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目的了解江西省2009年实施扩大免疫规划工作的现况,发现存在问题。方法通过调查问卷和接种率调查收集资料,进行描述性分析。结果 2009年省、市、县级各解决工作经费520万元、417.22万元和1820.74万元,仍有47.66%的县部分解决经费和21.5%的县未解决经费;到2009年全省共装备冷藏车154台,冷库、冰柜、冰箱、冷藏箱分别装备289台、1586台、4505台、2533台,可满足扩大国家免疫规划工作需要。2009年省、市、县三级免疫规划专职人员平均人数分别为10人、4.99人和6.11人,县级无职称者占11.07%,无学历者占6.47%。免疫规划类疫苗接种率有7个县未达到江西省扩大国家免疫规划方案的要求,乙肝首针及时接种率与2004年相比提高了24.9个百分点。结论虽然江西省的扩大国家免疫规划工作取得了较大的进展,但目前面临基层政府投入不足,免疫规划专业人员缺乏且素质不高等问题,需进一步加大投入,使公共卫生工作经费得到保障;同时完善各项相关政策措施,保证基层防保人员的编制和待遇,防止人才流失。
Objective To understand the status quo of the implementation of EPI in Jiangxi Province in 2009 and to find out the problems. Methods Through the questionnaire and inoculation rate survey to collect data for descriptive analysis. Results In 2009, the provincial, municipal and county-level work-solving funds were 5.2 million yuan, 4.1722 million yuan and 18.22074 million yuan, respectively, with 47.66% of the county’s part-time funding and 21.5% of the county’s unsolved funds; and by 2009, the province’s total equipment There are 154 refrigerated trucks, of which 289 refrigerators, freezers, refrigerators and freezers are equipped respectively with 28 stations, 1586 stations, 4,505 stations and 2533 stations, which can meet the needs of expanding the national immunization program. In 2009, the average number of full-time immunization program specialists in the three levels of province, city and county was 10, 4.99 and 6.11, respectively, with 11.07% of county-level no-titles and 6.47% of those without qualifications. Immunization program vaccination rate in seven counties did not meet the requirements of Jiangxi Province to expand the national immunization program, hepatitis B first-line prompt vaccination rate increased by 24.9 percentage points compared with 2004. Conclusions Although great progress has been made in expanding the national immunization program in Jiangxi Province, at present it faces the problems of inadequate investment by the grass-roots government, lack of professional immunization program professionals and low quality. It is necessary to further increase input so that funding for public health work can be guaranteed. At the same time improve the relevant policies and measures to ensure that the preparation and treatment of grass-roots anti-personnel protection to prevent brain drain.