疫苗免费后对基层免疫规划工作的影响

Influence on EPI after Vaccines Free of Charge in Grass Roots

目的探讨基层免疫规划工作在疫苗免费后的影响因素,为卫生行政部门决策提供依据。方法对漯河市召陵区疫苗免费后区、乡、村三级免疫规划工作进行调查,比较免费前后工作成效,提出今后工作努力方向。结果召陵区疫苗免费后区、乡、村三级免疫规划工作经费投入来源、工作模式发生了变化,工作成效有明显提升。结论疫苗免费后给基层免疫规划工作带来了机遇和挑战,建立长效的经费投入机制及有效的工作管理机制是基层免疫规划工作健康发展的关健。

[ Objective ] To explore the influencing factors of vaccines free of charge on Expanded Programme on Immunization （ EPI） of brass roots, and provide evidence for health authorities decision-making. [ Methods ] EPI in Shaoling District of Luohe City was investigated before and ＇after the vaccines free of charge, the work effectiveness was compared, and direction for future work was proposed. [ Results] District, township and village levels EPI funding sources and work pattern had changed and the work effectiveness had significantly enhanced after vaccine free of charge. [ Conclusion] Vaccines free of charge brings both opportunities and challenges in EPI of grass roots, establishment of a long-term funding mechanism and an effective management mechanism are the key of EPI development in a healthy way.