开封农村地区新生儿乙肝疫苗接种管理模式评价  

An Evaluation of Management Mode of Hepatitis B Vaccination in Neonatals in Rural Areas of Kaifeng

作　　者：马师 魏洪武 田艳玲 王建峰 

机构地区：[1]河南省开封县卫生防疫站,河南开封475100 [2]开封市卫生防疫站

出　　处：《实用预防医学》2005年第1期25-27,共3页Practical Preventive Medicine

基　　金：开封市卫生发展基金资助项目 (96 - 2 0 7- 0 3 - 0 1 )

摘　　要：目的　探索适合开封农村地区新生儿乙肝疫苗接种管理模式 ,为新生儿乙肝疫苗纳入计划免疫后提供管理经验。　方法　于 1997～ 2 0 0 2年选择开封县开展了“以政府领导、部门配合、广泛宣传、强化培训、规范程序、建立考核制度”的管理模式研究。　结果　实施后的第一年 ,新生儿乙肝疫苗接种率就由实施前的 2 9.3 2 %提高到 89.0 7% ,第二年和第三年又分别提高到 94.3 4%和 95 .0 9%。经放射免疫法检测 2 70名接种新生儿乙肝疫苗的儿童 ,免疫后 1～ 3年的抗-HBs阳性率为 81.1%。 2 0 0 0年在开封农村全面推广 ,到 2 0 0 2年开封农村地区新生儿乙肝疫苗平均接种率由推广前的2 8.63 %提高到 96.11% ,其差别有非常显著意义 (P <0 .0 1)。　结论　该管理模式易于操作 ,便于推广 ,投资少 ,见效快 ,是适合农村地区新生儿乙肝疫苗接种的管理模式。Objective To probe into a management mode suitable to neonatal hepatitis B vaccination in rural areas of Kaifeng, and provide experiences for management of Hepatitis B vaccination after its involvement in immunization program. Method Select kaifeng county as study subject, who had developed a management mode as “governmental leadership,de-partment coordination, wide-spread mobilization, standardized procedure and evaluation system” in 1997～2002 Result In the first year of implementation, the vaccination rate of neonatal hepatitis B increased from 29.32%of pre-implementation to 89.07%, and 94.34%, 95.09% at the 2nd and 3rd year respectively. The RIA to 270 neonatals vaccinated with Hepatitis B shows that the positive anti-HBs rate in 1～3 years after immunization is 81.1%. Since this mode was spread in rural areas of kaifeng in 2000, the neonatal vaccination rate of Hepatitis B increased from 28.63% before the spread of the mode to 96.11% in 2002, demonstrating a significant difference (P<0,01), Conclusion This Hepatitis B vaccination mode for neonatals is operative, cost-effective, and worth to be spread in rural areas.

关 键 词：新生儿 乙肝疫苗 管理模式 评价 

分 类 号：R757[医药卫生—皮肤病学与性病学]