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目的了解南平市国家免疫规划(NIP)实施后疫苗接种现状,发现和解决工作中的存在问题。方法按PPS抽样法,对抽中的适龄儿童的一般情况、户口、居住情况以及疫苗接种记录等进行调查分析。结果全市“八苗”基础免疫接种率:MCV全程、MPV-A全程和HepA均>98%,JEV-L1为96.5%,“八苗”基础全程为91.6%,BCG及HepB、OPV和DPT基础全程均>99%,卡痕率97.9%,乙肝首针及时率98.4%;加强免疫接种率均达到90%以上,城乡相近;不合格接种原因主要是提前接种、间隔不符及超期接种等。结论南平市NIP各疫苗接种率保持在较高水平,但仍存在一些问题。应建立常态化培训机制;落实日常接种管理,提升免疫规划工作质量,保证NIP工作顺利开展。
Objective To understand the status quo of vaccination after the implementation of NIP in Nanping and to find out and solve the existing problems in the work. Methods According to the PPS sampling method, the general situation, household registration, living conditions and vaccination records of school-age children were investigated. Results The basic immunization coverage rates of the whole city, “eight seedlings”, were 98% for the whole process of MCV, 96.5% for JEV-L1 and 91.6% for the whole course of MPV-A and BCG, HepB, OPV and DPT based on the whole process were> 99%, 97.9% of card marks, hepatitis B first needle timely rate of 98.4%; strengthen the immunization rates reached more than 90%, urban and rural areas similar to the main reasons for unqualified inoculation inoculation, Vaccination and so on. Conclusion The vaccination rates of NIP in Nanping City remain at a high level, but there are still some problems. A normalized training mechanism should be established; daily vaccination administration should be implemented to improve the quality of immunization planning and ensure smooth operation of the NIP.