目的了解新疆博尔塔拉蒙古自治州温泉县适龄儿童扩大国家免疫规划疫苗接种情况,及时掌握免疫规划工作中存在的困难和问题,进一步强化免疫接种和服务质量。方法在温泉县每个乡(镇、场)随机抽取免疫规划工作较好、中等和较差的3个村,每村挨门逐户调查;每个乡(镇、场)调查4个年龄组,每个年龄组7名儿童,抽查28名儿童,8个乡(镇、场)共计调查224名儿童。结果调查目标儿童224人,免疫规划基础疫苗合格接种率分别为卡介苗100.00%、脊髓灰质炎疫苗3剂和“百白破”联合疫苗3剂均为100.00%、麻疹“麻风”疫苗为99.55%、乙肝疫苗100.00%,首针及时接种率94.64%;A群流脑疫苗全程接种率97.62%,甲肝疫苗接种率98.20%,“麻腮风”疫苗接种率99.40%,1岁组、2岁组、4岁组和6岁组儿童A+C流脑疫苗1接种率98.21%,1岁组、2岁组、4岁组和6岁组儿童白破二联疫苗和A+C流脑疫苗2的加强免疫接种率分别为85.71%和82.14%;免疫规划接种建卡率和建证率均为100.00%,卡、证相符率84.37%。结论温泉县扩大国家免疫规划疫苗基础免疫接种率和加强免疫疫苗接种率均较高,但6岁儿童的加强免疫接种率明显偏低,需要更加重视加强免疫接种;卡证相符率偏低,应强化接种质量管理,加强每年托幼机构和学校入托、入学的查验预防接种证工作。 Objective To understand the situation of children of school-age children in Wenquan County, Bortala Mongol Autonomous Prefecture, Xinjiang, to expand the coverage of the national immunization program and to timely grasp the difficulties and problems in the immunization program so as to further strengthen the immunization and service quality. Methods Each village (town and field) in Wenquan County was randomly selected from 3 villages with better, medium and poorer immunization schedules. Each village received door-to-door household surveys. Each county (town and field) investigated 4 age groups, A total of 224 children were surveyed in each age group with 7 children, 28 randomly selected children and 8 townships (towns and fields). Results The target children were investigated in 224 children. The eligible vaccination coverage of basic immunization programs was 100.00% for BCG vaccine, 100.00% for three doses of polio vaccine and 100% 99.55%, hepatitis B vaccine 100.00%, the first needle timely vaccination rate of 94.64%; A group meningitis vaccine throughout the vaccination rate of 97.62%, hepatitis A vaccination rate of 98.20%, “MMR” vaccination rate of 99.40%, 1 year old A + C meningitis 1 vaccination rate was 98.21% in children aged 2, 4, 6, and 6 years old, and the rates of A + C vaccination and A + C meningitis in children aged 1, 2, C meningitis vaccine 2 boosted vaccination rates were 85.71% and 82.14% respectively; immunization vaccination card rate and Jiancha rate were 100.00%, card, card coincidence rate of 84.37%. Conclusions In Wenquan County, the basic vaccination rate and the vaccination rate of immunization vaccines in the national immunization program are both higher, but the boosting rate of immunization in 6-year-old children is obviously low, and more attention should be paid to strengthening immunization. Strengthen the quality control of vaccination, strengthen nurseries and schools and nursery schools to enter the school, check vaccination certificate work.