Investigation Of Present EPI Situation In Qinghai Province

Objective:Understanding EPI situation of Qinghai province, the aim of the study is to find out the reason of low immunization coverage rate, high incidence rate of the vaccine against disease in Qinghai province, to put forward to improve a proposal, provide scientific basis for the formulation of relevant immune strategy and policy, and to to promote the further development of immunization program.Methods:The two stage probability proportional to size sampling (PPS) methods was adopted, the first stage in each region (Yushu since reconstruction not investigated) with the county as the sampling unit, extracting2county survey unit (county, Autonomous County, county-level city, city area, similarly hereinafter). In the second stage pumping in the county unit extraction3township-level units (countryside, town, similarly hereinafter). During the pumping in the villages and towns (street) by immune programming, random, poor in3administrative village (neighborhood). each administrative village (neighborhood) survey the EPI vaccine vaccination of10children born in2008-2009(5children each); At the same time, applying the pre-designed questionnaire, the funds, staff of the immunization programs and the surveillance of immunization against infectious disease and immunization management comprehensive evaluation in all levels institutions investigated.Result:(1) Immunization coverage rate:1261of school-age children were investigated from42countryside (town)126villages in7states (region, city) and the14counties. The inoculation rate of the vaccinations were bacillus Calmette-Guerin (BCG)93.10%, live attenuated poliomyelitis vaccine (OPV)91.67%. DPT vaccine (DPT)91.28%, live attenuated measles virus vaccine (MV)91.12%, hepatitis B vaccine (HepB)92.23%, respectively. The inoculation rate of the five vaccinations vaccinations was90.40%. group A vaccine (84.14%. MenA) hepatitis A vaccine (HepA-1)82.71%,the new meningitis vaccine inoculation rate of hepatitis A. lower, part of immunization coverage rate is in85%the following.(2) EPI situation:The weekly, monthly, bimonthly immune vaccination sites of the total in Qinghai province accounted for3.84%,78.35%,8.44%. respetively. and the population coverage were respectively3.84%,78.35%and8.44%. which achieve the standardization of outpatients requirements vaccination clinic only inoculated with the total number of points4.17%.(3) Immunization program funding in Qinghai province:The data of14counties.42rural showed that.100%of the counties, towns had no cold chain equipmentl, and no funds for operating or updating.92.86%counties had no funds for dealing with the outbreaks of contagious disease, and71.43%counties and95.24countrysides had no funds for rural daily work. The average income of funds in states, counties and countrysides were1283thousand CNY,1709.9thousand CNY,498.5thousand CNY, from2009to2010year. The levels of funds sources constitute differently. The funds of the institution of disease prevention and control mainly came from finance allocation (accounting for nearly80%), and11.89%of revenue, other income accounted for8.71%. The county-level disease prevention and control institutions budget funding accounted for52.88%, vaccines, income and other income accounted for27.77%and19.36%, respectively. The funds of the rural hospital composed of40.81%of income ratio,32.14%of vaccine,50%of other income.Conclusion:The coverage rate of immunization remained more than80%levels in Qinghai province, but with a big gap to the target vaccination rate(>85%) in nationalwide. vaccination service and management levels still exist some weak links, vaccination service need strengthen urgently. The immune programming service personnel quality is low, accidents and error easily occurred in setting the immunization strategy, technical guidance and preventive inoculation, directly affecting the immune programming work. All units there are different degrees of immune planning information management and old chain management problems; The funds for immune planning can not meet the actual needs of work, which was the main cause of lower level immunization programs, especially the county, countryside (town) level of immunization planning funds cannot meet the needs of the work, in most areas the orgnaization is diseased, staffs unreasonable, and working measure does not reach the designated position is the main reason of low immune planning level in Qinghai Province.