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目的了解并评价全国乙型肝炎(乙肝)疫苗纳入免疫规划及安全注射培训开展情况及培训效果,为今后培训工作提供相关参考意见。方法采用关键人物评价和测试比较的评估方法针对各级防保人员展开调查,以访谈、问卷调查、观察及考试测评等方式对培训情况及效果进行评估。结果各省(自治区、直辖市)都基本完成对乡村级的培训,人员培训覆盖率>80%,培训内容受到基层人员普遍认可。但对师资水平和教学条件评价相对较差。经过培训,县级及以上人员能答出80%的测评内容,不到半数的乡村医生能答出50%左右的内容,因此需要进行有针对性地强化培训。结论因培训经费、教材不足,教学手段落后,缺乏有效的培训监督和评估,实际效果并不十分理想。但强化培训收到了较好的效果,消除了培训空白人群和乡村人员有关知识的盲点,师资水平得到提高。
Objective To understand and evaluate the implementation of the national hepatitis B (hepatitis B) vaccine in the immunization program and safety injection training and the training effect, and provide relevant reference opinions for future training. Methods The assessment methods of key figures and tests were used to investigate the anti-guarantee personnel at all levels and the training situation and effectiveness were evaluated by means of interview, questionnaire survey, observation and test evaluation. Results Provinces (autonomous regions and municipalities directly under the Central Government) basically completed the training at the village level. The coverage rate of personnel training was> 80%, and the training contents were generally recognized by grassroots personnel. However, the evaluation of teachers’ level and teaching conditions is relatively poor. After training, 80% of the assessment contents can be answered at the county level and above, and less than half of the village doctors can answer about 50% of the contents, so the training needs to be intensified in a targeted manner. Conclusion The actual results are not very satisfactory due to lack of training funds, inadequate teaching materials, backward teaching methods and lack of effective training supervision and assessment. However, the intensive training received good results, eliminating the blind spots of training knowledgeable people and rural personnel, and the level of teachers was improved.