黔西南州计划免疫工作现状调查及对策探讨

Survey and discussion on immunization work and plan of Qianxinan

目的了解黔西南州计划免疫工作现状,推动计划免疫工作持续发展。方法采用分层整群抽样法调查2002-2004年各县儿童720名,查阅接种资料。结果全州平均建卡率为76.53%,建证率为38.89%,卡介苗接种率为71.25%,卡痕合格率为48.08%,脊髓灰质炎疫苗接种率为66.53%,百自破接种率为60.42%,麻疹疫苗接种率为55.69%。乙肝疫苗接种率为43.13%,乙肝疫苗首针及时接种率为4.22%,四苗全程合格接种率为40.42%。结论黔西南州计划免疫工作严重滑坡,需从政策、经费、管理等方面提出相应的对策才能扭转下滑趋势。

Objective The present investigation was conducted to understand the current immunization work of Qianxinan and to promote the development of expend programme immunization （EPI）. Methods Stratified cluster sampling survey of 2002 children from 720 counties was conveyed and EPI information consulted. Results Statewide average rate of cards built was 76.53%, rate of identification 38.89%, BCG vaccination rate 71.25% and pass rate of card marks 48.08%. Polio vaccination rate was 66.53%, DPT vaccination rate 60.42%, Measles vaccination rate 55.69%, hepatitis B vaccination rate 4.3.13%, the first dose coverage rate 4.22% and four vaccinations＇ qualified rate 40.42%. Conclusion Qianxinan had a serious setback of EPI work. Policy, funding, management, and other aspects are needed to reverse the downward trend.