论文部分内容阅读
目的了解江西省2009年实施扩大国家免疫规划(National Immunization Program,NIP)工作现况,发现存在问题。方法通过调查问卷和接种率调查收集资料,采用描述性方法进行流行病学分析。结果 2009年,省、设区的市、县(区、市,下同)级各解决工作经费520万元、417.22万元和1820.74万元,仍有47.66%的县部分解决工作经费,21.5%的县未解决工作经费。全省冷链设备装备容量大大提升。2009年,省、市、县级免疫规划专职人员平均分别为10人、4.99人和6.11人,县级无专业技术职称者占11.07%,未获得教育学历证书者占6.47%。NIP疫苗接种率有7个县未达到江西省扩大NIP方案的要求,乙型肝炎疫苗首剂及时接种率与2004年相比提高了24.9个百分点,增幅为36.54%。结论江西省扩大NIP工作取得了较大的进展,但目前面临县级政府投入不足,免疫规划专业人员缺乏、且素质不高等问题,需进一步加大投入,完善相关政策,提高专业人员业务素质,共同做好扩大NIP工作。
Objective To understand the current situation of implementing the National Immunization Program (NIP) in Jiangxi Province in 2009 and find out the existing problems. Methods Data were collected through surveys and inoculation surveys, and descriptive methods were used for epidemiological analysis. Results In 2009, the work funds of all cities and counties (districts, cities and the same below) in the province and districts were 5.2 million yuan, 4.172 million yuan and 18.22074 million yuan, with 47.66% of the counties still partially solving the work expenses and 21.5% County unresolved working expenses. The province’s cold chain equipment capacity greatly improved. In 2009, the average number of full-time immunization professionals at the provincial, municipal and county levels was 10, 4.99 and 6.11, respectively, with 11.07% at the county level without professional and technical titles and 6.47% without educational diplomas. Seven counties in the NIP vaccination rate did not meet the requirements of Jiangxi Province to expand the NIP program. The timely first-dose hepatitis B vaccination rate increased by 24.9 percentage points from 2004, an increase of 36.54%. Conclusions Jiangxi Province has made great progress in expanding NIP work. However, at present, it faces the problems of insufficient investment by county governments, lack of specialized immunization program professionals and low quality. Therefore, it is necessary to further increase investment, improve relevant policies and improve professional qualifications of professionals. Work together to expand the NIP.