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Summary of exemption work
Summary of Immunization Work 1 Xxx Summary of Planned Immunization Work in Health Center One year's work is drawing to a close. Under the correct leadership of the Municipal Health Bureau and the superior departments in charge, all the staff United and Qi Xin worked together to successfully complete the expected task. The work of the past year is summarized as follows:
I. Organization and management
The leaders of our hospital attach importance to preventive health care, establish and improve preventive health care organizations, and the health care department has stable personnel and strong technical force. They regularly participate in the business training of relevant departments at higher levels, master the latest knowledge of immunization planning, and convey it to rural doctors in time.
Second, the completion of work indicators
1, the card-building rate of children under 7 years old reached 100%.
2. Vaccinate school-age children with hepatitis B vaccine, BCG vaccine, poliomyelitis vaccine, DTP vaccine, measles vaccine, hepatitis A vaccine, epidemic cerebrospinal meningitis vaccine, epidemic encephalitis vaccine and measles vaccine, find and report suspected abnormal reactions to vaccination, and assist in investigating and handling key tasks of national basic public health service projects. In order to do this work well, we carry out cold chain management of vaccines according to the requirements of cold storage facilities and equipment stipulated in the Management Specification for Vaccine Storage and Transportation to ensure vaccine quality.
The cold chain operation of 12 was successfully completed, the inoculation number should be165,438+0435, the actual seed number was165,438+0078, and the inoculation rate was 96. 9%。 Among them, 549 people should be vaccinated with BCG, and 549 people should be vaccinated with BCG. The vaccination rate is100%. Hepatitis B vaccine should be given to 1533 people and 15 14 people, with an inoculation rate of 98. 8%,
The timely vaccination rate was 98. 9%; Polio sugar pills should be inoculated 1955 people, and the actual seed 1902 people, with an inoculation rate of 97. 3%; Cell-free DTP vaccine should be inoculated to 1940 people, and the actual vaccine should be inoculated to 1904 people, with an inoculation rate of 98. 1%; 472 people should be vaccinated against leprosy, and 457 people were actually vaccinated, with a vaccination rate of 96. 8%, 928 people should be vaccinated with group A meningococcal vaccine, 9 12 people, and the vaccination rate is 98. 3%; The Japanese encephalitis vaccine should be given to 1036 people, and the actual vaccination was given to 1004 people, with the vaccination rate of 96. 9%; 464 people should be vaccinated against measles, and 442 people should be vaccinated, with a vaccination rate of 95. 3%; There should be 985 people in group A+C, 9 12 people, and the vaccination rate is 92. 6%; 470 people should be vaccinated with hepatitis A vaccine, 448 people should be vaccinated, and the vaccination rate is 95. 3%。 476 people and 429 people should be vaccinated with DTP vaccine, and the vaccination rate is 90%. 1%。 3. The incidence of abnormal reaction after inoculation is 0.
4, no vaccination accidents, no polio.
Three, biological products management and cold chain operation
Our hospital adheres to the main source of vaccine procurement according to the requirements of superiors, stores and manages it correctly according to the requirements, and carefully fills in the registration of entry and exit. The number of vaccines used is consistent with the number of vaccinators. We will check the vaccines and syringes every month, and deal with expired and damaged vaccines as required. Strictly implement the safety injection management system, ensure the refrigerator temperature within the specified range, carefully register the refrigerator temperature records, defrost regularly, and ensure the quality of vaccine storage. Doctors in rural areas must carry refrigerated backpacks and ice rafts to receive vaccines.
Fourth, school health work.
Take the initiative to coordinate with the education department, find out the number of students in the school, do a good job in the enrollment verification of primary school freshmen in each village, ensure that all children have a clear, detailed and correct vaccination history, and replant and reissue certificates in time. Guide schools to complete disinfection and disease control seriously.
Publicity and education of intransitive verbs
Hospitals and village health centers complete the publicity task of each publicity day in strict accordance with the requirements of their superiors, ensure the quality of publicity, and publicize the national immunization planning policy and the immunization planning knowledge that children's parents are interested in to the masses through leaflets, blackboard newspapers, posters and electronic screens. After each publicity, carefully record and summarize the publicity, and report the photos and summary of publicity to the superior unit.
VII. Regular training
Rural doctors are required to attend regular meetings in time, master the latest knowledge of relevant policies and immunization programs at higher levels, and mobilize parents of children to vaccinate in time according to the vaccination notice of the village.
Our hospital conducts business training for village-level medical staff every month, and in April and 10 this year, all rural doctors were given business examinations on the basic knowledge of immunization planning, so as to effectively improve the technical level of village-level inoculation points.
