Expand the National Immunization Plan Implementation Plan
Part 1: Expanding the National Immunization Plan Implementation Plan
According to the "Opinions of the Chaohu Municipal People's Government on Implementing the People's Livelihood Project in 20XX", the implementation of the National Immunization Program for the expansion of the county in 20XX has been incorporated into the people's livelihood project, in order to comprehensively complete the objectives and tasks of expanding the national immunization program, and effectively prevent and control related infections. According to the requirements of the province's expansion of the national immunization program implementation plan, combined with the actual situation of our county, this program is specially formulated.
First, the guiding ideology
Guided by Deng Xiaoping Theory and the important thinking of the 'Three Represents,' comprehensively implement the scientific development concept, and thoroughly implement the requirements of the Regulations on Vaccine Circulation and Vaccination Management and the Opinions of the General Office of the People's Government of Anhui Province on Further Strengthening the Work of Women and Children. Full implementation of the national immunization program, free immunization program vaccine for school-age children, improve children's health.
Second, project objectives and indicators
Full implementation of the national immunization program, improve the national immunization program vaccination rate and vaccination quality, continue to maintain polio-free status, eliminate measles, control B liver, further reduce the incidence of vaccine-preventable infectious diseases, and realize hepatitis B vaccine, BCG, The vaccination rate of polio vaccine, DTP vaccine, leprosy vaccine and leprosy vaccine for school-age children is over 90% in rural areas, and the immunization rate of measles vaccine intensive immunization target population is over 95%.
Third, the project content, implementation time and scope
1. B liver vaccine, BCG vaccine, polio vaccine, DTP vaccine, leprosy vaccine, leprosy vaccine, meningococcal vaccine, and JE vaccine immunization continue to be implemented throughout the county.
2. The leprosy vaccine replaces the original first measles vaccine, and the vaccination target is children aged 8 months; the leprosy vaccine replaces the original second measles vaccine, and the vaccination target is children aged 18 months to 24 months.
3. Cell-free white-break vaccine: used for the third dose of basic immunization and booster immunization.
4. Measles vaccine booster immunization: It is planned to be implemented in the countywide in October 20XX. The target population is children aged 8 months to 14 years old, and one dose of each age-aged subject is inoculated.
5, the use of syringes: B liver, white broken, white broken vaccine inoculation using a self-destructive syringe; BCG inoculation using a disposable blue core syringe; other vaccination using a disposable white core syringe.
IV. Inoculation program and vaccination requirements
Inoculation time.
1. B-hepatic vaccine: 3 doses of vaccination, 1 dose of each dose at birth, 1 month, and 6 months of age, and the first dose is given as soon as possible within 24 hours after birth.
2. BCG: Inoculation 1 dose, the child is vaccinated at birth.
3. Polio vaccine: 4 doses were given, and children were given 1 dose of 2 months, 3 months, 4 months and 4 years of age.
4. DTP vaccine: 4 doses of vaccination, children 3 months old, 4 months old, 5 months old and 18-24 months old, each dose of one dose, no cell white vaccination immunization program and white vaccination program The same, the DTP vaccine was used for the first and second injections, and the cells were broken for the third needle and boosted the immunization.
5. White-break vaccine: Inoculate 1 dose, and children should be vaccinated when they are 6 years old.
6. Leprosy vaccine, inoculated 1 dose, 8 months old children; leprosy vaccine, 1 dose, 18 to 24 months old to strengthen immunity.
7. ECM vaccine: 4 doses of vaccination, children 6-18 months old inoculated 2 doses of group A meningococcal vaccine, 3 weeks old, 6 years old each inoculated 1 dose of A + C group of meningococcal vaccine.
8. JE vaccine: Inoculated with a live attenuated JE vaccine for 2 doses, and children were given 1 dose of 8 months and 2 years of age.
Inoculated object.
The current national immunization program vaccines are in accordance with the immunization program, and all children of school age who have reached the age of the species are all vaccinated.
V. Project implementation scope
1. Immunization of vaccines such as B liver, BCG, polio, Baibai broken, ECM, JE, white broken, leprosy, leprosy and other vaccines is implemented throughout the county.
2. The scope of implementation of measles vaccine intensive immunization is determined according to the immunization program.
Sixth, project promotion measures
Strengthen leadership, raise awareness, and clarify responsibilities.
