入学入托儿童查验接种证制度的可行性研究

Feasibility of Administering Entry Immunization Among Children

目的了解儿童入学入托查验接种证制度的执行现况及其影响因素,为儿童预防接种工作的顺利开展提供可行性依据。方法采用多级整群抽样方法问卷调查黔东南州996名儿童家长,并分别组织卫生、教育部门相关人员进行专题小组讨论和深入访谈。结果95.0%以上的家长认为接种证有用;94.8%的家长认为入学、入托查验接种证有意义。3.6%的家长认为查验接种证没必要,这部分家长认为接种记录没有了,可能会导致盲目补种进而影响孩子身体健康;另外,担心负担不了接种费用。卫生部门持赞同意见;教育部门也认为很有必要,但顾虑凭接种证入学可能会影响入学率。结论尽管实施入学入托查验接种证制度存在诸多问题和困难,但仍应该大力推行该制度。

Objective To study the present situation of administering entry immunization and the influencing factors, and to provide feasible bases for children＇ s preventive immunization. Methods Multi-strategy cluster sampling method was using to choose 996 children＇ s parents. Officeholders coming from education department and health department were invited to take part in the focus group discussion and depth-interview. Results About 95.0% of parents thought the immunization certificates were useful; 94.8% of them thought the requirement was necessary. About 3.6% of them thought that it was not necessary for the reasons of that repetition immunization would affect health and the costs of immunization. The health department expressed a favorable opinion. Though the education department thought the requirement was necessary, but they worried about the influences to entry rate. Conclusion In spite of lots of difficulties in administering entry immunization requirement, entry immunization requirement could be administered.