论文部分内容阅读
1997年7月在广西壮族自治区和甘肃省开展了计划免疫知识、态度和行为(KAP)调查。采用按容量比例概率分层随机抽样方法,抽取2520名适龄儿童及其监护人和637名县、乡、村计划免疫工作人员作为调查对象。结果表明,计划免疫工作薄弱地区多属贫困山区或少数民族聚集、居民文化水平较低、计划免疫服务半径大、冷链不能正常运转、计划免疫工作不受重视、工作人员缺少积极性的地区。儿童家长普遍缺乏免疫接种知识,但他们对口服脊髓灰质炎(脊灰)疫苗(OPV)的了解多于其它疫苗,这可能与消灭脊灰社会宣传力度较大有关。计划免疫工作较好地区儿童家长的计划免疫知识掌握情况好于薄弱地区。98%以上的儿童家长对计划免疫持信任态度。约80%的儿童家长对乡村医生有较高的信任度和良好的依从性,但50%以上的居民还是对免疫接种缺乏主动性。最基层的计划免疫工作人员普遍反映的生活待遇低、工作辛苦、自身的知识水平需要提高、不受上级重视的局面需要改变。计划免疫工作薄弱地区,工作环境条件差、资金短缺是影响计划免疫工作的主要障碍。在现有条件下,提高计划免疫服务质量最有效的方法是通过开展社会宣传动员,提高居民和计划免疫服务提供者的计划免疫知识水平。本调查为制定我国?
In July 1997, a survey of planned immunization knowledge, attitude and behavior (KAP) was conducted in Guangxi Zhuang Autonomous Region and Gansu Province. 2520 school-age children and their guardians as well as 637 county, township and village immunization workers were selected as the survey subjects according to the stratified random sampling method with probability-of-proportion. The results showed that most of the planned immunization work areas were mostly poor mountainous areas or ethnic minorities, with low cultural level, large planned immunization services, cold chains unable to operate normally, no immunization planned and staff lacking enthusiasm. Parents generally lack immunization knowledge, but they know more about oral polio (OPV) vaccine than other vaccines, which may be related to the greater publicity of polio eradication. Children with better planned immunization work had better knowledge on planned immunization than their weak counterparts. More than 98% of parents of children hold confidence in planned immunization. About 80% of parents of children have a higher degree of trust and good compliance with rural doctors, but more than 50% of residents still lack initiative in immunization. The most basic level of immunization program staff generally reflects low living standards, hard work, their own knowledge level needs to be improved, and the situation that is not valued by their superiors needs to be changed. Weaknesses in planned immunization work, poor working conditions and lack of funding are major obstacles to the planned immunization efforts. Under the existing conditions, the most effective way to improve the quality of planned immunization services is to raise the level of knowledge about the immunization of residents and immunization service providers through social publicity campaigns. This survey is to develop our country?