Eight, health supervision and management
In order to further improve the construction of village-level inoculation points, our hospital conducts self-inspection of immunization planning in each village inoculation point every month, requiring all inoculation points to operate in strict accordance with the technical management norms of planned immunization to ensure safe injection, and disposable items are destroyed, disinfected and burned in time. Inoculation points that do not meet the standard should be rectified within a time limit, and inoculation can be carried out only after they meet the requirements of the specification.
Nine, archives and information statistics management
Register the documents, notices and various materials related to immunization programs issued by superiors. Master all the basic information of immunization program, and classify and file it.
Correct use of children's vaccination information client, timely entry of vaccine collection and children's vaccination, and upload to the national platform.
Ten, a stream of vaccine.
According to the instructions of the superior, our hospital received the 8 1 influenza A vaccine and put it into storage in time. All front-line staff in the hospital are vaccinated free of charge with informed consent. After the vaccination is completed, all the information related to the free vaccination of influenza A vaccine will be entered into the computer in time and uploaded to the national platform.
XI. Carry out hepatitis B vaccination for children aged 8- 15.
In accordance with the relevant requirements of provinces and cities, carry out the work of testing and replanting hepatitis B vaccine for children aged 8- 15 in the town, cooperate with school staff to find out the vaccination situation of hepatitis B vaccine for all children aged 8- 15 in the town, fill in the registration form carefully and summarize and report it in time.
Twelve, hepatitis A vaccine leak detection and replanting
Although the city has not been vaccinated with hepatitis A vaccine for free, the national immunization program requires children to be vaccinated with hepatitis A vaccine in time. The staff of the health department of our hospital carried out the detection and replanting of hepatitis A vaccine for all school-age children in the town, and persuaded parents to replant the corresponding children in time.
Thirteen, measles leak detection and replanting work
In April this year, our hospital carried out the work of checking and replanting measles vaccine for more than 20xx children in the town, and found that children who failed to replant measles vaccine in time were replanted free of charge to ensure that no measles cases occurred in the area.
Fourteen Management of floating children
In order to strengthen the registration, management, reporting and vaccination of floating children and unplanned children. Our hospital conducts a survey of floating children once a month to do a good job in the registration, management, reporting and vaccination of floating population and extra-born children. 33 floating children were vaccinated with 53 injections in the whole year.
Fifteen. existing problems
1. Vaccination cards in some villages have been used for many years, and they are old and feel messy. The vaccination certificate of parents of children is not well kept, and the phenomenon of damaged and lost documents is more common.
2. The professional quality of rural doctors needs to be further improved, and the equipment of vaccination clinics needs to be improved.
3. Immunization planning data need scientific management, and there is no separate computer available.
4. Immunization of floating children is still a weak link, especially for locally born children, who go out and return irregularly, which brings great difficulties to immunization planning.
Summary of Immunization Work 2 According to the work arrangement of Tengzhou Municipal Health Bureau and CDC, the tasks were carried out in an orderly manner in the first half of 20xx, keeping no polio results, improving the routine immunization coverage rate and quality, reducing the immunization coverage rate of infectious diseases dominated by measles, and strengthening the informatization construction of standardized outpatient vaccination and child vaccination. The following is a brief summary to facilitate the work in the second half of the year.
I. Immunization planning:
1. Establish vaccination cards and vaccination certificates for children aged 0-6 in time. In the first half of the year, 205 people built cards and certificates, and the rate of building cards and certificates reached 100%. The coincidence rate of vaccination cards, certificates, books and information input for children of all ages reached 100%. There is no card leakage or card leakage.
2. Professional and technical personnel who undertake vaccination have the qualifications of practicing doctors, practicing assistant doctors and practicing nurses, and participate in vaccination professional training organized by CDC on time. * * * 8 people attended the training, including 6 in vaccination clinic and 2 in obstetrics and gynecology vaccination room. All passed the exam, passed the qualification certification and took up their posts.
3. The inspection of children's vaccination certificate is planned to be carried out after the students start school in the second half of the year, and the missed students will be replanted in time.
4. Keep records of cold chain equipment maintenance and temperature monitoring, and report to the township cold chain equipment investigation annual report every year. The temperature is recorded twice a day, and the cold chain equipment is well maintained.
5, do a good job of epidemic treatment and emergency vaccination of related diseases, no adverse reactions recorded in the first half of the year, continue to carefully collect adverse reactions of vaccination in the second half of the year, and report them in time as required.
