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目的探索石家庄市无极县留守儿童提高免疫接种率的有效措施。方法通过采用预防接种的新模式、定期查漏补种、加强督导、改善预防接种服务形式、健康教育等综合性干预措施,在全县实施1年后,对全县6岁以下留守儿童进行接种率调查,并对监护人开展免疫知识知晓率问卷调查,同时在周围选择年龄、性别相近,父母均在家的儿童进行对照。对调查数据进行统计分析。结果调查316名留守儿童,323名对照儿童,国家免疫规划疫苗基础免疫全程接种率分别为95.72%、96.35%,差异无统计学意义(χ2=1.336,P=0.248);加强免疫接种率分别为93.83%、94.71%,差异无统计学意义(χ2=1.015,P=0.314)。两组儿童监护人问卷调查知晓率分别为93.86%、94.86%,差异无统计学意义(χ2=3.407,P=0.065)。结论无极县干预后留守儿童与对照儿童接种率均在90%以上,达到了卫生部要求的工作目标。
Objective To explore effective measures to raise the vaccination rate of left-behind children in Wuji County, Shijiazhuang City. Methods By adopting a new vaccination model, regular leak detection replanting, strengthen supervision, improve the form of vaccination services, health education and other comprehensive interventions, after the implementation of the county one year later, the county children under 6 years of age were vaccinated Rate of investigation, and the guardian to carry out immunization knowledge awareness questionnaire survey, while around the age, gender, parents were at home children were compared. The survey data for statistical analysis. Results A total of 316 left behind children and 323 control children were surveyed. The whole vaccination coverage of the basic immunization of the national immunization program was 95.72% and 96.35% respectively, with no significant difference (χ2 = 1.336, P = 0.248). The boosted immunization rates were 93.83% and 94.71%, respectively, with no significant difference (χ2 = 1.015, P = 0.314). There was no significant difference between the two groups (93.86%, 94.86%) in the questionnaire survey of child guardians (χ2 = 3.407, P = 0.065). Conclusion The vaccination rate of left-behind children and control children after Wusi-county intervention is more than 90%, which meets the work target required by the Ministry of Health.