This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria hav...This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria have made concerted efforts towards improving the standard of living of the citizenry through the execution of various welfare or social intervention programmes,but not much successes were recorded.Learning from the mistakes of the past regimes,and by way of deliberate state policy,the Buhari’s government initiated a multi-pronged social investment policy,one of which is the N-power programme that came onboard in 2016,which also doubles as the subject of this study.To achieve the goal of this study,a combination of desktop research and survey design was employed.Questionnaires were administered to 390 respondents through a combination of stratified and random sampling techniques.The results of the survey were matched with that of the secondary data obtained through online websites and other related sources.The result indicated that N-Power made positive contributions to the socio-economic life of the beneficiaries in Benue State:specifically,the scheme contributed in poverty eradication,employment generation,skills acquisitions and capacity building.However,some aspect of our findings revealed that the programme has a number of challenges such as:inadequate cash support,delay in monthly cash transfer to beneficiaries,distance participants had to move to their work stations,absence of posting in N-Teach scheme,and lack of adequate working tools amongst others.To salvage this problem the paper recommended the following solutions:expansion of the scheme to cover N-Teach and other aspects,increment in the monthly cash transfer to cushion the high rate of inflation,support for the participants/beneficiaries in transportation and logistics,enrolment of more youth into the various schemes,proper monitoring and evaluation of the implementation of the schemes amongst others.展开更多
Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) a...Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) aim to optimise appropriate antibiotic treatment whilst minimising antibiotic resistance. Different models of ASP in intensive care setting, include "standard" control of antibiotic prescribing such as "de-escalation strategies"through to interventional approaches utilising biomarkerguided antibiotic prescribing. A systematic review of outcomes related studies for ASPs in an ICU setting was conducted. Forty three studies were identified from MEDLINE between 1996 and 2014. Of 34 nonprotocolised studies, [1 randomised control trial(RCT), 22 observational and 11 case series], 29(85%) were positive with respect to one or more outcome: These were the key outcome of reduced antibiotic use, or ICU length of stay, antibiotic resistance, or prescribing cost burden. Limitations of non-standard antibiotic initiation triggers, patient and antibiotic selection bias or baseline demographic variance were identified. All 9 protocolised studies were RCTs, of which 8 were procalcitonin(PCT) guided antibiotic stop/start interventions. Five studies addressed antibiotic escalation, 3 de-escalation and 1 addressed both. Six studies reported positive outcomes for reduced antibiotic use, ICU length of stay or antibiotic resistance. PCT based ASPs are effective as antibiotic-stop(de-escalation) triggers, but not as an escalation trigger alone. PCT has also been effective in reducing antibiotic usage without worsening morbidity or mortality in ventilator associated pulmonary infection. No study has demonstrated survival benefit of ASP. Ongoing challenges to infectious disease management, reported by the World Health Organisation global report 2014, are high AMR to newer antibiotics, and regional knowledge gaps in AMR surveillance. Improved AMR surveillance data, identifying core aspects of successful ASPs that are transferable, and further well-conducted trials will be necessary if ASPs are to be an effective platform for delivering desired patient outcomes and safety through best antibiotic policy.展开更多
It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among thos...It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among those,teachers play an indispensable role due to the fact that it is the teachers who are capable of turning conceptions into actions,who get students engaged and bridge and gap between the goals of the programme and the reality in classroom. This paper is an attempt to outline a detailed picture to demonstrate how to offer effective training courses which can enable teachers to play"multiple roles"to make great contribution to the development of an ER project.展开更多
