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目的了解四川省2010年扩大国家免疫规划(Expanded Programme on Immunization,EPI)实施情况,为EPI工作的顺利开展提供可行性依据。方法对EPI实施前后免疫规划工作经费投入、人员配备、规范化管理、疫苗接种率及接种人员和儿童家长/监护人知识、态度、行为等进行调查,采用描述流行病学方法进行分析。结果实施EPI后,各级工作经费投入增加,规范化管理得到加强,免疫规划疫苗调查接种率均维持在较高水平,儿童家长/监护人对EPI的基本知识有了进一步的了解。但部分地方工作经费投入与工作量的增加不匹配,工作质量要求大幅度提高、工作量成倍增加与基层防疫人员相对不足、文化程度低、流动性大等,影响了四川省EPI工作的发展。结论应继续增加经费投入,合理配备人员,提高人员素质,加强规范化管理,强化督导和宣传力度,使四川省EPI工作取得新进展。
Objective To understand the implementation of Expanded Program on Immunization (EPI) in 2010 in Sichuan Province and provide a feasible basis for the smooth implementation of EPI. Methods The epidemiological method was used to analyze the investment of immunization planning, staffing, standardized management, vaccination rate, knowledge of vaccination staff and parents / guardians of children, attitudes and behavior before and after EPI implementation. Results After the implementation of EPI, all levels of work funding increased, and standardized management was strengthened. Immunization program vaccination coverage rates were maintained at a high level, and children’s parents / guardians had a better understanding of the basic knowledge of EPI. However, some local work expenditures did not match with the increase in workload, the quality of work requirements increased significantly, workload doubled and grass-roots epidemic prevention staff is relatively inadequate, low education, mobility and so on, affecting the development of EPI work in Sichuan Province . Conclusion We should continue to increase funding, rationally equip personnel, improve personnel quality, strengthen standardized management, strengthen supervision and publicity, and make new progress in EPI in Sichuan Province.