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目的了解萧山区流动儿童监管人对免疫接种相关政策的认知和需求,为加强本区流动儿童免疫接种管理提供科学依据。方法按萧山地域分布特点,分别在东北部、中部、西南部各选择1个流动儿童聚集的镇,每个镇选择流动儿童相对聚集的1个村(社区)作为调查点。采用统一的问卷对调查点内的1~4周岁的流动儿童和本地儿童及其监管人进行面对面调查。结果调查流动儿童357名,本地儿童142名。流动儿童监管人对免疫接种相关政策平均知晓率为70.52%,显著低于本地儿童监管人93.94%(χ2=158.30,P=0.000)。59.38%流动儿童监管人和95.77%本地儿童监管人均被动根据接种门诊通知单或预约单给儿童接种疫苗。84.31%和85.21%的流动儿童和本地儿童监管人对免疫接种相关知识有主观需求。结论流动儿童监管人对免疫接种相关政策的认知程度不高,应多渠道持续开展免疫接种政策和信息宣传,促使流动儿童监管人主动寻求免疫接种服务。
Objective To understand the cognition and demand of migrant children’s custodians for policies related to immunization in Xiaoshan District and provide scientific evidence for strengthening the immunization management of migrant children in this area. Methods According to the distribution characteristics of Xiaoshan, one town in each of the northeast, central and southwestern regions was selected, and one town (community) relative to the floating children was selected as the survey site in each town. A uniform questionnaire was used to conduct a face-to-face investigation of migrant and local children aged 1-4 in the investigation spot and their supervisors. Results A total of 357 migrant children and 142 local children were surveyed. The average awareness of migrant children’s immunization policies was 70.52%, significantly lower than 93.94% of local children’s regulators (χ2 = 158.30, P = 0.000). 59.38% of migrant children’s supervisors and 95.77% of local child supervisors passively vaccinate their children according to the vaccination outpatient service notice or appointment form. 84.31% and 85.21% of floating children and local children’s supervisors have a subjective need for immunization-related knowledge. Conclusion Floating children’s supervisors are not aware of the policies related to immunization. They should continue to carry out vaccination policies and information publicity through multiple channels, and encourage floating child supervisors to actively seek immunization services.