Yangzhou is located in the middle of jiangsu province, the Yangtze river in the south, the north huai water, bordering on taizhou east, the west and neighbouring anhui tianchang county and liuhe district, nanjing city, penetration in the beijing-hangzhou grand canal, is the Yangtze river delta important foreign open city and tourism city.
In recent years, with the development of social economy, runyang bridge and railway station of the new opening, floating population, especially there is an upward trend in rural migrant migrant workers, migrant children have become immune planning management work of the difficulties and hot issues. To carry our city floating children immunization planning work, improve the floating children immunization coverage and quality of immunization services. We have done some work, summarized as follows:
A basic situation, the floating children
According to immunization programme in the city in 2005-2010 annual report, the our city floating children five years a total of 28932 people, more than 4822 people per year on average, about 14% of the total number of JianKa children throughout the year. Including 24729 inflow, outflow of 4203 children, migrant children mainly inflows. Floating children JianKa, card rate more than 95% on average, "four miao" qualified coverage for more than 85% on average.
November 1, 2011-4336 floating children, JianKa rate, card rate 100%, according to China's national immunization planning immunization programme monitoring information management system's routine vaccination report statistics, this year October 1 - flow school-age children vaccine immunization planning routine immunization coverage in the city, respectively, 99.97%, 99.97% of the BCG vaccine, hepatitis b vaccine, polio vaccine immunization, DPT, measles vaccine immunization 99.86% 99.87% to 99.86%, A group of epidemic cerebrospinal meningitis vaccine is 99.87% 99.84%, je vaccine immunization, polio vaccine, strengthen immunity, DPT to strengthen immune 99.86%, white 99.82% broken bigeminal vaccine, ma gills wind 99.89% 99.42%, and A + C group of epidemic cerebrospinal meningitis vaccine is 99.79% 99.79%, 2, 1 needle, je vaccine strengthen immunization was 99.75%, hepatitis A vaccine, hepatitis b vaccine uptake rates first stitch in time 99.86% and 97.98%.
After investigation, the crux of the floating children management difficult: one is the liquid flowing children, base number is not easy to understand; Second, lower cultural quality of the floating children parents, epi knowledge awareness is low, the consciousness of active immunity in service is poor; Three is grassroots FangBao doctor to do a good job lack of confidence, the management of the floating children have difficulties.
Second, the main methods:
1, understanding of the basic number of the floating children, to master the dynamic flow of children
(1) the vaccination units active and on the street (village), the local police station, market management department, director of the women, urban management, family planning cadres, such as exchange of information department or a responsible person, dynamic, timely grasp of the floating population residential to strengthen cooperation with education departments, earnestly kindergarten entrance child vaccination certificate inspection work, ensure that migrant children a not leak;
FangBao personnel at the grass-roots level (2) at least once a month by local police station, r (village) committee, security, rural doctors to communicate, understand the floating children moved out, immigration, and to the area to visit verification, implementing sharding responsibility, responsibility to the people, take the initiative to search new ingoing flow school-age children, timely registration, three months to live with children to establish vaccination card, and children's movements form the birth month report flow (including children) "report step by step;
(3) every year, also used to eliminate polio vaccines against measles immunization and activities, a survey on children flow again touch bottom, floating children active search and discovery. Such as 2010/2011 polio strengthening immune detected objects floating children clothing seedlings of 13623 people, serving 13498 people, the seedling rate was 99.08% on average. Including 6500 round 1 found to suit miao object, serving 6433 people, serving seedling rate was 98.97% on average, 2 wheel found to take miao object of 7123 people, serving 7065 people, the seedling rate was 99.19% on average.
2, increase publicity, increase the floating children parents aware of knowledge about immunization
(1) administrative department of health and the CDC regularly or not regularly on television, radio, newspapers, Internet and other media publicity of floating children immunization plan about common sense, for the whole society attaches great importance to this work and support;
(2) the flow of vaccinating children against centralized residence prominently Posting posters, signs, hanging banners, etc., and publicity of the significance of vaccination; JianKa, in time for the floating children into local parents to children patient timely propaganda national immunization planning and related policies, free types of vaccination, inoculation methods, prevention of infectious diseases and vaccine contraindications, marketable fee standards as well as the possible side effects, inoculation against specific place and time, contact information, inform the floating children parents migrant children can accept the immunization services and resident children, the propaganda positions were established in the community, shipyard, trade market, such as different floating population, increasing floating population health prevention awareness;
(3) in order to get in touch with parents in a timely manner, provide vaccination for the service object the first time service, zhuhai HanJiang zone, gaoyou for newborn children more status, within their respective jurisdictions to install a set of "message booking notification system", through "SMS notification system booking" to parents send children vaccination notification and relevant information such as infectious disease prevention knowledge propaganda, on the one hand to remind parents, on the other hand also greatly made our work.
