Work plan of planned immunization

Immunization planning work is a social and scientific work. It must continue to rely on the support of governments at all levels, leaders at all levels and the participation of the general public, as well as the joint efforts of all preventive health care personnel to adopt Practical and effective measures to standardize the collection of immunization planning work materials, improve the quality of vaccination, and protect children's health. I have compiled the "Work Plan for Planned Immunization" for reference only. I hope it can help everyone! Chapter 1: Work Plan for Planned Immunization

In 20xx, the planned immunization work for children in our town achieved good results through the joint efforts of all staff and continued to maintain a high level. Based on the summary of various monitoring surveys, the newborn card creation rate is 100, the "five vaccine" coverage rate for children aged 12-24 months is 100 (220/220), and the newborn hepatitis B vaccine full vaccination rate is 100. However, there are still gaps between our planned immunization work and the requirements of our superiors. Exemption outpatient clinics are not standardized enough, the vaccination status of migrant children is unclear, active vaccination of susceptible groups is not carried out well, and informed consent before vaccination has not been carried out. In order to overcome shortcomings, carry forward achievements, ensure that the planned immunization work in 20xx reaches a new level and successfully complete the annual work goals, this work plan is specially formulated.

1. Overall goals

1. Continue to maintain a polio-free status.

2. The timely establishment rate of newborns is gt; 98; the coverage rate of "five vaccines" for children aged 12-24 months is gt; 98; the vaccination rate of "two brains" is gt; 95; the enhanced vaccination rate is gt; 95.

3. Actively carry out active vaccination work for various infectious diseases, and complete annual tasks in accordance with the requirements of the "xx City Immunization Plan for 20xx".

4. Actively cooperate with the municipal station to monitor the success rate of immunity or the level of population immunity.

5. Actively cooperate with the Municipal Center for Disease Control and Prevention to implement the pilot project of computer network management of children's planned immunization.

2. Specific measures

1. Continue to consolidate and improve the standardized hardware and software facilities for free outpatient services. In 20xx,

Achieve the following:

(1) The exempted outpatient clinic should be separated into at least three rooms, with dedicated staff in the BCG vaccine room, one person, one vaccine, one machine and one refrigerated backpack;

(2) Refrigerators and other cold chain facilities should be updated or repaired in a timely manner to ensure the effectiveness of the vaccine cold chain;

(3) Conduct strict consultation and physical examination before vaccination;

(4 ) According to the requirements of the municipal station, carry out a pilot project of notifying parents of children before vaccination.

2. Maintain polio-free status.

(1) Strengthen the reporting and monitoring of AFP cases, improve the AFP reporting system, specify a designated person to be responsible, and report the case to the Municipal Epidemic Prevention Station by phone immediately after discovering the case.

(2) Do a good job in routine immunization with polio vaccine, carry out strengthened routine immunization in accordance with city requirements, ensure a timely vaccination rate > 95 for those over two months of age, eliminate the phenomenon of simultaneous vaccination with diphtheria-pertussis, and strengthen Immunization is strictly implemented in accordance with the city’s program requirements.

3. The timely account creation rate for newborns is >98, and the coverage rate of "five seedlings" for children aged 12-24 months is >98. It is necessary to fully realize the importance of setting up accounts in a timely manner, make full use of village doctors to report timely, take the initiative to go to the obstetrics and gynecology department for inquiries, and actively seek the cooperation of family planning and public security departments, and regularly visit villages and households for investigation. Focus on vaccinating children who are away from home for a short period of time, and improve the recovery rate of vaccination notices, the re-notification rate, and the follow-up rate for reasons for non-vaccination.

4. Strengthen the management of migrant children and increase the vaccination rate of migrant children. Regularly understand the situation of migrant children through village doctors and village women directors, and report and register in a timely manner to establish accounts. Conduct surveys of migrant children in key areas such as farmers' markets and small commodity wholesale markets every quarter, establish an account for the inflow and outflow of migrant children, and register vaccination status in a timely manner.

5. The "two-brain" vaccination rate is >95, and the vaccination rate should be strengthened >95. The "two-brain" vaccination has seasonal characteristics, and we strive to do a good job in re-vacculating children who have missed the vaccination.

