珠海市免疫服务三位一体社区综合干预效果评估

Evaluation on the effect of trinity intervention model of vaccination services in Zhuhai city

目的探讨以财政奖励、健康教育和强化督导的三位一体模式对社区儿童计划免疫服务综合干预的效果,为政府公共卫生决策提供依据。方法选取2014年1月至2015年12月珠海高栏港经济区南水镇和平沙镇0~6岁儿童584人,随机分为两组,干预组288人,对照组296人。分别采用三位一体干预模式及传统宣教模式对两组儿童及其家长进行预防接种有关干预,比较两组儿童第一类疫苗接种情况及家长免疫接种知识知晓率。结果干预组第一类疫苗全程接种率为100.00%,儿童家长免疫接种知识总知晓率为99.72%,显著高于对照组(分别为90.88%和87.82%),差异有统计学意义(P<0.01)。结论将三位一体干预模式应用于预防接种工作中,能提高儿童第一类疫苗全程接种率及儿童家长预防接种知识知晓率。

Objective To study the effect of the 'trinity' intervention model which was composed of financial rewards, health education and strengthen supervision on immunization services for community children, and to provide the evidence of public health policy making for the government. Methods A total of 584 children aged 0-6 who were lived in Nanshui town and Pingsha town of Gaolangang economic district of Zhuhai city from January 2014 to December 2015 were selected as the objects of observation. The children were divided into intervention group and control group randomly. The children and their parents in the intervention group(n=288) adopted the 'trinity' intervention model and the control group(n=296) adopted traditional education model, respectively. The first class vaccination qualification rate and the awareness rates of parental immunization knowledge were compared between two groups. Results The vaccination qualification rate(100.00% vs. 90.88%) and the awareness rate of parental immunization knowledge(99.72% vs. 87.82%) in the intervention group were higher than those in the control group(all P<0.05). Conclusion The trinity intervention model could significantly improve the vaccination rate of children and the awareness rates of parents on vaccination.