002BA709B11) |
| Author Name | Affiliation | E-mail | | LI Zhi-wen | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | | | REN Ai-guo | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | | | ZHANG Le | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | | | ZHU Jiang-hui | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | | | ZHANG Ye-wu | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | | | YUE Yin-hua | 山西省平定县妇幼保健院 | | | LIU Xiu-wen | 昔阳县妇幼保健院 | | | GONG Jun-ping | 太谷县妇幼保健院 | | | LI Yun | 泽州县妇幼保健院 | | | LI Zhu | Institute of Reproductive and Child Health, Peking University, Beijing 100083, China | lzh@public.bta.net.cn |
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| Abstract: |
| 目的 了解山西省出生缺陷高发的平定县、昔阳县、太谷县和泽州县出生缺陷监测系统的可靠性。 方法 2004年每个县各选取1个乡(镇), 由统一培训的乡村级调查员于2004年2-3月入户对2003年该地区的出生情况和出生缺陷病例进行调查与核实。 调查获得的出生数、出生缺陷数与监测系统上报的结果进行比较。 各县的监测出生数还要与当地其他部门收集的资料进行比较。 漏报评价标准为:抽样地区出生漏报应≤5%,重大体表畸形漏报≤10%。 此外, 北京大学医学部项目人员对部分监测点的基础卫生工作情况进行检查。结果 4个乡镇通过入户调查得到的出生数为1043人, 而监测系统上报的出生数为997人,漏报46人, 漏报率为4.4%。 调查共核实30例体表先天畸形病例, 而通过监测系统上报的先天畸形数为29例, 漏报1例, 漏报率为3.3%。4个县监测系统的出生数与当地出生人口资料估计的出生数相差1.2%。 对部分监测点的工作情况调查发现, 各监测点均有较为完善的卫生常规登记资料, 有专门负责出生缺陷监测工作的人员。 结论 山西省4个县出生缺陷监测系统尽管存在一定的出生和畸形病例的漏报, 但漏报率很低。 基层监测点具有较为完善的出生和畸形登记、上报和管理机制, 监测人员对于出生缺陷监测相关知识有所了解, 并且具备对于出生和畸形的记录和报告意识, 因此监测资料的来源较为可靠。 |
| English Abstract: |
| Objective To evaluate the reliability of the birth defects surveillance system in four
counties with high prevalence of birth defects ( Pingding,Xiyang, Taigu and Zezhou counties) in Shanxi
province,China. Methods One township was selected from each county as study site. The health workers
chosen from township or village level were trained to visit families on the outcomes of each pregnancy who
gave birth during year 2003 in the study site. The number of births and cases collected in the study were
compared with that from the surveillance system. The number of births reported by surveillance system in
four counties was also compared with the data from the local government. The criteria of evaluation were :
1) number of the missing report of births should ≤5 %,2) the number of missing report on major external
birth defects cases should ≤10 %. Researchers from the Peking University were responsible for examining
the quality of surveillance in some terminal units of surveillance system. Results The numbers of births
reported in the study and from the surveillance system for four2township were 1043 and 997,respectively.
46 births were missing and the rate of misreporting for births was 4.4%. The numbers of birth defects
cases reported in the study and from the surveillance system were 30 and 29,respectively. 1 case of birth
defect as missed,and rate of misreporting for birth defects cases was 3.3%. The total number of births
reported from surveillance was similar to that in the study in four counties,with a difference of 1.2%. Birth
registry data was rather readable and special health workers responsible for surveillance work were present in
all the terminal units of the surveillance system. Conclusion The misreporting of births and cases existed
in the birth defects surveillance system of the four counties in Shanxi province, but were lower than the
allowable criteria. The surveillance units had better registration,reporting and administration of births and
birth defect cases. Hence,the quality of the data from the surveillance system in these four counties was
reliable. |
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