6. Strengthen measles vaccination work and incorporate the "measles, rubella, and mumps" triple vaccine into the exemption program for management. Measles booster vaccination should be carried out on a monthly basis.

7. Strengthen the epidemic monitoring of diseases related to the exemption plan, focusing on the epidemic reporting, sampling, inspection and circulation control of measles, neonatal tetanus, meningitis, and Japanese encephalitis.

8. Actively assist the municipal station in monitoring the success rate of hepatitis B vaccine immunization, and do a good job in monitoring the town's planned immunization vaccination rate and report rate as well as vaccination side effects.

3. Strict management procedures for preventive biological products

Further enhance legal awareness, strictly follow the spirit of the municipal health department’s documents, and strengthen the management of preventive biological products.

1. Establish and improve the system for ordering, warehousing and acceptance of biological products, refrigerated storage, and use registration, and specify dedicated personnel to be responsible for strict implementation.

2. Establish an account for purchases, sales and deposits, and strictly implement the financial system.

3. Strictly implement the cold chain system and keep temperature measurement records to ensure vaccine potency.

4. Put an end to illegal activities in the purchase and sale of preventive biological products.

IV. Guarantee measures

Relying closely on the leadership of the Municipal Health Bureau and hospital departments and the business guidance of superior epidemic prevention agencies, continue to increase publicity efforts, publicize the performance of planned immunization work, and strengthen Plan and exempt personnel learn business skills, improve the quality of prevention and protection personnel, strictly implement planned and exempt technical management regulations, and carry out various tasks. Chapter 2: Work Plan for Planned Immunization

In order to conscientiously implement the policy of “prevention first”, in accordance with the spirit of relevant provincial, city and county meetings and documents and the county Center for Disease Control and Prevention’s work plan at the beginning of the year, in order to further improve Our town's planned and exempted work has gradually made our town's planned and exempted work more systematic, standardized and complete, improved the overall immunity level of children in our town, better prevented and controlled and even eliminated the occurrence of corresponding infectious diseases, and protected children's health To grow healthily, combined with the actual situation of our town, we have specially formulated the work plan for the exemption in 20xx:

1. Management and indicator requirements of the exemption work

1. Routine immunization: According to the superiors Requirements: Special hepatitis B, BCG, sugar pills, diphtheria-tetanus pertussis, measles vaccine, leprosy, MMR, MMR, Japanese encephalitis, group A meningococcal, group A C meningococcal, hepatitis A and other vaccines are all free of charge within the specified time. vaccine. The vaccination time in our town is from the 16th to the 19th of every month. The epidemic prevention personnel in each village must go to the prevention and protection station one day in advance to copy the list of children who should be vaccinated that month for notification.

2. Management of hepatitis B vaccine and implementation of vaccination: The vaccination room must establish a special account registration and use verification system for hepatitis B vaccine and syringes. The quantity used shall be consistent with the number of vaccinations, and safe injection management shall be strictly implemented. system, uniformly recycle and dispose of used injection equipment, and keep relevant records, and promptly transcribe the vaccination information of the "Newborn First Injection Hepatitis B Vaccine and BCG Vaccination Registration Card" transferred from other units; the epidemic prevention personnel of each village health office must promptly Master the information of new-born children in the village, notify and mobilize parents of new-born children to go to the vaccination clinic of xx Town within 24 hours to receive hepatitis B vaccine, so as to increase the timely rate of the first injection.

3. Actively coordinate with the education department to check the vaccination certificates and re-vaccination and re-certification of newly admitted children in each primary school. The first-dose re-vaccination and re-certification rate is ≥100; the full vaccination rate is ≥95.

4. Card management: The card creation rate for children under 1 year old is ≥90, (within 1 month after the birth of children with local household registration; migrant children who have lived for more than 3 months complete the card creation and card creation. The matching rate is 95. The registration must be filled out month by month. The card surface should be kept clear and the items must be filled in completely. The main card will be kept by the prevention and security office, and the deputy card will be registered and kept by the clinics of each administrative village. The deputy card and vaccination certificate of each village must be consistent with the main card. The vaccination certificate must be issued and registered. The epidemic prevention staff of each administrative village health office must submit the birth list of children in the village at the end of the month, submit the monthly age report in a timely manner, and promptly transcribe the vaccination information of the children in the village this month from the main card to the deputy.

