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目的:了解农村地区儿童保健系统管理和预防接种情况,找出存在的问题,提出改进措施。方法:采取多阶段分层随机抽样方法,通过自行设计的儿童系统管理保健情况和预防接种情况调查表对抽取的样本户入户进行定量调查。结果:97.8%的产后访视工作由村卫生室和乡镇卫生院进行,受访儿童建卡率100.0%,所有儿童家长均对儿童保健服务表示满意。绝大部分儿童按时接种疫苗,95.5%的儿童在乡镇卫生院/社区卫生服务中心接种,卫生机构和儿童家长均认为较好的通知接种方式是预约和发送通知单。结论:调查地区儿童保健管理工作较系统和全面,预防接种工作开展较好,但仍需提高乡、村两级医疗机构的应急反应能力和医疗水平。
OBJECTIVE: To understand the management and vaccination of child health care system in rural areas, find out the existing problems and propose improvement measures. Methods: A multi-stage stratified random sampling method was used to quantitatively investigate the sample households’ households through self-designed questionnaire of management and health care of children’s system and vaccination situation. Results: 97.8% of postpartum visits were conducted by village clinics and township hospitals. The rate of children being interviewed was 100.0%, and all the parents of children were satisfied with the child health services. Most of the children are vaccinated on time and 95.5% of the children are vaccinated at township hospitals / community health centers. Both health agencies and children’s parents consider that the better way to inform is to make an appointment and send a notification. Conclusion: The management of child health care in the surveyed areas is systematic and comprehensive, and the vaccination work is better. However, it still needs to improve the emergency response capacity and medical care level of medical institutions at the township and village levels.