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目的了解陕西省山区留守儿童监护人预防接种知识、态度、行为(knowledge,attitude and practice,KAP)现状,为制定预防接种干预策略提供依据。方法对该项目县10个项目镇,每个项目镇随机抽取3个行政村,每个村有7岁以下儿童家庭作为调查对象,随机调查10户。共完成儿童监护人预防接种情况KAP调查表300份。结果74.7%的儿童监护人知道预防接种的时间,62.3%的儿童监护人是通过村医通知进行接种,87.3%的儿童监护人知道儿童在1个月内要办理接种证,73.3%的儿童监护人知道上学要提供预防接种证,55.0%的儿童监护人知道去外地接种也是免费的,42.3%的儿童监护人能正确回答麻疹相关知识;99.3%的儿童监护人认为接种对儿童有好处;67.0%的儿童监护人会主动咨询儿童预防接种情况;95.7%的儿童监护人信任医生讲述的预防接种知识。结论项目县儿童监护人对预防接种认可度高,但对预防接种知识掌握不够,自主接种意识较低。要针对不同人群制定相应的干预策略,提高儿童监护人的接种意识。
Objective To understand the status quo of knowledge, attitude and practice (KAP) among guardians of left-behind children in mountainous areas of Shaanxi Province and provide the basis for making preventive vaccination strategies. Methods Three administrative villages were randomly selected from 10 project towns and each project town of the project county. Each village had children under 7 years of age as survey subjects and 10 households were randomly surveyed. A total of 300 KAP questionnaires on child guardian vaccination were completed. Results 74.7% of children’s guardians knew the time of vaccination, 62.3% of children’s guardians were vaccinated through village doctor’s advice, 87.3% of children’s guardians knew that children were going to be vaccinated within 1 month, and 73.3% of children’s guardians knew that going to school Provide vaccination certificate, 55.0% of the guardians of children know that vaccination is free, 42.3% of guardians of children can correctly answer the knowledge about measles; 99.3% of guardians of children think vaccination is good for children; 67.0% of guardians of children will take the initiative to consult 95.7% of children’s guardians trust the doctor’s vaccination knowledge. Conclusion The children guardians in project counties have high acceptance of vaccination, but they have not enough knowledge of vaccination and low awareness of self-vaccination. To different populations for the development of appropriate intervention strategies to raise childcare guardianship awareness.