Hu Yuan-Sheng, Ding Zheng-Rong, Huang Guo-Fei
The Center of the Disease Control and Prevention of Qinghai Province, Xining 810007, Qingha, China.
Zhongguo Yi Miao He Mian Yi. 2009 Oct;15(5):404-8.
To study the coverage of timely birth dose of HepB vaccine (HepB1) and reasons contributed to the non-timely of HepB1 for the infants delivered in the hospital of remote and poverty areas in Yunnan province, and to bring forword the special strategies to improve the coverage of HepB of infants born at those hospitals.
According to the reported coverage and the estimated coverage of HepB1 vaccine, the HepB coverage of infants born at hospitals was investigated by sampling in Zhaotong and Xishuangbanna in 2007.
The average coverage of HepB1 of infants born at the local hospitals was 67.19%, and the HepB1 coverage of infant was higher in county hospitals than in township hospitals. Infants with premature, low birth weight and asphyxia and the shortage of HepB vaccine were the mainly reasons to the non-timely HepB1 of infants born at hospitals.
The HepB1 coverage of infants was still keep at low level in the local hospital; and to assure enough HepB vaccine in the village hospitals and to grasp immunization contraindication correctly were the two key strategies to promote the HepB1 coverage for infants born at the local hospitals.
了解云南省偏远贫困地区县级及乡级医院出生儿童乙型肝炎疫苗首针(HepB1)及时接种率及其未及时接种的原因,提出提高该地区儿童乙型肝炎疫苗接种率的针对性策略。
依据上报接种率及估算接种率,于2007年对云南省昭通市及西双版纳州县级及乡级医院出生儿童乙型肝炎疫苗接种情况进行抽样调查。
该地区县级及乡级医院出生儿童HepB1平均接种率为67.19%,县级医院出生儿童HepB1接种率高于乡级医院。早产、低体重、窒息及疫苗短缺是导致该地区县级及乡级医院出生儿童HepB1未及时接种的主要原因。
该地区县级及乡级医院出生儿童HepB1接种率仍处于较低水平,保证乡级医院疫苗供应及正确掌握免疫禁忌证是提高该地区县级及乡级医院出生儿童HepB1接种率的关键策略。