This study sets the objective to involve undergraduate students in the evaluation of radiologic sciences and medical imaging technology programmes in Sudanese universities. Based on the analysis of survey results in w...This study sets the objective to involve undergraduate students in the evaluation of radiologic sciences and medical imaging technology programmes in Sudanese universities. Based on the analysis of survey results in which the participants (BSc students undertaking radiologic sciences and medical imaging technology programmes at university level) are asked to answer both closed and open-ended questions, the study seeks to reveal the participants’ perceptions and introspections about the radiologic sciences and medical imaging technology programmes in Sudan. It also attempts to explore the participants’ suggestions and recommendations as to enhance the quality of these programmes with an eye to helping syllabus designers to improve these programmes, thereby bettering healthcare services for the larger good to the community. A brief cross-sectional survey is completed by a total of 105 radiologic sciences and medical imaging technology students, i.e. 39 (37.1%) third-year students and 66 (62.9%) fourth-year students. The majority of participants is satisfied with the programmes, indicating that they are up-to-date and ran abreast with the latest developments in the field. Very few suggest that the programmes should be reviewed for revision, implying that there is room for improvement. Some participants recommend that more training hours in modern imaging modalities (e.g. MRI, CT and U/S) should be introduced. Only one participant recommends the introduction of advanced training centres.展开更多
Climate change is a major global environmental and developmental challenge and climate proofing of vulnerable sectors, programmes, natural systems and communities by integrating adaptation and mitigation options into ...Climate change is a major global environmental and developmental challenge and climate proofing of vulnerable sectors, programmes, natural systems and communities by integrating adaptation and mitigation options into planning process are increasingly becoming an integral part of development. The basic premises on which this could happen are the national and sectoral policies that govern any programmes and actions implemented on ground. This study reviews existing policies, plans and programmes and their implications for climate change. Based on the analyses, key areas of research, policy initiatives and institutional and capacity development needs have been identified, to facilitate climate change adaptation. The forest policies formulated so far in India have been broadly aimed at conservation, reduction of pressure on forests and provisioning of biomass to the large forest dependent population for their fuel and fodder needs apart from generating revenue through production and sale of timber. However, these have not been formulated with climate change as a consideration and therefore may become less effective as climate change and its impacts become increasingly evident. The study clearly identifies that the current policies and programmes have elements/features and activities that directly or indirectly contribute positively towards adaptation, although the primary implications are towards biodiversity and to some extent ecosystem functioning. It finally highlights the need for incorporating climate change concerns in forest sector development programmes and also to address the issue of climate change.展开更多
The analysis is targeted on the financial impact of non-compliance to rules for European Union （EU） funding in thefield of research in quantitative terms, by examining statistical documents prepared by the European ...The analysis is targeted on the financial impact of non-compliance to rules for European Union （EU） funding in thefield of research in quantitative terms, by examining statistical documents prepared by the European Commissionwhich are available for the public and relate to the period 2008-2016. It is to be noted that these statisticaldocuments use the terminology of irregularity instead of error and it is seen as any breach of rules that may lead toa financial impact and to damage on the budget of the European Union. Details related to error and irregularityterms are included in this paper. In the research on the impact of irregularities for EU research funding, severaltasks were accomplished, such as highlighting the evolution of irregularities during the period under study, acomparison between reported irregularities in the research field and other EU policy areas for one year where thefinancial impact is the highest and an analysis of the types of irregularities identified by the statistical evaluationdocuments on irregularities.展开更多
