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目的调查分析目前基层免疫规划工作成本状况及构成,探讨规范开展免疫规划工作的合理成本,为争取政府投入提供依据。方法对基层免疫规划工作经费投入现况进行调查,并按卫生部《预防接种工作规范》要求开展工作进行合理成本测算。结果基层免疫规划工作人均成本303.45元,县、乡级人均成本的构成比分别为15.16%、84.84%,平均投入每剂次14.45元,政府投入占县、乡级的比例分别为100%、0.24%,乡级经费来源于创收,免疫规划工作的人均合理成本366.67元,平均每剂次合理成本为17.46元。结论基层免疫规划经费投入严重不足,政府投入不是主渠道,而是依赖创收;各级政府应该加大对免疫规划工作的经费投入,国家应用财政转移支付的方式统筹解决免疫规划经费。
Objective To investigate and analyze the current status and composition of the cost of grass-roots immunization programs, and to explore the reasonable cost of standardizing the immunization programs so as to provide the basis for government investment. Methods To investigate the status quo of funding for grassroots immunization programs and to carry out the work according to the requirements of the “Code of Practice for Vaccination” of the Ministry of Health for reasonable cost estimation. Results The per capita cost of grass-roots immunization planning was 303.45 yuan, the per capita cost of county-level and township-level pesticides was 15.16% and 84.84% respectively, with an average investment of 14.45 yuan per dose. The ratio of government investment to county and township level was 100% and 0.24 %, Township funding comes from income and immunization planning, the per capita cost of 366.67 yuan per capita, an average cost of 17.46 yuan per dose. Conclusion The funding for grassroots immunization programs is seriously insufficient. The government investment is not the main channel but relies on revenue generation. Governments at all levels should increase their funding for immunization programs and the state should make overall plans to address the funding for immunization programs in the form of financial transfer payments.