Abercrombie France,Primary immunization in the new

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Primary immunization in the new situation the Problems and Solutions

Abstract Base on the new situation facing the EPI analysis of the issues discussed, formulate a reasonable response strategies: the provincial and local governments work together to provide the grassroots level to ensure funding for immunization; promote the flow of integrated management of childhood immunization; The State shall be punished as soon as possible or even legal regulations, the immunization program as the obligation of every citizen to ensure its effective implementation; government leaders, departments, carrying out social mobilization advocacy; implementation of this system of vaccination; strengthen immunization professionals professional ethics education, and continuously improve the quality of professional ethics and business professionals.
Key words primary; immunization; children
Recent years, China's immunization program has entered a new stage. The newly revised Total population of 87 million people in Wolong, governs 14 townships (towns, offices), a total of 246 administrative villages and 1450 villages, is a typical agricultural area and large population areas, facing this new situation, how to do a better job region of the immunization program has become a serious problem.
1 Status and Problems
1.1 serious shortage of investment funds in China started from 1978 Children's immunity program for children through the implementation of planned immunization, and effectively controlled the spread of vaccine-preventable diseases, the protection of health and safety of children played a invaluable role. But can not meet the demand for immunization program. The survey shows that the current anti-security personnel at the township level is generally low wages, low pay or no village doctor treatment, resulting in their lack of enthusiasm for work, some village doctors unwilling to bear the immunization program, from medicine or agriculture or in business, seriously affected the implementation of the measures planned immunization.
1.2 flow management problems of children with social and economic development and reform, China's current rapid population growth, large groups of migrant children, of no fixed abode, immunization work hard to implement,[link widoczny dla zalogowanych], has been will influence the further development of sustainable immunization program of the outstanding problems [1]. Our region in 2004 children aged 0 to 7 the number is 76,703 people, including migrant children 4001, accounting for 5.22% of the total number of children. According to the 2004 situation in the region current childhood immunization survey, about 3.0% in our region the flow of children has not been completed vaccine immunization program, mainly because: First, most of the parents of migrant children from remote rural areas, and cultural level relatively low, the lack of vaccination of children's understanding of knowledge; also part of the flow of unplanned population growth, fear of penalty for parents of children refuse to vaccinate children; some parents of children due to economic or other reasons, immunization workers inform and mobilize many still inoculation site. This shows that the impact of current childhood immunization rate of the main factors in children's parents, and the report was similar to [2]. Second, immunization programs difficult to determine. Survey data show that nearly half of migrant children without documented vaccination history, a record of immunization history, and its Vaccination is also a considerable portion of non-compliance of the immunization program, this part of the arrangements of children vaccinated, immunization is a grassroots management of a big headache problem. Third, notice vaccination is difficult to place. Floating population is a group of dynamic people, moving frequently, of no fixed abode, resulting in vaccination in place notice is difficult to seriously affect the immunization program vaccine immunization rates, so that this part of the population to become disease-prone, high risk of epidemic outbreak and [ ],[
1.3 immunization program and enforcement of legislation in the immunization program task is designated by the State planning tasks, the implementation of the expanded program on immunization and the protection and development restraints. December 1, 2004, the newly revised medical institutions, disease prevention and control institutions and the children's guardians should cooperate with each other to ensure that children receive timely immunizations. The introduction of these laws and regulations for the immunization program provides a legal guarantee, clear direction, clear the problems to be solved. The first is the obligation of the Government and the child's parents to provide children with timely vaccination vaccine immunization programs, means that China is one of As long as no contraindications, children should be vaccinated. However, in practice, although the parents of most children are able to handle the required vaccination certificates for children according to the state program in time for the vaccination of children, but there are still some parents of children due to economic reasons or consciousness is not in place, not can according to prescribed procedures for planning children's timely immunization vaccines, so that these children received the vaccine not only their own potential threats against the spread of infectious diseases also threaten the other susceptible populations, affecting the overall effects of vaccination.
Vaccination certificate is recorded evidence of immunization of children, parents should take good care of children, vaccination cards, to prepare for nursery school, entrance, exit examination. Most parents of children currently in our region are aware of child immunization records as evidence, vaccination certificates of extraordinary significance and proper preservation. But I areas on nursery, inoculated with new students check card information, there are still 5% to 8% of parents of children as a result of neglect vaccination certificate is missing or incomplete, so that this part of the child immunization records were incomplete or because The error can easily cause loss of species, the wrong species or missing species,[link widoczny dla zalogowanych], and thus their physical health risks.
1.4 issues new vaccine to promote vaccination to control and eradication of vaccine against infectious diseases is one important and easy way, not only to protect individuals from infectious disease , but also in the group also limits the spread of pathogenic microorganisms. In recent years, a large number of China's annual investment in manpower, material and financial resources for the introduction of free school-age children inoculated, so to strengthen routine immunization and improved immunization rates, a relatively high level of population immunity, control and eradication of the targeted disease incidence and prevalence. With the rapid development of science and technology, many domestic and imported new vaccines continue to come for immunization of children, to further reduce child morbidity and mortality. These vaccines are a bivalent vaccine, which will give parents of some of the economic difficulties increase the burden, reduce this part of the child immunization rate of the new [4],[link widoczny dla zalogowanych], so that the new vaccine, the promotion has been limited. Our region is a large agricultural area and large population areas in the middle and lower economic status, etc., how to promote the existing conditions and promotion of new vaccines have become the majority of government departments and grassroots workers immunization urgent problem.
1.5 deal with the problem of abnormal reaction vaccination vaccination currently used biological products despite gradual improvement, but still abnormal reactions after vaccination have occurred, which gives primary immunization has caused some problems. As part of the EPI staff to bring the abnormal reaction to the vaccine propaganda is not in place, very few parents of children do not understand entanglement, to their respective claims for hospitals and health and epidemic prevention departments of economic, spiritual loss, resulting in basic EPI vaccination staff misgivings about the work.
2 Measures
2.1 after the founding of prevention is proposed for China's national conditions, in line with the objective of effective basic health law and policy, can not be shaken off,[link widoczny dla zalogowanych], and we must resolutely change the past patients with mild to prevention The newly revised At present, China's investment in public health institutions, including investment in immunization, the financial system to grade, that all levels of government responsible for their own financial investment in immunization [5, 7]. As a result of economic, financial condition different, resulting in very different financial investment in immunization, especially in poor areas, the government plans to get immunization may not have enough funds, or even without financial support,[link widoczny dla zalogowanych], so that some children will enjoy not to the benefits of immunization program, for them, is unfair. Thus, by the provincial and local governments jointly provide funding for primary immunization should be better security solution.

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