II. Monitoring of exemptions
1. Continue to maintain the achievements of polio-free areas, implement the Monitoring Plan for Acute Flaccid Paralysis Cases in Shandong Province, strictly implement the reporting procedures and time limit, take the initiative to find and search AFP cases in the village in the middle of each month, and report the forms on time.
2. Study hard on Golden Immunization Assistant, develop and utilize the new functions of the system, and use the expired function of the system to inform children that they should be vaccinated against leprosy in time to ensure daily vaccination and reduce the incidence of MV. In the first half of the year, 0 cases of measles, 0 cases of chickenpox/kloc-0 and 4 cases of mumps were treated in time, which reduced the incidence of respiratory infectious diseases.
Third, the special work:
1, do a good job of missing hepatitis B vaccine, carry out the investigation report of hepatitis B cases, and continue to carry out the investigation of new cases of hepatitis B in children under 15.
2. Organize the data of immunization program for 20xx years, and manage the data of 20xx years in 9 file boxes to ensure the integrity, accuracy and standardization of immunization program data.
3.20x65438+1 0 month1Children vaccinated for 8 months have been vaccinated with measles vaccine. Check and replant children under 20xx 65438+ 10 month 1, children under 20xx65438+February 3 1, and floating population under 35 years old. Through active publicity and timely notification, * * * measles 103 1 person strengthened vaccination, and the vaccination rate was 99.2%. 47 people were missed and replanted, and the inoculation rate was 100%, all of which reached the required goal.
IV. Supervision, training and publicity:
1. Strengthen the training of basic knowledge and relevant laws and regulations for village staff, and invite the planned immunization department to conduct professional training and assessment for trainers, so as to improve their overall professional quality and practical operation skills. Strict operating specifications to ensure vaccination safety;
2. Make full use of the "April 25th" National Vaccination Publicity Day, and actively publicize the relevant knowledge of immunization planning. This year's slogan is "Vaccination is the responsibility of the family". We distribute leaflets, hang banners and take photos to save information. Through publicity, people's awareness of self-participation has been improved and a healthy umbrella has been set up for children.
4. Through the efforts of general practitioners in the first half of the year, we have completed routine immunization with hepatitis B vaccine 587 times, polio vaccine 1300 times, DTP vaccine 1258 times, leprosy vaccine 266 times, measles vaccine 307 times, Japanese encephalitis vaccine 2 13 times and epidemic cerebrospinal meningitis vaccine 65438 times. In the second half of the year, we will continue to work hard to successfully complete the annual work target.
3 2x 12 summary of immunization program and disease control. With the attention and support of leaders at all levels, and with the efforts of rural epidemic prevention workers, the tasks and duties assigned by superiors were completed on time. The annual work is summarized as follows:
One. Planned immunization work
In 2x 12 work, according to the work arrangement of the superior, actively implement the vaccination system and report the vaccination situation in time. If the children born at 2x 1 1 fail to complete the vaccination within1February, timely replant, strengthen the management of floating children in the jurisdiction, register and establish cards in time, and ensure the whole process of basic immunization for floating children.
According to the requirements of higher authorities, the national expanded immunization implementation plan was implemented. Through repeated training of village doctors and vigorous publicity in the form of broadcasting and posting slogans, the awareness rate of parents of children was improved, and free vaccination was given to school-age children. The coverage rate of basic and enhanced vaccines reached more than 95%, and no vaccination errors occurred. Successfully completed the work of sugar pills, eliminating missed measles seeds, replanting, etc. At the same time, the village epidemic prevention staff were trained in relevant knowledge, so that they could master more knowledge of immunization and infectious disease prevention and control. Use 4. Do a good job in publicity, and do a better job on the 25th Publicity Day to make it a household name. The vaccination clinic is running normally, but there are still some difficulties, which need to be vigorously publicized in the work to improve the vaccination rate.
2x 12/2x 13 sugar pills are used to strengthen immunity. In the first round, 45/kloc-0 children were vaccinated, and 447 children were actually vaccinated, with an vaccination rate of over 99%. In the second round, 507 children were vaccinated, and 504 children were actually vaccinated, with a vaccination rate of over 99%. Do a good job in the second-class vaccination work, do not charge fees, do a good job in children's information entry and software maintenance, and enter the information after vaccination in time.
Two. Disease control work
For many years, disease control has been one of the key tasks. Strictly implement the system of infectious disease registration and reporting, and realize direct network reporting in time. * * * Infectious diseases 17 cases were reported, and no Class A infectious diseases occurred. No cross-infection cases, no concealment, omission, false report or late report. Infectious disease monitoring in this area should be carefully implemented, and the situation should be reported and handled in time.
