贵州省《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》实施情况调查分析  

Survey and Analysis on the Situation of Implementation of Global Alliance for Vaccine and Immunization Project in Guizhou Province

作　　者：周晖[1] 张丽[1] 童亦兵[1] 张大勇[1] 邹建[1] 

机构地区：[1]贵州省疾病预防控制中心,贵阳550004

出　　处：《中国计划免疫》2006年第2期117-120,共4页Chinese Journal of Vaccines and Immunization

基　　金：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

摘　　要：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％，HepBa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。Objective To study the situation of the project implementation after Global Alliance for Vaccine and Immunization （GAVI） project at prefecture, county, township and village levels, and carried out the survey based on key work areas at different targeted areas. Method Both working data review and project field were adapted for the survey. Result The management of Hepatitis B vaccine existed problems. The recorded data of receiving and deliverying for Hepatitis B vaccine were inconsistent among 88.9 % of the county center for Disease Control and Prevention （CDC）, 86.1% of the township health station and 79.5 % of medical institutions at county levels. The inventory and spot checked Hepatitis B Vaccine were inconsistent among 50 % of the county CDC and health station, 72.2 % of the township health station. The two level receiver-delivery check up for Hepatitis B vaccine were inconsistent among 50.0% of the county CDC, 55.98% of county medical institutions and 52.8 % of the township clinics. Report for Hepatitis B vaccination was incompleted. The number of county medical failing to report these data was 76.5 % in the year of 2003 and 55.9 % in 2004. The rate of Hepatitis B vaccination was low.The first dose Hepatitis B vaccination rate were 81.2% for new born infant from Jan. 1, 2003 to Oct.31, 2004. The on time vaccination rate was 21.6%. The rate of eligible whole course vaccination was 38.8 %. Conclusion For achieving the targeted purpose of GAVI project and improving project management system, it is important to strengthen the monitoring and surveillance for the project.

关 键 词：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 实施情况 调查 

分 类 号：R186[医药卫生—流行病学] R512.62[医药卫生—公共卫生与预防医学]