北京市朝阳区外来学龄前儿童免疫规划管理现状及对策

Immunization Situation and Policy for Immigrating Pre-school Children in Chaoyang District of Beijing

目的了解北京市朝阳区外来儿童免疫规划管理现状,为采取有效措施提高儿童规范免疫接种水平提供参考。方法在朝阳区辖区范围内搜索外来学龄前儿童共46907人,调查儿童的预防接种情况。结果在调查地居住2个月以上外来儿童建卡率和建证率分别为65.2%和76.7%,建卡率低于建证率;外来儿童基础第一剂糖丸漏种率明显高于基础第二、三剂,但零剂次外来儿童中,83.9%属于已接种但无记录的情况;外来儿童麻疹、三联、流脑和乙脑疫苗的零剂次率分别为23.5%,23.9%,26.1%和27.1%。结论外来儿童预防接种卡证管理水平较低,制约了免疫规划管理质量的提高。

Objective To investigate the immunization situation of immigrating pre-school children living in the Chaoyang district of Beijing in order to provide effective measures to improve the standard irmntmizatlon coverage in children. Methods 46 907 inunigrating pre-school children living in the Chaoyang District were investigated in details about their inmaunization situation. Results Among the children residing in the district over 2 months, 65.2 % of them had immunization cards and 76.7 % had irtanunization certificates ; Percentage of missing the first poliovirus vaccine was higher than that of the second and third ones, however, in the children who seemed to have none vaccination, 83.9% had taken with only no documents; Percentage of the other routine immunized vaccines were listed as： Measles （23.5 % ）, DTP （23.9% ）, Meningitis （26.1%） and Encephalitis B （27.1% ）. Conclusion Immunization cards or certificate＇s management over immigrating pre-school children is weak, which restricts the quality improvement of immunization management.