Supervise and inspect the prevention and treatment of infectious diseases such as hand, foot and mouth disease and influenza A in schools, especially in the morning and afternoon, closely monitor the epidemic situation, actively search for the epidemic situation of infectious diseases in schools, and deal with problems in time when found.
Three. Tuberculosis prevention and health education
In accordance with the requirements of the higher authorities, timely check, train, supervise, reissue and replant the vaccination certificate for school enrollment. For the prevention and treatment of AIDS and tuberculosis, vigorously promote and train all staff, and there is no interception of tuberculosis patients. If tuberculosis patients and suspected patients are found, they should be referred and registered in time so that they can enjoy free treatment. For patients diagnosed with chemotherapy, it is necessary to do a good job of treatment supervision, timely medication and review.
Do a good job in health publicity and education. Every village's wall newspaper publishes relevant content every month, and villages with radio also use radio to publicize health and disease prevention knowledge. Health centers publicize health knowledge and infectious disease prevention knowledge through posters, slogans, brochures, etc., * * * distribute health education materials 1800 copies, and carry out systematic management of chronic diseases in combination with village-to-household health transfer activities. The total population of the jurisdiction is 130 18, the number of electronic files is 12972, and the number of long-term outings is 40. Among them, elderly people over 65 1228, hypertensive people 1297, diabetic patients 83 and mental patients 45, and the standardized management rate reached 100%.
In a word, in 2x 12, the work of planned immunization and disease control has been basically completed, but there are still many shortcomings in the work, especially the propaganda work is not in place, so we should carefully check ourselves and the leaders should correct it in order to better carry out the future work.
Summary of immunization work 4. This year, under the guidance of leaders at all levels, we have implemented the planned immunization work. In this year, we have done a lot of work, and our achievements have been well received by the masses, and we have also achieved good social and economic benefits. The specific work is as follows:
Often go deep into the grassroots. Lower the neighborhood Committee. Go door to door to understand. Find out whether there are children and newborns missing seeds, and whether floating children are not vaccinated. All newborns should set up cards in time and write down our office phone number in each vaccination book for contact. Patiently explain the importance of planned immunization to parents, so that parents can realize the importance of timely vaccination and vaccinate their children on time and actively.
In this year, we report every month in time, attend regular meetings on time, and report the work summary and year-end summary in time.
We registered the one-stop operation of card vaccination, which achieved the consistency of cards and certificates, and the rate of establishing cards for newborns reached 100%. The vaccination rate of five vaccines was 100%. Polio intensive vaccination mission, epidemic cerebrospinal meningitis. Japanese encephalitis. . Influenza vaccination was carried out in a timely manner, especially in this year's intensive measles work. Neighborhood committees, schools and kindergartens were investigated in time to publicize the clinical manifestations and preventive knowledge of measles to the masses and let them know the importance of measles vaccination. The vaccination rate of school-age children reached 99%, and this vaccination task was successfully completed. And the tasks assigned by the leaders.
Summary of immunization work 5 In order to fully understand the development and existing problems of national immunization work, explore the establishment of a new dynamic management mechanism, and promote the healthy, sustained and in-depth development of immunization work in China, According to the goal of children's planned immunization in the Outline of China Children's Development (20xx-20xx), the Decision of the Central Committee of the State Council on Further Strengthening Rural Health Work (Zhong Fa [20xx] 13) and the Notice of the General Office of the Ministry of Health on Printing and Distributing the Outline of the Tenth Five-Year Plan for Disease Prevention and Control (20xx,13) issued by the State Council. According to the "20xx National Plan for Evaluation of Immunization", the Ministry of Health made a comprehensive evaluation of the planned immunization in our county on 20xx 1 1 -8.
I. Contents of review
1, funds and policies used by the government and health administrative departments for planned immunization.
2, planning the construction of immunization professional team, immunization service form, vaccine and cold chain management.
3, the county as a unit to develop school-age children (including migrant children) basic immunization plan, strengthen the actual vaccination.
Second, the evaluation method
1. Vaccination rate survey: The survey subjects are children born on 20x65438 10/0+20x65438 10-0 +0 -30+20x65438 on February+0 (regardless of whether they have registered permanent residence or not, whether they live or not) Methods According to the requirements of 20xx national immunization evaluation, 30 administrative departments in the county were randomly selected.
2. Comprehensive evaluation: The county level shall fill in the Comprehensive Evaluation Form for County-level Planned Immunization Work and the Comprehensive Questionnaire for Information on Planned Immunization in Anhui Province.