5. Strengthen the registration management, reporting and vaccination of migrant children and children who have had children.

The card creation rate of migrant children under 3 years old is ≥90, and the five-vaccination and single-vaccination vaccination rate is ≥95. Each village clinic conducts surveys of migrant children and missed revaccination activities twice a year, and conducts a vaccination sampling survey of children in migrant areas. We will do a good job in the registration, management, reporting and vaccination of migrant populations and children born after birth.

6. Construction of vaccination clinics

(1) Continue to focus on and improve the construction of vaccination clinics, carefully evaluate the quality and vaccination rate of vaccination clinics in the past year, and Analyze whether the setting up of vaccination clinics is reasonable;

(2) Invest in vaccination clinic facilities and allocate corresponding materials;

(3) Strengthen the supervision of vaccination clinic personnel Training and vaccination must be carried out in strict accordance with the "Vaccination Work Specifications";

(5) Carry out standardized operations according to the requirements of vaccination outpatient clinics, and submit vaccination results reports on time.

7. Management of calculation and exemption data:

Register the documents, plans, notices and various materials issued by superiors.

Master the following information:

(1) The total population in the village, gender composition, monthly age composition of the zero-year-old group, and age composition of 0-15 years old;

(2) Administrative divisions and childcare information;

(3) Distribution of town and village prevention network personnel;

(4) Account registration of vaccination equipment;

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(5) Registration of distribution of various biological products;

(6) Vaccination results report for each cold chain operation;

(7) Epidemic spots Investigation and processing, registration information of disease-specific exemptions;

(8) Exemption work plan, documents, notices, summaries, inspection records and other information;

(9) Key biological Product vaccination information;

(10) Guide the completion of village-level clinic information. Complete three types of charts (age composition of 0-15 years old group, prevention network, and annual vaccination results report) and put them on the wall, and continue to complete and file other information.

8. Specific indicator requirements for the calculation and exemption work:

(1) Card creation rate, card creation rate, and card-card matching rate are 100;

(2) ) The card-creation rate for children born in 20xx reached 100 in one month;

(3) The "Five Miao" vaccination rate at 12 months of age is over 95, the age group will be strengthened, and the "Three Miao" vaccination will be repeated for the age group The rate is over 95%;

(4) The hepatitis B vaccine vaccination rate is over 90%, of which the first dose timely vaccination rate is over 80%;

(5) Data reporting: Vaccination clinics are inoculation The vaccination results report shall be submitted to the county CDC within 5 days after completion; the monthly age group report shall report the number of newborn children in the previous month before the 5th of each month.

2. Training and publicity on planned exemption work

1. Planned exemption training: train village-level health personnel more than 2 times before each operation in the form of training on behalf of others, and arrange daily arrangements Conduct special training more than 2 times and keep records of regular operation meetings.

2 Publicity on the exemption plan: Use various publicity tools to carry out extensive publicity on the exemption plan, focusing on promoting hepatitis B vaccination. Posted on the wall for 12 issues, and carried out exemption publicity on the streets on the exemption publicity day (April 25). Consult and distribute promotional materials.

3. Supervision of planning and exemption

1. In accordance with the principle of hierarchical supervision, the town supervision team supervises the work of planning and exemption in each village more than twice throughout the year, and makes corresponding work plans , make supervision records and summaries after supervision.

2. The prevention and protection center will supervise each village after each operation, randomly check the vaccination status of 2-4 villages, and write a supervision summary; conduct inspections on the exemption work in the jurisdiction within half a year and at the end of the year, Report the inspection summary.

IV. Free monitoring

(1) Temperature monitoring: record the temperature of the refrigerator twice a day, with an interval of not less than 6 hours.

(2) Monitoring of diseases related to exemptions:

1. AFP: Health personnel in the town must report AFP cases in a timely manner and assist the county CDC in collecting qualified specimens. Case information.