Many issues and challenges are faced by the managers programmes today. Although many previous researches on and professionals in managing sport and recreation service quality provided by the organizations had been exp...Many issues and challenges are faced by the managers programmes today. Although many previous researches on and professionals in managing sport and recreation service quality provided by the organizations had been explored, very few studies pertaining to service quality in sport and recreation programmes in local hotels and resorts have been emphasized. This study aims to assess customers＇ perceptions of service quality in sport and recreation programmes and to determine the differences between customers＇ perceptions of service quality in terms of their gender and nationality. A total of 450 respondents from the hotels and resorts located in coastal areas of the northern Peninsular Malaysia participated in the survey. They were asked to respond to a series of the adapted service quality （SERVQUAL） items to measure five dimensions of service quality including tangibles, assurance, responsiveness, reliability, and empathy. Results from this study revealed that the customers＇ perceptions of the overall services in sport and recreation programmes provided by the hotels and resorts were satisfactory. It was also indicated that there was no significant difference between male and female customers＇ perceptions of service quality in sport and recreation programmes. Conversely, the results revealed that there was a significant difference between local and foreign customers＇ perceptions of sport and recreation services provided. These findings had implications on sport and recreation programmes in relation to designing effective management and marketing strategies at hotels and resorts.展开更多
The paper presents findings from a study carried out to assess the contribution of stakeholders’participation on the performance of the national agricultural farmers’extension services programme in Uganda known as O...The paper presents findings from a study carried out to assess the contribution of stakeholders’participation on the performance of the national agricultural farmers’extension services programme in Uganda known as Operation Wealth Creation(OWEC).Specifically,the study sought to establish how participatory planning,budgeting,monitoring and evaluation(M&E)respectively contributed to the performance of OWC in selected district in central Uganda.The study adopted a cross-sectional survey design using both quantitative and qualitative data collection and analysis techniques and employed both questionnaires and interview guides on key participants in the programme.Findings of the study indicated positive relationships between stakeholders’participation and programme performance with participatory planning,budgeting and M&E all having positive significant effects on the performance of OWC programme.The study concluded that indeed stakeholders’participation contributed to improved performance of the OWC programme.The study recommends increased funding and M&E of the agricultural extension programmes for improved performance.展开更多
目的:评估2011—2020年四川省结核病防治经费投入产生的社会效益,为制定新时期中长期发展规划提供参考依据。方法:采用回顾性研究方法,从“结核病管理信息系统”和“传染病监测”系统中收集四川省2011—2020年(“十二五”和“十三五”期...目的:评估2011—2020年四川省结核病防治经费投入产生的社会效益,为制定新时期中长期发展规划提供参考依据。方法:采用回顾性研究方法,从“结核病管理信息系统”和“传染病监测”系统中收集四川省2011—2020年(“十二五”和“十三五”期间)涂阳肺结核患者治疗转归情况和肺结核患者劳动人口比例,结合四川省统计年鉴和全国结核病防治规划终期评估规划自评调查表等获取经费资料和人均国内生产总值(GDP),采用卫生经济学中常用的成本-效果、成本-效用、成本-效益等3种分析方法估算10年间结核病防治经费投入的社会效果、社会效用和社会效益,并对比分析“十二五”和“十三五”期间的估算结果。结果:2011—2020年,四川省共投入结核病防治经费76032.60万元,成功治疗涂阳肺结核患者160167例,避免了696899名健康人受到传染,挽救了1155277个伤残调整寿命年(disability adjusted life year,DALY),为社会节约医疗费用6.05亿元,挽回社会经济损失约370.32亿元。每投入1091.01元即可避免1名健康人被传染,每投入658.13元即可挽回1个DALY,每投入1元即可产生49.50元的社会经济效益。“十三五”期间带来的总社会效益(209.22亿元)较“十二五”期间(167.14亿元)增长了25.18%[(209.22-167.14)/167.14],但政府每投入1元的结核病防治经费产生的社会效益(47.56元)较“十二五”期间(52.17元)减少了4.61元。结论:2011—2020年间各级政府和国际项目对四川省结核病防控工作投入的经费产生了较好的社会效果、效用和效益。建议在保持目前经费投入力度的基础上,各级政府进一步加大投入,尤其对病原学阳性肺结核患者的发现和治疗管理力度,以期产生更高的社会效益。展开更多
Distance learning MBA programmes have increased tremendously in the past decade in selected Asian countries. This paper uses a stakeholders approach to conduct research on distance learning MBA programmes in Asian. Co...Distance learning MBA programmes have increased tremendously in the past decade in selected Asian countries. This paper uses a stakeholders approach to conduct research on distance learning MBA programmes in Asian. Conclusions of the research are then given.展开更多
目的了解北京市3岁前儿童非免疫规划(non-expanded programme on immunization,non-EPI)疫苗接种水平和变化趋势,为加强对非EPI疫苗管理提供参考。方法2023年9月1日,采用系统抽样方法随机抽取北京市免疫规划信息管理系统中2011、2014、2...目的了解北京市3岁前儿童非免疫规划(non-expanded programme on immunization,non-EPI)疫苗接种水平和变化趋势,为加强对非EPI疫苗管理提供参考。方法2023年9月1日,采用系统抽样方法随机抽取北京市免疫规划信息管理系统中2011、2014、2017和2020年的8月份出生的所有儿童个案,分析各年份抽样儿童3岁前接种非EPI疫苗的种类及户籍分布、首剂接种比例、全程免疫完成比例及其变化趋势。结果研究对象共108210名。非EPI疫苗总剂次分别为88019、109442、104451和130501剂次。研究对象3岁前水痘疫苗、肠道病毒71型灭活疫苗(EV71疫苗)和吸附无细胞百白破灭活脊髓灰质炎和b型流感嗜血杆菌(结合)联合疫苗(DTaP-IPV-Hib五联疫苗)首剂接种比例均逐年增加,由最初的<10%分别增加至82.20%、61.07%和39.20%;2020年研究对象中,接种总剂次居前5位的非免疫规划疫苗是13价肺炎疫苗、DTaP-IPV-Hib五联疫苗、EV71疫苗、5价轮状病毒疫苗和水痘疫苗,首剂接种比例分别为48.30%、39.20%、61.07%、30.58%和82.20%,京籍儿童均高于非京籍儿童(P<0.05);3岁前DTaP-IPV-Hib五联疫苗、EV71疫苗和5价轮状病毒疫苗在接种首剂后的多剂次疫苗的全程免疫完成比例分别为92.26%、96.56%和94.37%,京籍儿童均高于非京籍儿童(P<0.05)。结论北京市3岁前儿童非EPI疫苗接种数量和新疫苗种类不断增加,全程接种依从性较高。而在非EPI疫苗的首剂接种比例和非京籍儿童中均需进一步提高。建议开展相关影响因素研究,加强非免疫规划疫苗的技术指导,进一步提高全市非免疫规划疫苗接种数量和质量。展开更多
