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目的 了解成都市目前计划免疫的情况 ,发现困难和问题 ,巩固已取得的成绩 ,明确今后工作的重点和提出控制对策及措施。方法 用非随机抽样方法调查了成都市 2 7个乡 (镇 )、 2 9个村的 0～ 8岁儿童 183 2名 ,其中本地儿童 15 77人 ,流动儿童 2 5 5人。结果 15 81%的乡镇常住儿童建卡率、 2 9 63 %的乡镇 4苗全程接种率和 4岁组(OPV)常住儿童加强免疫接种率均低于 80 % ;流动儿童的建卡率、“五苗”基础免疫接种率、加强免疫接种率均低于10 % ;在边远农村地区漏种、不合格接种比例较高 ,推行“金卡”管理后 ,接种率反而下降 ;基层防保人员文化程度偏低、年龄老化、待遇差、接受培训少。结论 为了提高计划免疫的接种率 ,应加强政府职能、基层防疫队伍建设和流动儿童管理 ,成立计划免疫保偿办公室 ,保证经费专用 ,在边远地区逐步推行计算机化“金卡”管理
Objective To understand the current situation of immunization in Chengdu, find out the difficulties and problems, consolidate the achievements made, clarify the focus of future work and put forward control measures and measures. Methods A total of 183 children aged 0-8 years from 27 villages (towns) and 29 villages in Chengdu were surveyed by non-random sampling method, including 15 77 local children and 25 5 migrant children. Results 15 81% of the township resident children card rate, 2 9 63% of township 4 seedlings throughout the vaccination rate and 4 years old group (OPV) resident children booster vaccination rate of less than 80%; floating children card rate, Five seedlings “basic immunization rate, booster vaccination rates were less than 10%; in remote rural areas missed the leakage, a higher proportion of unqualified vaccination, the implementation of the” Gold Card “management, the vaccination rate but decreased; grassroots security personnel culture Low level, aging, poor treatment, less training. Conclusion In order to increase the coverage of immunization, we should strengthen the government functions, the construction of grass-roots epidemic prevention teams and the management of floating children, establish a planned immunization compensation office, ensure the funds are dedicated and gradually implement computerized ”gold card" management in remote areas