2. Measles:

(1) Epidemic report: After discovering a suspected measles case, report an infectious disease report card to the Municipal Center for Disease Control and Prevention within 24 hours.

(2) Routine reporting: With reference to the requirements of the current polio epidemic AFP special reporting system, a ten-day and monthly reporting system for suspected measles cases will be implemented.

(3) Active surveillance: Conduct active measles surveillance in the jurisdiction at least once every ten days.

5. Vaccination of key biological products

Specific tasks are determined according to the superior work plan. Chapter 3: Work Plan for Planned Immunization

Since the Chinese government officially announced in 19xx that it would achieve universal childhood immunization in two steps and included this goal in the seventh five-year plan for national economic and social development, various Governments at all levels regard this work as a major event that will benefit future generations. They have strengthened organizational leadership, and relevant departments and social groups have closely cooperated and actively participated, making great progress in children's planned immunization work and making important contributions to protecting children's health. contribute. The infectious diseases targeted by planned immunization have continued to decline significantly, and the incidence rates of measles, diphtheria, and whooping cough have dropped by 40-50% compared with the historical lowest incidence level in 19xx. At present, regions with a population of 690 million across the country have completed the necessary refrigerated transportation equipment for planned immunization, changing the previous once-a-year surprise vaccination and effectively increasing the vaccination rate of children. According to statistics, the vaccination rate of children in the five provinces and cities of xx, xx, xx, xx and xx has reached 85%, meeting the national plan requirements one year ahead of schedule. But we should also see that the development of children's planned immunization work in various places is very uneven. The children's vaccination rate that fully completed the national "Seventh Five-Year Plan" was 85% on a provincial basis by the end of 19xx, and 85% on a county basis by the end of 19xx. The task is still very arduous and urgent, requiring close collaboration among various departments, vigorously carrying out publicity work, organizing and mobilizing forces from all aspects of society, and actively participating in children's planned immunization work. To this end, the following measures are proposed:

1. Vigorously carry out publicity work on planned immunization for children.

Departments of health, education, radio, film and television, women’s federations and other departments at all levels should regard the promotion of planned immunization as a due social responsibility. In the future, in addition to conducting concentrated publicity and reporting on the National Child Vaccination Day held on April 25 every year and major festivals such as March 8th and June 1st, local radio and television departments should cooperate with relevant departments to produce and broadcast short videos for free. Planned immunization publicity and advertising programs carry out regular publicity and timely interviews and reports on advanced and typical experiences from various places.

2. All localities must conscientiously implement the provisions of the "Notice on the Trial Implementation of the Vaccination Certificate System" jointly issued by the Ministry of Health, the State Education Commission, and the All-China Women's Federation, and strengthen the inspection of vaccination certificates for children entering kindergarten.

Education departments in various regions should incorporate knowledge of planned immunization into relevant teaching materials, and pay attention to training teachers in primary and secondary schools and kindergartens on planned immunization.

3. Women’s federations at all levels should regard planned immunization as an important part of publicity and training for women cadres and the masses, and include it in various training and publicity plans at all levels, so that every mother can understand Knowledge of vaccination and proactive cooperation.

4. Strengthening planned immunization work in remote areas of ethnic minorities is a key link to ensure universal child immunization. Ethnic Affairs Committees in various places should combine their respective work and use various forms according to the characteristics and customs of ethnic minorities. Extensively publicize the importance of planned immunization, popularize knowledge about planned immunization, and increase the awareness of people of all ethnic groups in accepting vaccinations.

5. Universal childhood immunization is an important part of health planning. Health departments at all levels must speed up personnel training and improve and enrich the professional team of planned immunization.

It is necessary to promote the planned immunization insurance and compensation system on the basis of summarizing the pilot experience. It is necessary to strictly implement the immunization procedures and technical management procedures uniformly prescribed by the country, and carry out planned immunization work in a down-to-earth manner with high quality and quantity.

It is necessary to work closely with the economic, trade, financial and other departments to implement cold chain supporting funds to ensure the smooth progress of cold chain equipment work.

