周艳芝, 李维雁. 甘肃省通渭县提高新生儿病毒性乙型肝炎疫苗及时接种率项目效果评价[J]. 疾病监测, 2009, 24(9): 681-683. DOI: 10.3784/j.issn.1003-9961.2009.09.014
引用本文: 周艳芝, 李维雁. 甘肃省通渭县提高新生儿病毒性乙型肝炎疫苗及时接种率项目效果评价[J]. 疾病监测, 2009, 24(9): 681-683. DOI: 10.3784/j.issn.1003-9961.2009.09.014
ZHOU Yan-zhi, LI Wei-yan. Evaluation on project for timely vaccination of the first dose of hepatitis B vaccine in neonates in Tongwei county, Gansu[J]. Disease Surveillance, 2009, 24(9): 681-683. DOI: 10.3784/j.issn.1003-9961.2009.09.014
Citation: ZHOU Yan-zhi, LI Wei-yan. Evaluation on project for timely vaccination of the first dose of hepatitis B vaccine in neonates in Tongwei county, Gansu[J]. Disease Surveillance, 2009, 24(9): 681-683. DOI: 10.3784/j.issn.1003-9961.2009.09.014

甘肃省通渭县提高新生儿病毒性乙型肝炎疫苗及时接种率项目效果评价

Evaluation on project for timely vaccination of the first dose of hepatitis B vaccine in neonates in Tongwei county, Gansu

  • 摘要: 目的评价卫生部/世界卫生组织(MOH/WHO)支持甘肃省通渭县提高新生儿病毒性乙型肝炎(乙肝)疫苗首针及时接种率项目(项目期限为2006年4月至2007年12月)的实施效果。方法利用多级抽样方法抽取项目前(2006年1月)210人,项目后(2007年12月)401人,采用问卷调查方法收集调查对象的出生地点、乙肝疫苗首针接种情况及乙肝防治知识知晓情况,并利用项目执行单位常规报表(2005年12月和2007年12月)中的上述数据,用I/Isup2/sup检验进行率的比较。结果项目期内,县项目领导小组累计对乡镇级、村级督导22次、456次,覆盖率均达100%。 与项目前相比:全县新生儿乙肝疫苗报告首针接种率、及时率、调查首针接种率、及时率均明显上升,I/Isup2/sup值分别为124.57、2332.8、10.7、135.6,IP/I<0.01,差异有统计学意义;通过大力宣传普及乙肝防治知识,住院分娩率显著提高,差异有统计学意义(I/Isup2/sup=562.2,IP/I<0.001);全县儿童家长对乙肝防治知识的知晓率变化差异有统计学意义(I/Isup2/sup=87.8,IP/I<0.001)。 项目实施后随机抽取3个乡镇共计40名新生儿静脉血做乙肝病毒表面抗体(抗-HBs)检测,结果显示,抗体阳转率达90%。结论通过加强督导、强化项目管理、深入宣传教育、提高儿童家长以及广大群众的认识水平,该项目在通渭县实施效果显著。

     

    Abstract: ObjectiveTo evaluate the project for timely vaccination of the first dose of hepatitis B vaccine in neonates in Tongwei county of Gansu province, which was implemented from April 2006 to December 2007 and supported by MOH and WHO. MethodsBy multi-stage sampling, 210 people and 401 people were selected before and after the project to conduct questionnaire survey about their awareness of hepatitis B prevention/control, their babys birth place and the first dose of hepatitis B vaccine, similar data in routine report of the project implementation were used to conduct I/Isup2/sup test for the vaccination rate comparison. ResultsDuring the implementation of the project, the supervision and direction were carried out by the project leading group in all townships and villages (22 times for townships and 456 times for villages). Compared with the data before the project, both the reported 1supst/sup dose of hepatitis B vaccination rate, timely vaccination rate and the surveyed 1supst/sup dose of hepatitis B vaccination rate, timely vaccination rate increased significantly (I/Isup2/sup= 124.57、2332.8、10.7、135.6 respectively, IP/I<0.01). By publicizing the knowledge about prevention and control of hepatitis B, the rate of delivery in hospital increased significantly (/Isup2/sup=562.2, IP/I<0.001); the differences on the peoples awareness of hepatitis B prevention and control before and after the project was significant (I/Isup2/sup=87.8, IP/I<0.001). After the project, 40 children were selected randomly from 3 townships to detect anti-HBs, the result indicated that the antibody seroconversion rate was up to 90%. ConclusionThe project was successful by frequent supervision and direction, strict project management and wide health education to increase the peoples awareness about the prevention and control of hepatitis B.

     

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