文摘This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria have made concerted efforts towards improving the standard of living of the citizenry through the execution of various welfare or social intervention programmes,but not much successes were recorded.Learning from the mistakes of the past regimes,and by way of deliberate state policy,the Buhari’s government initiated a multi-pronged social investment policy,one of which is the N-power programme that came onboard in 2016,which also doubles as the subject of this study.To achieve the goal of this study,a combination of desktop research and survey design was employed.Questionnaires were administered to 390 respondents through a combination of stratified and random sampling techniques.The results of the survey were matched with that of the secondary data obtained through online websites and other related sources.The result indicated that N-Power made positive contributions to the socio-economic life of the beneficiaries in Benue State:specifically,the scheme contributed in poverty eradication,employment generation,skills acquisitions and capacity building.However,some aspect of our findings revealed that the programme has a number of challenges such as:inadequate cash support,delay in monthly cash transfer to beneficiaries,distance participants had to move to their work stations,absence of posting in N-Teach scheme,and lack of adequate working tools amongst others.To salvage this problem the paper recommended the following solutions:expansion of the scheme to cover N-Teach and other aspects,increment in the monthly cash transfer to cushion the high rate of inflation,support for the participants/beneficiaries in transportation and logistics,enrolment of more youth into the various schemes,proper monitoring and evaluation of the implementation of the schemes amongst others.
文摘Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) aim to optimise appropriate antibiotic treatment whilst minimising antibiotic resistance. Different models of ASP in intensive care setting, include "standard" control of antibiotic prescribing such as "de-escalation strategies"through to interventional approaches utilising biomarkerguided antibiotic prescribing. A systematic review of outcomes related studies for ASPs in an ICU setting was conducted. Forty three studies were identified from MEDLINE between 1996 and 2014. Of 34 nonprotocolised studies, [1 randomised control trial(RCT), 22 observational and 11 case series], 29(85%) were positive with respect to one or more outcome: These were the key outcome of reduced antibiotic use, or ICU length of stay, antibiotic resistance, or prescribing cost burden. Limitations of non-standard antibiotic initiation triggers, patient and antibiotic selection bias or baseline demographic variance were identified. All 9 protocolised studies were RCTs, of which 8 were procalcitonin(PCT) guided antibiotic stop/start interventions. Five studies addressed antibiotic escalation, 3 de-escalation and 1 addressed both. Six studies reported positive outcomes for reduced antibiotic use, ICU length of stay or antibiotic resistance. PCT based ASPs are effective as antibiotic-stop(de-escalation) triggers, but not as an escalation trigger alone. PCT has also been effective in reducing antibiotic usage without worsening morbidity or mortality in ventilator associated pulmonary infection. No study has demonstrated survival benefit of ASP. Ongoing challenges to infectious disease management, reported by the World Health Organisation global report 2014, are high AMR to newer antibiotics, and regional knowledge gaps in AMR surveillance. Improved AMR surveillance data, identifying core aspects of successful ASPs that are transferable, and further well-conducted trials will be necessary if ASPs are to be an effective platform for delivering desired patient outcomes and safety through best antibiotic policy.
文摘It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among those,teachers play an indispensable role due to the fact that it is the teachers who are capable of turning conceptions into actions,who get students engaged and bridge and gap between the goals of the programme and the reality in classroom. This paper is an attempt to outline a detailed picture to demonstrate how to offer effective training courses which can enable teachers to play"multiple roles"to make great contribution to the development of an ER project.
