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目的了解湘西土家族苗族自治州2008年实施扩大国家免疫规划以来免疫规划工作现况,为进一步制定免疫规划工作策略提供科学依据。方法按照人口容量比例概率法随机抽取湘西土家族苗族自治州40个乡镇(街道办事处),120个行政村(居委会),2008-2009年出生的1 200名儿童,查阅接种单位相关资料及儿童免疫规划类疫苗接种情况。结果基础五种疫苗(卡介苗、脊灰疫苗、百白破疫苗、乙肝疫苗及含麻疹成份疫苗)的全程接种率为95.08%,增加甲肝疫苗、流脑疫苗和乙脑疫苗后,八种苗全程接种率为79.73%。预防接种人员年均收入2.3万元,防疫专干中,专职人员为58.72%,有执业(助理)资质的占56.88%,有预防接种资格证的占73.39%。结论湘西土家族苗族自治州卡介苗、脊灰疫苗、百白破疫苗、乙肝疫苗及含麻疹成份疫苗接种率维持在较高水平,扩大国家免疫规划后新增的流脑疫苗、乙脑疫苗和甲肝疫苗及加强免疫疫苗接种率偏低,专业技术人员偏少,收入偏低,需增加人员投入,加强管理。
Objective To understand the current status of immunization planning in Xiangxi Tujia and Miao Autonomous Prefecture since its implementation in 2008 to expand the national immunization program and provide a scientific basis for further formulation of immunization planning strategies. Methods A total of 40 villages and towns (sub-district offices), 120 administrative villages (neighborhood committees) in Xiangxi Tujia and Miao Autonomous Prefecture and 1,200 children born in 2008-2009 were randomly selected according to the population proportion probabilistic method. Information on vaccination units and immunization of children Planning vaccination. Results The overall coverage rate of the five basic vaccines (BCG, polio vaccine, diphtheria-pertussis vaccine, hepatitis B vaccine and measles-containing vaccine) was 95.08%. After increasing hepatitis A vaccine, meningitis vaccine and JE vaccine, Inoculation rate was 79.73%. The annual average income of vaccination personnel was 23,000 yuan. Among the specialists for epidemic prevention and treatment, 58.72% were full-time staff members, 56.88% were qualified practitioners (assistants), and 73.39% had vaccination certificates. Conclusions Vaccination rates of BCG vaccine, polio vaccine, diphtheria toxoid vaccine, hepatitis B vaccine and measles-containing vaccine in Xiangxi Tujia and Miao Autonomous Prefecture are maintained at relatively high levels. The new meningitis vaccine, JE vaccine and Hepatitis A vaccine added after the national immunization program are expanded And to strengthen the immunization vaccination rate is low, less professional and technical personnel, low income, need to increase staff input and strengthen management.