浙江省3县流动儿童预防接种服务可及性调查  

Accessibility of vaccination service in children in floating population in 3 counties,Zhejiang,2010

作　　者：高洁[1,2] 胡昱[3] 沈纪川[2] 戚小华[3] 陈耀荣 沈玉华[5] 张鑫培[6] 马会来[2] 陈恩富[3] 

机构地区：[1]上海市静安区疾病预防控制中心,上海200041 [2]中国疾病预防控制中心现场流行病学培训项目,北京100050 [3]浙江省疾病预防控制中心 [4]宁波北仑区疾病预防控制中心 [5]嘉兴嘉善县疾病预防控制中心 [6]绍兴上虞市疾病预防控制中心

出　　处：《疾病监测》2012年第9期723-725,共3页Disease Surveillance

基　　金：联合国儿童基金会项目(No.0135YH601-13)

摘　　要：目的 2005年浙江省3县(宁波市北仑区、嘉兴市嘉善县、绍兴市上虞市)调查结果显示流动儿童建卡率仅58%。浙江省疾病预防控制中心和联合国儿童基金会联合对3县开展干预,为评价干预效果,2010年4月,对3县再次开展调查。方法使用两阶段整群抽样法,每县通过容量比例法抽取30个村或居委,每村随机抽取2个村小组。所抽取村小组内的0～3岁外来儿童全部纳入调查,了解儿童是否建卡以及家长如何获知预防接种服务。调整抽样权重后计算儿童建卡和疫苗接种率及95%可信区间(95%CI)。结果共调查到455名外来儿童,其中448名儿童(98.7%,95%CI:98.4%～98.9%)在调查地建卡。430名儿童(96.4%,95%CI:95.7%～96.9%)在调查地至少接种过一次疫苗。305(77.7%)名儿童家长由于接到通知而带孩子接种疫苗。预防接种通知的主要来源是产科医院(n=165,47%)、外来人口管理办公室(n=53,30%)、村或居委干部(n=70,22%)以及同乡(n=26,7%)。结论加强流动人口摸底调查工作有效促进了3县流动人口预防接种服务可及性。建议3县流动人口的管理模式应推广至全省,并在全国尝试开展干预研究。Objective A survey conducted in 2005 found that only 58% of children in floating population in 3 counties（Beilun in Ningbo,Jiashan in Jiaxing and Shangyu in Shaoxing） were recorded in EPI information system,then the intervention was made in the 3 counties by Zhejiang provincial CDC and NUICEF.In April 2010,a survey was conducted to evaluate the intervention effect.Methods By two-stage cluster sampling with probability proportional to size（PPS）,30 villages were sampled from each county and 2 groups were randomly selected from each village,and all the 0-3 years old children in floating population in these groups were surveyed to know whether they had been recorded in EPI information system and how their parents were informed of vaccination service,the weighted proportions of recorded and vaccinated children and 95% confidence intervals（CI） were calculated.Results Totally 455 children were surveyed,among them 448（98.7%） had been recorded in the EPI information system（95% CI： 98.4%-98.9%）,430（96.4%） had received one vaccination at least（95% CI： 95.7%-96.9%） and the vaccination of 305 children（77.7%） were due to their parents being informed.The information of vaccination service was mainly from maternity hospitals（n=165,47%）,floating population management offices（n=53,30%）,village or community committee staff（n=70,22%） and fellow villagers（n=26,7%）.Conclusion The accessibility of vaccination service in floating population was greatly improved by the intervention activity in the 3 counties.It is recommended that the vaccination management model in floating population in the 3 counties could be spread in the province.

关 键 词：预防接种 服务 流动人口 

分 类 号：R186[医药卫生—流行病学]