3. Evaluation method: According to the judgment and evaluation method of the national evaluation plan on the vaccination rate, count the vaccination rate of the whole county, and evaluate the vaccination rate of five vaccines (BCG, polio vaccine, DTP vaccine, measles vaccine and hepatitis B vaccine) and four vaccines in 20xx and the timely vaccination rate of the first dose of hepatitis B vaccine; 20xx years and 20xx years were used to evaluate the whole vaccination situation of the five-combined single vaccine and the four-combined vaccine, and the timely vaccination rate of the first dose of hepatitis B vaccine.
Three. Review results:
(1) Survey on vaccination rate:
639 children born between 20xx and 20xx were investigated. Among them, 630 were qualified for BCG vaccine, polio vaccine, DTP vaccine, 624 were qualified for measles vaccine, and the qualified vaccination rates were 98.59%, 97.65%, 98. 12% and 97.65 respectively. 622 people were vaccinated with hepatitis B vaccine, and the qualified rate was 97.34%. 602 people were vaccinated with the first dose of hepatitis B vaccine in time, and the timely vaccination rate was 94.438 0%.
265,438+00 children born in 20xx were investigated. The vaccination qualification rates of BCG, polio vaccine, DTP vaccine and measles vaccine were 97.62%, 96.67%, 97.62% and 97. 14% respectively. The qualified rate of the four vaccines was 96. 19%. The qualified rate of hepatitis B vaccination was 96. 19%, and the timely vaccination rate of the first dose of hepatitis B vaccine was 9 1.43%. The immunization rate of DTP vaccine was 96. 19%.
2 12 children born in 20xx years were investigated. The qualified rates of BCG, polio vaccine, DTP vaccine and measles vaccine were 99.53%, 99.06%, 99.53% and 99.06% respectively. The qualified rate of four vaccines inoculation was 97.64%; The qualified rate of hepatitis B vaccination was 98.58%, and the timely vaccination rate of the first dose of hepatitis B vaccine was 98. 1 1%.
20xx ***2 17 children's survey showed that the qualified rates of BCG, polio vaccine, DTP vaccine and measles vaccine were 98.62%, 97.24%, 97.24% and 96.77% respectively, and the qualified rates of four vaccines were 97.64%. The qualified rate of hepatitis B vaccination was 95.39%, and the timely vaccination rate of the first dose of hepatitis B vaccine was 97.24%.
(2) Comprehensive management of plan exemption
1. Organizational structure and team building: The county has established 28 township health centers, which are responsible for implementing planned immunization and guiding rural doctors to cooperate, and have a relatively complete immunization service system at the county, township and village levels.
2. Exemption from working funds: mainly self-financing.
3. Planned immunization service and management: there are 33 1 vaccination spots in the county, 48 centralized vaccination clinics at the township level and 283 designated vaccination spots at the village level, and the vaccination cycle is mainly monthly. The county, township and village levels are all equipped with cold chain equipment. Refrigerators are mainly used at county and township levels, and full-time or part-time personnel are responsible for vaccine management. Cold storage bags are mainly used at the village level.
Through the evaluation, experts agreed that our county government and health administrative departments attached great importance to EPI, and formulated a set of effective management measures. EPI was carried out steadily and orderly, and achieved remarkable results and experience.
(1) achievements
1. The survey results show that the planned immunization coverage rate in our county remains at a high level. The whole vaccination rate of the four vaccines and hepatitis B vaccine, the timely vaccination rate of the first dose of hepatitis B vaccine and the enhanced immunization rate of DTP vaccine were 96. 19%, which all reached and exceeded the national standards.
2. The comprehensive evaluation results show that due to the government's attention, the close cooperation of relevant departments, in-depth and extensive publicity, the active participation of the masses and the hard work of the majority of health workers, the family planning exemption work in our county has gradually become scientific and standardized.
(2) Questions are provided free of charge.
1. The government has not invested enough in the Expanded Programme on Immunization, especially at the rural level. The cold chain equipment can not be updated and supplemented in time, and the necessary working equipment and conditions can not meet the due requirements, which affects the sustainable development of planned immunization.
2. The EPI professional team is unstable and the business personnel change frequently. The wages of grass-roots prevention and maintenance personnel can not be guaranteed, and the remuneration of staff can not be solved, which seriously affects their enthusiasm for work and the stability of the team.
3. The development of EPI is unbalanced. The immunization coverage rate in the county is over 90%, and there are still weak links and areas. The floating population lacks effective management measures; In some villages, the preventive health care doctors are too old and the number of staff is too small, so the planned immunization work can not meet the requirements of standardized management.
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