6. According to the situation, various localities can carry out vaccination surprise weeks or activities in conjunction with the 19xx National Children’s Vaccination Publicity Day in areas where planned immunization work is progressing slowly, vaccination rates are low, and morbidity has not been effectively controlled. During the surprise month activities, we will carry out down-to-earth inspections and re-vaccination, so that the vaccination work will be effective. Chapter 4: Work Plan for Planned Immunization

In 20xx, our hospital carried out the relevant infectious diseases in accordance with the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases", the "Regulations on Vaccines and Circulation Vaccination" and the "Superior Documents" In accordance with the general requirements of the disease policy, we must carefully organize, strengthen leadership, increase work intensity, and strive to achieve a certification (polio eradication), four monitoring reports (polio, measles, neonatal tetanus, routine immunization rate) and Routine immunization. Improve the quality of immunization planning work, achieve new breakthroughs in an all-round way, and make due contributions to the elimination and reduction of the incidence of related infectious diseases in the town and the improvement of the physical quality of our town residents.

1. Strengthen leadership and in-depth publicity

Our hospital must serve as a good advisor to the local government, strengthen administrative intervention, and enable all relevant departments to work together and cooperate closely to further improve management measures. and system, we will do a good job in promoting the National Immunization Program Publicity Day on April x, use various forms to carry out extensive publicity, improve the people's awareness of self-participation, and make the immunization program work a household name and everyone can participate.

2. Strengthen basic immunization and improve work quality

In order to shorten and reduce children's susceptible exposure opportunities, consolidate and improve the vaccination rate, vaccination quality and antibody titer level, we must further improve Registration of immunization cards and certificates, strengthening the immunization management of migrant children and children with unplanned births, timely statistical reporting and immunization services, our hospital implements immunization on a monthly basis. Strictly follow the requirements of the "Routine Immunization Rate Reporting Plan", "Special Population Management Plan", and "Preventive and Safe Injection Management Plan", conduct vaccinations in a timely manner, and strictly implement the five judgment standards. The specific requirements are:

1. Card creation and certificate issuance: Earnestly implement the newborn monthly report system, create a card for newborns within one month, issue certificates for the first vaccination, and ensure that the card, certificate, and person are consistent, and the card creation rate reaches 100.

2. The polio vaccine administration rate must be above 98%.

3. The vaccination rate for the other three vaccines (BCG, DPT, and measles vaccine) is over 98%.

4. Hepatitis B vaccine management work:

1 According to the spiritual requirements of county bureau documents, newborns must be vaccinated with hepatitis B vaccine promptly within 24 hours after birth

The first shot follows the principle of "whoever gives birth is responsible for taking the first shot." The timely vaccination rate of newborns reaches over 98%, and the second and third shots are given according to the immunization schedule. The vaccination rate within 12 months of age reaches over 98%, and the vaccination rate for preschool children reaches 100%. The conversion rate of the first dose of hepatitis B vaccine and BCG vaccination registration card must reach 100, and the card application and certificate establishment rate must reach 100.

2. The vaccination unit must have a dedicated person responsible for the management of hepatitis B vaccine within the project and establish and improve it. The vaccine distribution and storage system shall be established, and a special account book for vaccines shall be established to ensure that the accounts and vaccines are consistent.

3 Case report: In accordance with the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases" and its implementation. The implementation method requires that all types of medical and health institutions at all levels should report suspected or confirmed cases of acute hepatitis B to the district Center for Disease Control and Prevention within 12 hours.

4 Case investigation: After receiving the epidemic report, case investigations should be carried out promptly on cases with side effects, and case investigation forms should be reported step by step

5 Injectable vaccines must use self-destructing Type syringe and has a record of issuance, self-destruction type ○

After use, the syringe is placed in a safety box and destroyed by forest groups, and has a registration record.

6 After the hepatitis B vaccine is included in the children's immunization program, data on population, epidemic situation, vaccination, vaccine supply and immune monitoring should be collected and mastered in a planned manner in accordance with the requirements of the "Technical Management Regulations of the Immunization Program" and compiled on time Create a file.

