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《提高偏远贫困山区新生儿乙肝疫苗首针及时接种率干预研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·2022·现代预防医学2014年第41卷第11期ModernPreventiveMedicine,2014,Vo1.41,NO.11·卫生政策与管理·提高偏远贫困山区新生儿乙肝疫苗首针及时接种率干预研究韩真明·,王青’,王豫林·,周玉清z,夏伟z,朱徐s1.重庆市疾病预防控制中心免疫规划所,重庆400042;2.中国疾病预防控制中心免疫规划中心,北京100050;3.联合国儿童基金会驻华代表处,北京100600摘要:目的探索提高偏远贫困山区新生儿乙肝疫苗首针及时接种率的策略和措施。方法在基线调查基础上,采取加强组织
2、管理、强化人员培训、开展有效的宣传教育、落实孕妇和新生儿摸底调查、住院分娩医院接种,非住院分娩入户接种、加强疾控机构与计生妇幼的沟通及狠抓督促检查等针对性措施,并评价措施实施效果。结果住院分娩新生儿HepB报告及时接种率为86.7%,非住院新生儿HepB报告及时接种率为88.7%;新生儿HepB调查及时接种率由项目实施前的53.8%提高到87.1%,住院分娩新生儿和非分娩新生儿HepB及时接种率比项目实施前分别提高了19.7和48.1%。结论项目措施得力、有效,项目工作成绩十分显著,城口县新生儿乙肝疫苗首针及时接种率
3、、全程接种率和孕产妇住院分娩率都大幅提高。关键词:贫困山区;新生儿;乙肝疫苗;首针及时接种率中图分类号:R19—0文献标志码:A文章编号:1003—8507(2014)11-2022—03StudyonthecollaboratedprojectofstrategiestoimprovethevaccinationcoveragerateoftimelyfirstdoseofhepatitisBvaccineofnewbornsinremotepovertymountainareasHANZhen-ming,WANG
4、Qing,WANGYu-lin,ZHOUYu—qing,XIAWei,ZHUXuChongqingCenterforDiseaseControlandPrevention,Chongqing400042,ChinaAbstract:ObjectiveTostudythestrategyandmeasuresofimprovingthevaccinationcoveragerateoftimelyfirstdoseofhepatitisBvaccineofnewbornsinremotepovertymountaina
5、reas.MethodsAccordingtotheresultsofthebaselineinvestigation,severalmeasureswereimplementedinordertoimprovethisconditionincluding:strengtheningtheorganizationandmanagement,s~ength—eningpersonaltraining,earringoutefectivepropagandaandeducation,implementingthemapp
6、ingsurveyofmaternalandnewborn,makingsurethatbabiesbornathospitalwereimmunizedbydoctorsandbabiesdeliveredathomewereimmunizedbyvillagedoc—tors,increasingcommunicationbetweenCDCandinstitutionofmaternalandchild,payingcloseattentiontothesupervisionandin-spectionfors
7、trategiesandmeasures.ResultsForbabiesborninhospitalandathome,thetimelyvaccinationrateofHepB1was86.7%and88.7%respectively.TheprojectimplementationimprovedthetimelycoveragerateofHepB1fromtheprevious53.8%tothecurrent87.1%.withhospital-deliveredandhome-deliveredbab
8、ieseachimprovedby19.7%and48.1%.ConclusionThestrategiesareefectiveandresultsoftheseinterventionsareremarkable.Notonlythevaccinationcoveragerateoftimelyfirstdose,butalsotheful
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