目的了解福建省乡级接种门诊服务能力,调查接种率,改善规范环境下可及性乡接种门诊服务质量。方法对全省所有乡级接种门诊服务能力进行普查及LQAS法接种率调查,用SPSS 18.0软件统计分析。结果全省1 114家接种门诊专职接种人员平均2.7人,有36%接种门诊的接种人员配置不足。除麻风疫苗和乙肝疫苗及时接种、大年龄组加强免疫剂次外,其余各疫苗以乡为单位接种率≥90%的乡镇数占比均≥95%。多元逐步回归分析显示,常住人口和流动儿童数多、专职接种人员少、门诊面积不达标、接种室未配备空调是漏种的危险因素;服务半径大、专职接种人员少、补助加班费低、门诊面积不达标和接种室未配备空调是不及时接种的危险因素。结论目前规范环境下福建省接种服务可及性良好。强化门诊服务建设是提高乡级接种门诊服务可及性的核心,提高接种人员主观能动性是可及性乡级接种门诊服务的建设重点。 Objective To understand the capacity of inpatient outpatient services at township level in Fujian Province, investigate the vaccination rate and improve the quality of outpatient service in rural areas. Methods All the township level inoculation outpatient service capacity survey and LQAS law coverage survey, using SPSS 18.0 software statistical analysis. Results The average number of in-person vaccinations for 1 114 inoculation clinics in the province was 2.7, with 36% of those vaccinated in clinics being under-allocated. In addition to leprosy and hepatitis B vaccine timely inoculation, large age group to strengthen the immune agent times, the remaining vaccines to the township vaccination rate ≥ 90% of the number of townships accounted for ≥ 95%. Multivariate stepwise regression analysis showed that the number of resident population and migrant children was small, the number of full-time vaccination staff was small and the outpatient area was not up to standard. The vaccination room was not equipped with air conditioners as a risk factor for missed-out. Large service radius, less specialized full-time vaccination, Outpatient area and vaccination room is not equipped with air conditioning is not timely risk factors for vaccination. Conclusion At present, vaccination services in Fujian Province are well accessible in the regulatory environment. Strengthening outpatient service construction is to improve the accessibility of township vaccination clinics at the core, to improve vaccination subjective initiative is accessible Township inoculation services focus.