5. Strengthen immunity: The vaccination rate of sugar pills, diphtheria-tetanus pertussis pertussis, measles, and diphtheria-tetanus-tetanus combined vaccine is over 98%.

6. Strengthen monitoring: improve the success rate of immunization, carry out investigations on basic immunity-related diseases, monitor the immunization effect, and conduct immunization success rate on children who are fully immunized with the "five vaccines" within 12 months of age. Monitor and the immune success rate should be above 95%.

7. Strengthen the routine immunization rate monitoring and reporting system, do a good job in routine immunization monitoring reports, investigation and evaluation analysis, do a good job in the investigation of underreporting of related infectious diseases, and improve the completeness, accuracy, and accuracy of routine immunization reports. The timely rate reaches 100.

8. Do a good job in publicity, training, and technical guidance for non-conventional vaccinations, and do a good job in vaccine distribution registration and vaccination target statistics for each vaccine.

3. Establish and improve the polio, measles, and neonatal tetanus surveillance system:

In order to further improve the quality of business work, clarify job responsibilities, and implement them, implement a monitoring and reporting responsibility system , strengthen the reporting and management of AFP, measles, neonatal tetanus cases and suspected cases, the "zero" case reporting rate in ten days and months reaches 100, the suspected AFP reporting, stool collection, and follow-up rate reaches 100; the suspected measles case reporting, blood collection, and follow-up rate up to 100.

4. Strengthen planned immunization business training:

In order to improve the professional quality of immunization program staff, ensure the quality of immunization program work, and prevent and eliminate the occurrence of immunization program-related diseases, every day in our hospital Organize targeted business training every month to improve its business level and ensure the quality of work, so that it can truly function as a two-level preventive health care network to improve the quality of the town's immunization planning work and ensure the health of the majority of children.

5. Strengthen business guidance, supervision and inspection

County disease control leaders conduct business supervision, inspection, and guidance every year to further improve the registration and management of vaccination cards and certificates to ensure that the town’s “ "Five Vaccines" immunity is qualified for vaccination. For AFP, measles, neonatal tetanus cases, suspected cases, "zero" reports, especially the timely vaccination investigation of newborns with hepatitis B vaccine within 24 hours of birth, and the timeliness, completeness and accuracy of immunization planning statistical reports, etc. Supervise and inspect, provide timely guidance and correction of problems found, and provide supervision summary.

6. In-hospital data management

Our hospital writes annual plans, half-year and year-end summaries, supervision and inspection plans, study plans, special population management plans, and preventive safety injection training according to the requirements of superiors. plan, cold chain transportation plan summary, etc., and carefully prepare "zero" reports of suspected cases of AFP, measles, and neonatal tetracycline in ten and ten months, monthly newborn report forms, annual population figures, and training records , safety injections, cold chain equipment and temperature monitoring records, various vaccine budgets and distribution, etc., are filed into files at the end of the year, so that the immunization planning work can be followed.

7. Do a good job in checking the vaccination certificates of children entering kindergarten and school

According to the notice forwarded by the County Health Bureau and the Education Bureau to the Health Department and the Department of Education and the Ministry of Health and the Ministry of Education, do a good job in checking the vaccination certificates of children entering kindergarten and school.

, the document spirit of the notice on the inspection of vaccination certificates for children entering school requires that at the beginning of each year, special personnel should be assigned to kindergartens and schools to assist in the inspection of "Vaccination Certificates", and relevant personnel should be provided with professional training to master relevant vaccinations. Information, do a good job in re-certifying and re-vacculating children without certificates and missing vaccinations in the jurisdiction, and submit various reports in a timely manner.

8. Cold chain operation:

In order to strengthen vaccine management and normal cold chain operation, we must do a good job in the management of refrigerators and refrigerated backpacks, and troubleshoot problems in a timely manner to ensure the safety of the cold chain system. In normal operation, the cold chain utilization rate reaches 100%.

In the new year, we must enhance our sense of responsibility, carefully arrange the immunization plan, implement it carefully, and strive to improve it, so as to ensure the health of the children in the town and achieve the goal of eliminating infectious diseases related to the immunization plan. Work.