成都市城乡基层免疫规划现况

Urban and Rural Primary Immunization Status in Chengdu

目的通过了解成都市城乡基层免疫规划开展现况,分析城乡免疫规划服务不均等原因,为政府决策提供有针对性建议。方法在成都市按经济发展状况划分为的3个圈层,每圈层随机选取2个区县,共抽取8家社区卫生服务中心,8家乡镇卫生院,开展免疫规划日常工作、接种率等调查,采用描述性流行病学方法进行分析。结果基层人力资源欠缺,部分城区接种点Ⅱ类疫苗过度接种,二、三圈层卫生院免疫规划日常管理达标率偏低,全市扩免疫苗接种率不高。结论二、三圈卫生院与一圈层社区卫生服务中心差距依然明显,建议增加免疫规划专项补贴、加强人力资源建设、加强基层督导与管理。

Objective To understand the urban and rural primary immunization status in Chengdu, analyze the reasons of urban-rural immunization inequality, provide targeted recommendations for government decision-mak- ing. Methods According to the economic development, 3 circles were divided in Chengdu, 2 distrids were ran- domly selected from each circle, totally 8 community health centers and 8 township hospitals were selected to conducted the survey on routine immunization program, vaccination rate, etc. Descriptive epidemiological methods were used for analysis. Results The primary immunization was lack of human resource, and in part of urban vaccination sites, the class ]l vaccines were over-vaccinated. Health centers in the second and third cir- cles, the compliance rate of immunization daily management was low. The city＇s EPI vaccination rate was not high. Conclusion The gap between health centers in the second, third circles and community health centers in the first circle is still apparent. It suggests that government should increase the immune programming specific subsidies, strengthen human resources construction, primary supervision and management.