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目的分析四川省免疫规划(EPI)工作现状,指导全省EPI工作开展。方法采取现场听取汇报、抽查儿童接种情况、查看资料等方法,调查市、县、乡级EPI工作政策保障、疫苗管理、入托入学接种证查验、儿童预防接种信息化建设、疑似预防接种异常反应监测、EPI针对传染病监测、疫苗接种率等内容。结果 95.24%的市级和县级建立了部门协调机制并开展相应活动;100%的市级和85.71%的县级将EPI工作纳入了政府考核指标;80.95%的市级、47.62%的县级有EPI专项经费。85.71%的市级、66.67%的县级、71.43%的乡级有完整的疫苗出入库记录;95.24%的市级、71.43%的县级和71.43%乡级疫苗库存与帐相符合。95.24%的市级医院、100%的县级医院无AFP漏报,95.24%的市级医院、85.71%的县级医院无麻疹漏报。AFP、麻疹和AEFI监测工作达标的市级分别占80.95%、47.62%和42.86%。结论四川省的EPI工作健康有序开展,但仍需进一步加大政策保障,规范EPI管理工作,保障EPI工作均衡发展,提高工作质量。
Objective To analyze the current situation of EPI in Sichuan Province and guide the EPI work in this province. Methods The methods of on-the-spot hearing, spot check of children’s inoculation and examination of data were used to investigate the protection of EPI work policies, vaccine management, vaccination certificate of nursery school, informationization of vaccination of children, surveillance of abnormal reaction of suspected vaccination , EPI for infectious disease surveillance, vaccination rates and so on. Results 95.24% of the city-level and county-level departments established a coordination mechanism and carried out corresponding activities; 100% municipalities and 85.71% of county-level EPI work included in the assessment indicators of the government; 80.95% of the municipal and 47.62% of the county EPI special funds. 85.71% municipalities, 66.67% of the county level, 71.43% of the township have a complete record of the vaccine outbound; 95.24% of the municipal, 71.43% of the county and 71.43% of township vaccine stocks and accounts consistent. 95.24% of municipal hospitals, 100% of county hospitals without AFP omission, 95.24% of municipal hospitals, 85.71% of county hospitals without measles omission. AFP, measles and AEFI monitoring work of the municipal level accounted for 80.95%, 47.62% and 42.86%. Conclusion The EPI work in Sichuan Province is conducted in a healthy and orderly manner. However, it is still necessary to further increase policy support, standardize EPI management, ensure balanced development of EPI work and improve work quality.