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目的:了解青海省卫VIII项目实施前后乡村儿童卫生保健的特点和异同。方法:采用等量多级分层随机抽样的方法对卫VIII项目县乡、村两级儿童计划免疫、系统管理、5岁以下儿童死亡、婴儿死亡情况进行横断面调查。结果:项目实施后,5岁以下儿童系统管理率显著提高,儿童死亡率明显下降(P<0.01),四种疫苗接种率和全程乙肝接种完成率明显上升。结论:卫VIII项目重点卫生干预在乡、村两级儿童保健工作方面取得了一定的成效,今后应值得借鉴和推广。
Objective: To understand the characteristics and similarities and differences of children’s health care in rural areas before and after the implementation of Wei-VIII project in Qinghai Province. Methods: A cross-sectional survey was conducted on children’s immunization, system management, deaths of infants under 5 years of age and infant deaths at the county, township and village levels of Health Care VIII project using the same amount of stratified random sampling method. Results: After the implementation of the project, the system management rate of children under 5 years old increased significantly, and the child mortality rate decreased obviously (P <0.01). The vaccination rate of four vaccines and the completion rate of hepatitis B vaccination increased obviously. Conclusion: The key health interventions of Wei VIII project have achieved certain results in the work of child health care at the township and village levels and should be worthy of reference and promotion in the future.