3, the floating children "card, certificate, report" of system and norm management of floating children.
(1) unit of each vaccination copies of registration, JianKa for migrant children;
(2) adopted a policy of floating children apanage management, especially the township interstate flow after the birth of children must be at the location of the hukou JianKa card, after leave detailed contact way, in order to the current residence to vaccinate, now on the vaccination status timely feedback to the vaccination outpatient service of seat of registered permanent residence to avoid card leakage; Vaccination units for the new move for floating children immunization card, certificate, floating children as its roll-out of moving out of vaccination card, certificate, to ensure the continuity of vaccination work;
(3) for routine immunization of statistical report on the floating children and permanent children respectively summary report, timely grasp the floating children immunization;
(4) make full use of the immunization vaccination information management system, implement vaccination information resource sharing, to avoid the floating children late and leakage phenomenon.
4, to increase vaccination outpatient service Open Day, improve the quality of service
(1) migrant children is mainly concentrated in the urban area, due to the increasing number of children, the types of vaccine to increase, the original monthly vaccination outpatient service has far can not adapt to, in order to better provide immunization services for children, guarantee the quality of vaccination, most units will be inoculated outpatient 1 times a week or 2 to 3 times a week instead of outpatient service, individual unit, outpatient service, avoids the clinic Open Day crowded phenomenon, and reduce the burden of the staff, but also reduces the errors in the accident;
(2) of the floating population is relatively concentrated, set up a regular flow of vaccination.
5, strengthen management, to ensure all measures put in place
Municipal organization professionals every six months into the different of the floating population, random visiting children, understand JianKa, vaccination card and the condition of floating children immunization programmes of parent knowledge, timely find problems resolved in a timely manner. County district each quarter to supervision, vaccination outpatient service asked related measures to implement, and half a year to develop a floating children vaccination rate survey.
2011 migrant workers children card rate (floating population) and the national survey results the immune planning vaccination rates: in 2011 we had in the first half of May 16-20 immune programming work supervision inspection, in the city of county (city, area) checked, random sample of 2 township (town, street), respectively, by field visit and information systems audit each spot check 1 2 administrative villages and township home residents' committees, each of the 10 administrative villages random survey on January 1, 2008 - children born on December 31, 2009 (2008, 2009, 5), a total of 480, including 180 children. Household survey of 180 floating children, JianKa rate and pass rate are 100%, specification number 143 card; Bill hold 168, holding rate 93.33%; Inform before inform 179 before vaccination, immunization rate 99.44%; Use 180 disposable syringes, disposable syringes utilization rate by 100%. Based immune qualified immunization vaccines inoculated respectively: BCG, timely rate of 100% and 79.4%, the rate card scar, polio vaccine, timely rate of 100.00% 98.89% and 100.00% 100.00%, DPT, flax seedlings, timely rate of 99.4% to 87.2%, the hepatitis b vaccine 99.4%, needle timely rate of 98.3%, "five miao" 99.4%, je epidemic cerebrospinal meningitis, 88.9% and 95.6% coverage.
Third, discussion and Suggestions
1, leadership attention, is the guarantee of the management of floating children, due to the particularity of liquidity of the floating population is strong, not easy to manage, make the floating children immunization work difficulty is very big. To do a good job of floating children immunization management to need a lot of manpower and material resources and financial resources, without leadership support, by the power of grassroots CDC staff alone, it is not possible to do the work well;
2, grass-roots staff must have determination and confidence to overcome the difficulty: floating children immunization management has always been immune programming work difficulty, also does not have a successful example, throughout the country also does not have a law, as a result, floating children immunization management difficult. If understanding of the work does not reach the designated position, not determination to overcome difficulties, measures is difficult to implement;
3, floating children immunization management to multi-sectoral collaboration: specification of floating children immunization management is not enough only by the health department, the need for multisectoral coordination and support;
4, propaganda, to improve migrant children parents for children vaccinated consciousness: only the epi knowledge propaganda in place, the floating children parents really realized the importance of children immunization, will become the passive to accept service of initiative service, floating children inoculated will be effectively improved.
5, in-depth research, repeated proof, for a "floating children immunization management model" : suggestion province health department or the centers for disease control and in-depth research, pilot, and a small scale for a butcher real feasible "floating children immunization planning management model", promoted in the whole province.
http://medical-supplies.cc/
没有评论:
发表评论