文摘This study sets the objective to involve undergraduate students in the evaluation of radiologic sciences and medical imaging technology programmes in Sudanese universities. Based on the analysis of survey results in which the participants (BSc students undertaking radiologic sciences and medical imaging technology programmes at university level) are asked to answer both closed and open-ended questions, the study seeks to reveal the participants’ perceptions and introspections about the radiologic sciences and medical imaging technology programmes in Sudan. It also attempts to explore the participants’ suggestions and recommendations as to enhance the quality of these programmes with an eye to helping syllabus designers to improve these programmes, thereby bettering healthcare services for the larger good to the community. A brief cross-sectional survey is completed by a total of 105 radiologic sciences and medical imaging technology students, i.e. 39 (37.1%) third-year students and 66 (62.9%) fourth-year students. The majority of participants is satisfied with the programmes, indicating that they are up-to-date and ran abreast with the latest developments in the field. Very few suggest that the programmes should be reviewed for revision, implying that there is room for improvement. Some participants recommend that more training hours in modern imaging modalities (e.g. MRI, CT and U/S) should be introduced. Only one participant recommends the introduction of advanced training centres.
文摘Climate change is a major global environmental and developmental challenge and climate proofing of vulnerable sectors, programmes, natural systems and communities by integrating adaptation and mitigation options into planning process are increasingly becoming an integral part of development. The basic premises on which this could happen are the national and sectoral policies that govern any programmes and actions implemented on ground. This study reviews existing policies, plans and programmes and their implications for climate change. Based on the analyses, key areas of research, policy initiatives and institutional and capacity development needs have been identified, to facilitate climate change adaptation. The forest policies formulated so far in India have been broadly aimed at conservation, reduction of pressure on forests and provisioning of biomass to the large forest dependent population for their fuel and fodder needs apart from generating revenue through production and sale of timber. However, these have not been formulated with climate change as a consideration and therefore may become less effective as climate change and its impacts become increasingly evident. The study clearly identifies that the current policies and programmes have elements/features and activities that directly or indirectly contribute positively towards adaptation, although the primary implications are towards biodiversity and to some extent ecosystem functioning. It finally highlights the need for incorporating climate change concerns in forest sector development programmes and also to address the issue of climate change.
文摘The analysis is targeted on the financial impact of non-compliance to rules for European Union （EU） funding in thefield of research in quantitative terms, by examining statistical documents prepared by the European Commissionwhich are available for the public and relate to the period 2008-2016. It is to be noted that these statisticaldocuments use the terminology of irregularity instead of error and it is seen as any breach of rules that may lead toa financial impact and to damage on the budget of the European Union. Details related to error and irregularityterms are included in this paper. In the research on the impact of irregularities for EU research funding, severaltasks were accomplished, such as highlighting the evolution of irregularities during the period under study, acomparison between reported irregularities in the research field and other EU policy areas for one year where thefinancial impact is the highest and an analysis of the types of irregularities identified by the statistical evaluationdocuments on irregularities.
文摘Many issues and challenges are faced by the managers programmes today. Although many previous researches on and professionals in managing sport and recreation service quality provided by the organizations had been explored, very few studies pertaining to service quality in sport and recreation programmes in local hotels and resorts have been emphasized. This study aims to assess customers＇ perceptions of service quality in sport and recreation programmes and to determine the differences between customers＇ perceptions of service quality in terms of their gender and nationality. A total of 450 respondents from the hotels and resorts located in coastal areas of the northern Peninsular Malaysia participated in the survey. They were asked to respond to a series of the adapted service quality （SERVQUAL） items to measure five dimensions of service quality including tangibles, assurance, responsiveness, reliability, and empathy. Results from this study revealed that the customers＇ perceptions of the overall services in sport and recreation programmes provided by the hotels and resorts were satisfactory. It was also indicated that there was no significant difference between male and female customers＇ perceptions of service quality in sport and recreation programmes. Conversely, the results revealed that there was a significant difference between local and foreign customers＇ perceptions of sport and recreation services provided. These findings had implications on sport and recreation programmes in relation to designing effective management and marketing strategies at hotels and resorts.
文摘The paper presents findings from a study carried out to assess the contribution of stakeholders’participation on the performance of the national agricultural farmers’extension services programme in Uganda known as Operation Wealth Creation(OWEC).Specifically,the study sought to establish how participatory planning,budgeting,monitoring and evaluation(M&E)respectively contributed to the performance of OWC in selected district in central Uganda.The study adopted a cross-sectional survey design using both quantitative and qualitative data collection and analysis techniques and employed both questionnaires and interview guides on key participants in the programme.Findings of the study indicated positive relationships between stakeholders’participation and programme performance with participatory planning,budgeting and M&E all having positive significant effects on the performance of OWC programme.The study concluded that indeed stakeholders’participation contributed to improved performance of the OWC programme.The study recommends increased funding and M&E of the agricultural extension programmes for improved performance.
