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目的评价泉州市流动儿童预防接种管理成效,分析影响因素并采取针对性措施。方法用入户问卷调查方式对流动儿童家长/监护人进行调查,数据用SPSS 13.0软件进行logistic回归分析。结果流动儿童疫苗建卡率、建证率及各单苗基础针接种率均达95%以上,加强针均达到90%以上,其中建卡率、“五苗”各单苗接种率和HepA、MCV2、JE2接种率已接近本地儿童;迟种是不合格接种的主要原因;孩子生病是漏种的主要原因。Logistic回归分析表明,居住地类型、儿童出生地是接种率的主要影响因素。结论泉州市流动儿童预防接种管理成效显著,应针对不合格接种和漏种的主要原因及影响因素,加强逾期未种儿童及时催种,加强农村的流动儿童管理,加大卫生院产科管理力度,提高疫苗的有效接种率。
Objective To evaluate the effectiveness of vaccination management for migrant children in Quanzhou, analyze the influencing factors and take targeted measures. Methods The questionnaire survey of migrant children was used to investigate the migrant children’s parents / guardians. The data were analyzed by logistic regression using SPSS 13.0 software. Results The establishment rate of floating children’s vaccines, the rate of establishing cards and the coverage rate of each single seedling were all more than 95%, and all the needles were more than 90%. The rate of establishing cards, the vaccination rate of each seedling HepA, MCV2, JE2 vaccination rate is close to local children; late childbirth is the main reason for unacceptable vaccination; child illness is the main reason for missed seed. Logistic regression analysis showed that the type of place of residence and the place of birth of children were the main influencing factors of inoculation rate. Conclusion The effective vaccination management for migrant children in Quanzhou is remarkable. According to the main reasons and influencing factors of unacceptable vaccination and omission, we should strengthen the prompt urging of overdue children, strengthen the management of migrant children in rural areas, increase the maternity management of hospitals, Increase the effective vaccination rate of the vaccine.