2001 2002 2003 2004 2005-6 Financial and human resources            The salaries of all public health workers in county’s department of public health are fully government-funded. 7 5 7 20 18  Budget for cold-chain ≥ 0.1yuan/per capita 7 4 8.5 7 7  Mass immunization campaign are fully state-funded 4 3 0.5 1 1  Revenue generated from fee-for-service was retained with department of public health for sustainability of service 3 1 4 2 5  Subsidized salary to village doctors from government ≥ 30ұ ($4.5)/ m 4 2 5 10 9  County EPI staff ≥ 1/100,000 population 3 0 1.5 1 1  Township EPI staff ≥ 1/ 10,000 population 4 2 2 2 2  Village doctor ≥ 1/ village 2 0 2 2 2  County-wide EPI inspection ≥ 4 / year 2 2 2 2 2 Capacity and system building            An separated branch exclusively for EPI service at county department of public health 3 2 1.5 1 1  A computer exclusively operated by EPI staff ≥ 1/township 0 0 2 2 1  4 rooms exclusively for EPI available from all township health centersa 8 6 5 3 3  Professional development training for EPI staff ≥ 1 / year 0 10 1 1 2 Strategies and processes to improve immunization services            Well-defined action plan of measles control 12 2 7 4 7  Active and sensitive AFP surveillance 5 6 4 2.5 8  Active reporting system on major notifiable infectious diseases 0 2 5 2.5 3.5  100 % newborns with immunization registration 3 1 0 11 4  Operation of cold-chain ≥6 rounds / year 16 1 1 0.5 0.5  Immunization coverage obtained by survey ≥ 85%b 3 20 16 7.5 6  Hepatic B coverage with 3 doses ≥85%c 4 6 3 1.5 1.5  Catch-up immunization service for unregistered children 0 5 5 4 4  Satisfactorily documented procedure of safety injection 0 0 1 0.5 0.5  Documented procedure of vaccine and vaccination management 0 8 5 7.5 6.5  Routinely conducting education campaign on immunization service 6 5 5 2.5 2.5  EPI review and evaluation at township level ≥ 12 / year 4 7 6 2 2 Total 100 100 100 100 100 Note: The weight of each item was reviewed and revised annually to reflect the major issues to be addressed at different stages of disease control and elimination. EPIinfo, comprehensive information system collecting data pertaining to Expanded Program on Immunization (EPI). aOffice, vaccine store, waiting or education room, and immunization room. bThe province-wide professional development program on measles was initiated in 2002, requiring extra financial and logistic support for staff training programs from local governments and health agencies. The training program was successfully completed, and the weight was reduced accordingly in the following years. cCoverage defined as 1-dose coverage among children 1–6 years old.

Table 2: Information collected by the EPI surveillance system and quantitative weight assigned to each item, Guangxi, China, 2001 – 2006.

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