文摘目的:评估2011—2020年四川省结核病防治经费投入产生的社会效益,为制定新时期中长期发展规划提供参考依据。方法:采用回顾性研究方法,从“结核病管理信息系统”和“传染病监测”系统中收集四川省2011—2020年(“十二五”和“十三五”期间)涂阳肺结核患者治疗转归情况和肺结核患者劳动人口比例,结合四川省统计年鉴和全国结核病防治规划终期评估规划自评调查表等获取经费资料和人均国内生产总值(GDP),采用卫生经济学中常用的成本-效果、成本-效用、成本-效益等3种分析方法估算10年间结核病防治经费投入的社会效果、社会效用和社会效益,并对比分析“十二五”和“十三五”期间的估算结果。结果:2011—2020年,四川省共投入结核病防治经费76032.60万元,成功治疗涂阳肺结核患者160167例,避免了696899名健康人受到传染,挽救了1155277个伤残调整寿命年(disability adjusted life year,DALY),为社会节约医疗费用6.05亿元,挽回社会经济损失约370.32亿元。每投入1091.01元即可避免1名健康人被传染,每投入658.13元即可挽回1个DALY,每投入1元即可产生49.50元的社会经济效益。“十三五”期间带来的总社会效益(209.22亿元)较“十二五”期间(167.14亿元)增长了25.18%[(209.22-167.14)/167.14],但政府每投入1元的结核病防治经费产生的社会效益(47.56元)较“十二五”期间(52.17元)减少了4.61元。结论:2011—2020年间各级政府和国际项目对四川省结核病防控工作投入的经费产生了较好的社会效果、效用和效益。建议在保持目前经费投入力度的基础上,各级政府进一步加大投入,尤其对病原学阳性肺结核患者的发现和治疗管理力度,以期产生更高的社会效益。
文摘Distance learning MBA programmes have increased tremendously in the past decade in selected Asian countries. This paper uses a stakeholders approach to conduct research on distance learning MBA programmes in Asian. Conclusions of the research are then given.
文摘目的了解北京市3岁前儿童非免疫规划(non-expanded programme on immunization,non-EPI)疫苗接种水平和变化趋势,为加强对非EPI疫苗管理提供参考。方法2023年9月1日,采用系统抽样方法随机抽取北京市免疫规划信息管理系统中2011、2014、2017和2020年的8月份出生的所有儿童个案,分析各年份抽样儿童3岁前接种非EPI疫苗的种类及户籍分布、首剂接种比例、全程免疫完成比例及其变化趋势。结果研究对象共108210名。非EPI疫苗总剂次分别为88019、109442、104451和130501剂次。研究对象3岁前水痘疫苗、肠道病毒71型灭活疫苗(EV71疫苗)和吸附无细胞百白破灭活脊髓灰质炎和b型流感嗜血杆菌(结合)联合疫苗(DTaP-IPV-Hib五联疫苗)首剂接种比例均逐年增加,由最初的<10%分别增加至82.20%、61.07%和39.20%;2020年研究对象中,接种总剂次居前5位的非免疫规划疫苗是13价肺炎疫苗、DTaP-IPV-Hib五联疫苗、EV71疫苗、5价轮状病毒疫苗和水痘疫苗,首剂接种比例分别为48.30%、39.20%、61.07%、30.58%和82.20%,京籍儿童均高于非京籍儿童(P<0.05);3岁前DTaP-IPV-Hib五联疫苗、EV71疫苗和5价轮状病毒疫苗在接种首剂后的多剂次疫苗的全程免疫完成比例分别为92.26%、96.56%和94.37%,京籍儿童均高于非京籍儿童(P<0.05)。结论北京市3岁前儿童非EPI疫苗接种数量和新疫苗种类不断增加,全程接种依从性较高。而在非EPI疫苗的首剂接种比例和非京籍儿童中均需进一步提高。建议开展相关影响因素研究,加强非免疫规划疫苗的技术指导,进一步提高全市非免疫规划疫苗接种数量和质量。
