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目的了解南充市高坪区免疫接种率现状,为制订免疫接种质量控制策略提供依据。方法 2015-04,采用批质量保证抽样方法(LQAS),在全区每个乡镇和社区,随机抽取4个行政村(居委会)作为调查单位,每村调查7名对象儿童。结果全区共调查32个乡镇和社区0~6岁儿童5 376人,建卡率为97.28%,原免疫规划基础免疫接种率卡介苗100.00%,乙肝疫苗首针及时率为96.90%、3针全程接种率为93.00%,脊灰疫苗99.60%,百白破疫苗99.60%,麻疹94.00%,5苗全程免疫覆盖率为97.21%;原免疫规划加强免疫接种率:18月龄百白破疫苗接种率88.10%,4岁组脊疫苗96.00%,6岁组白破疫苗91.00%;新增扩大国家免疫规划疫苗接种率:1岁组麻腮风疫苗87.10%,甲肝疫苗87.10%,流脑A群92.00%,乙脑疫苗93.00%,3岁流脑A+C疫苗95.00%,6岁组流脑A+C疫苗86.00%。结论高坪区适龄儿童建卡率、5苗基础免疫全程接种率较高;加强免疫及新增扩大国家免疫规划疫苗接种率较低。今后仍需进一步加大工作力度,提高疫苗接种质量和免疫规划管理水平。
Objective To understand the status quo of vaccination rate in Gaoping District of Nanchong City and provide the basis for formulating the quality control strategy of immunization. Methods In 2015-04, using batch quality assurance sampling method (LQAS), 4 administrative villages (neighborhood committees) were randomly selected as survey units in each township and community in the region, and 7 target children were investigated in each village. Results A total of 5 376 children aged 0-6 years were surveyed in 32 districts and townships in the district. The rate of establishing cards was 97.28%. The basic immunization coverage of the original immunization program was 100.00% of BCG vaccine. The first-time rate of hepatitis B vaccine was 96.90% The vaccination rate was 93.00%, polio vaccine 99.60%, diphtheria-baicalensis vaccine 99.60%, measles 94.00%, the whole vaccine coverage rate was 97.21%; the original immunization program to strengthen the vaccination rate: 18 months Baitiao broken vaccination rate 88.10%, age group 4 vaccine 96.00%, age group 6 white vaccine 91.00%; new expanded national immunization program vaccination rate: 1 year old group MMR vaccine 87.10%, hepatitis A vaccine 87.10%, meningitis group A 92.00 93.00% of JE vaccine, 95.00% of A + C vaccine of 3 years old and 86.00% of A + C vaccine of 6 years old group. Conclusion The carding rate of children of school-age in Gaoping District is relatively high throughout the whole course of 5-year-old basic immunization. The vaccination rate of booster immunization and newly-increased national immunization program is low. In the future still need to further intensify its efforts to improve the quality of vaccination and immunization program management.