论文部分内容阅读
目的了解丹阳市适龄流动儿童免疫规划管理和疫苗接种现状,探讨实现免疫预防服务均等化的对策。方法制订流动儿童免疫预防管理调查表,在项目试点地区调查走访适龄儿童家长,应用EpiData Docment数据处理系统统计分析。结果 3个乡镇政府和25行政村(居委会)均未针对流动人口实施相关管理措施;3所卫生院及其下属14个社区卫生服务站未完全落实适龄流动儿童免疫规划管理工作措施,经费投入严重不足;调查6岁以下流动儿童360名,建帐率66.39%;流动儿童登记率、告知率为64.72%和58.61%,3镇间登记率、告知率的差异有统计学意义;流动儿童基础免疫接种率为67.44%～75.08%,301名12月龄以上流动儿童基础免疫接种率平均为37.54%,且3镇间差异有统计学意义。结论流动儿童在享受国家免疫规划政策上与常住儿童存在明显的差距。必须由各级政府协调多部门共同参与,建立工作责任制,落实工作经费,规范免疫规划服务人员行为,从而提高适龄流动儿童免疫规划参与率和疫苗接种率,实现基本公共卫生服务均等化。
Objective To understand the status quo of immunization program management and vaccination for migrant children of appropriate age in Danyang City and to explore ways to achieve equalization of immune prevention services. Methods To develop a questionnaire on immunoprophylaxis management for migrant children and to investigate parents of school-age children in the pilot areas of the project and to make statistical analysis using the EpiData Docment data processing system. Results None of the three township governments and 25 administrative villages (neighborhood committees) implemented relevant management measures for the floating population. Three hospitals and their subordinate community health service stations did not fully implement the measures for management of immunization programs for children of the age group, The number of floating children was 64.72% and 58.61% respectively. There were significant differences in the registration rate and the notification rate among the three towns. The basic immunization of migrant children The inoculation rates ranged from 67.44% to 75.08%. The average basic immunization rate of 301 children aged 12 months and over was 37.54%. There was significant difference among the 3 towns. Conclusions There is a clear gap between migrant children and resident children in enjoying the national immunization program policy. It is necessary for governments at all levels to coordinate the participation of multiple departments, establish a work accountability system, implement the work budget, and regulate the behavior of immunization planning service personnel so as to raise the participation rate and vaccination coverage of immunization programs for migrant children of the appropriate age so as to achieve equalization of basic public health services.