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目的了解《卫生部与全球疫苗免疫联盟理事会/儿童疫苗基金合作项目》(GAVI项目)在贵州省地区(州、市,下同)、县(区、市,下同)、乡(镇,下同)、村级及县级医疗机构的实施情况,根据各级不同的工作重点进行实施情况调查。方法采用查看相关资料和现场实地调查的方法。结果各级乙型肝炎(乙肝)疫苗(HepB)管理比较混乱,18个县级疾病预防控制中心(CDC)的88.9%、36个乡级卫生院的86.1%、34个县级医疗机构的79.4%其HepB在本级帐面上收发核对不符;50.0%县级CDC、72.2%乡级卫生院、50.0%县级医疗机构的HepB帐物现场核对不符;50.0%县级CDC、52.8%乡级卫生院、55.9%县级医疗机构的HepB上、下级收发核对不符。HepB接种数据报告不完整,2003年有76.5%、2004年有55.9%的县级医疗机构未上报HepB接种数据。HepB接种率处于较低水平,调查2003年1月1日~2004年10月31日出生儿童HepB1接种率为81.2%,HepB1及时接种率为21.6%,HepB全程合格接种率为38.8%。结论为确保贵州省GAVI项目达到预期目标,亟待完善各项工作管理制度,加大GAVI项目工作的督导力度。
Objectives To understand the cooperation between the Ministry of Health and the GAVI Alliance / Childhood Vaccine Fund (GAVI) project in Guizhou Province (counties, districts and cities) and townships The same below), the implementation of village and county-level medical institutions, according to different levels of work focus on the implementation of the survey. Methods to view the relevant information and on-site field survey methods. Results Hepatitis B (Hepatitis B) vaccine at all levels was chaotic, with 88.9% at 18 county CDCs, 86.1% at 36 township hospitals and 79.4 at 34 county-level hospitals 50% Hepatitis B CDC, 72.2% Township hospitals, 50.0% HepB accounts at county-level medical institutions did not match at the scene; 50.0% County-level CDCs, 52.8% Townships Hospitals, 55.9% of county-level medical institutions HepB, subordinate transceiver discrepancies. HepB inoculation data reported incomplete, 76.5% in 2003, 55.9% of county-level medical institutions in 2004 did not report HepB vaccination data. The vaccination rate of HepB was at a low level. HepB1 vaccination rate was 81.2%, HepB1 timely vaccination rate was 21.6%, HepB full vaccination rate was 38.8% from January 1, 2003 to October 31, 2004. Conclusion To ensure that the GAVI project in Guizhou Province meets the expected goals, it is imperative to improve various work management systems and steer the GAVI project.