The 20XX annual expansion of the National Immunization Program was included in the provincial government's 28 livelihood projects for the first time. With the major adjustments in national immunization planning policies and tasks, township health centers, county women's insurance centers, and county CDCs should implement national immunization programs as the focus of current public health work, effectively strengthen leadership, and set up project working groups. Establish a system of accountability and accountability, speed up project implementation, improve project implementation quality, and continuously strengthen project supervision to ensure that work schedule and quality, fund flow, use of funds, and performance evaluation are in line with project requirements. The County Health Bureau is responsible for formulating the implementation plan of the county project, responsible for the organization, coordination and management of the county's immunization planning project; the county finance bureau is responsible for the supervision and management of special funds; the county CDC is responsible for the technical guidance, training and workload of immunization planning. The review and vaccine supply; township health centers, county women's insurance centers, county disease control centers are responsible for organizing implementation according to program requirements.
Extensive publicity to raise public awareness of the expansion of national immunization programs.
All localities should make full use of various forms such as radio, television and publicity columns, vigorously publicize the national immunization planning policies and achievements, and implement the importance of immunization programs to protect public health, carry out regular publicity and “4.25” vaccination day publicity activities. Popularize the knowledge of vaccination, improve the enthusiasm and initiative of the whole society to participate in the national immunization program, and create a good social atmosphere.
Standardize vaccination behavior and improve the quality of immunization services.
According to the content and requirements of the national immunization program, in order to ensure timely access to vaccination services for school-age children, all localities should adjust the form of immunization services and increase the number of services. All township hospitals should continuously strengthen the construction of standardized vaccination clinics and undertake all types of vaccine prevention in the jurisdiction. Inoculation, township hospitals with a population of 40,000 or more should establish a vaccination clinic, and must report the plan before the end of April. The county health bureau will organize the acceptance in early May, according to the needs of the vaccination work and the experience of the surrounding counties. The unit will set up a child health room in the pre-diagnosis clinic of the standardized vaccination clinic, and in combination with the vaccination work, organize a “3.2.1” physical examination for children under 7 years old, and for this work, each vaccination unit will determine the profession. Personnel, establish and improve children's medical examination related materials. In order to improve the quality of immunization planning work, it is necessary to adjust and enrich the immunization planning professionals, strengthen business training, keep the cold chain equipment in normal and efficient operation, and achieve special county-level disease control centers, county women's insurance centers, and township town vaccination units. Vaccines and syringes should be carefully registered, used and managed, and no planned or wasted vaccines or second-class vaccines should be collected.
Full implementation of the national immunization program to further reduce the incidence of vaccine-preventable infectious diseases.
All towns and villages must maintain a high level of expansion of the national immunization program vaccination rate. In 20XX, the county's “five seedlings” full-time immunization rate for children in townships and towns reached more than 90%, and the first inoculation rate of B-hepatitis vaccine was 80%. Baibai broken, white broken two-way, polio vaccine boosted immunity by 90%, leprosy vaccine, leprosy vaccine vaccination rate of more than 95%, vaccine-targeted disease monitoring work reached national monitoring indicators, the county popularized vaccination "two brains" Vaccination, the full immunization rate of 90%, immunization planning information construction reached 100%, the national small and child care institutions children enrolled in the vaccination certificate inspection rate reached 100%, resolutely cancel a class of vaccine village-level vaccination, resolutely put an end to a class of vaccination Charges for violations.
Keep abreast of basic information about children's birth.
The township hospitals should report the basic information of children born in 20XX and 20XX from January to March in the first half of April, and report the basic information of children in the previous quarter in early July, early October and late December.
7. Project Funding and Management
Funding arrangement
The number of newborns approved by the province for the county was 15,700, measles immunization was 218,800, and the dose was 2 yuan per dose. The immunization program was subsidized with 1.427 million yuan. According to the national immunization program, each newborn child It is necessary to vaccinate 21 doses of immunization services, and 3 yuan per vaccination for each newborn, and 1 yuan per needle for 20XX. The subsidy is used to subsidize the vaccination personnel for the vaccination work. According to the implementation requirements of the provincial implementation plan, combined with the actual situation of our county, the county's immunization planning project work is uniformly arranged in 32 township health centers, county women's insurance centers and county CDCs. The village clinics shall not undertake a type of vaccination for children. The actual number of immunization plan vaccination is determined by the actual amount of the project subsidy. Specific subsidy method: The site immunization work will be carried out by the designated township health center. The subsidy fund will be paid to the township hospitals according to the actual inoculation workload and immunization planning information input. The vaccination work is combined with the usual assessment and the year-end assessment results. The vaccination registration is combined with the on-site review; the township hospitals that do not carry out the vaccination will be approved at the county level and approved according to the actual vaccination workload of the vaccination clinic of the hospital. Subsidy funds; for the approval of the vaccination workload and fixed-point vaccination reported by the township hospitals, the county health bureau organizes personnel to conduct the evaluation of the immunization program, and according to the work performance, the appraisal work is scheduled for mid-July, 12 At the end of the month, it was divided into two times. The assessment method was conducted by on-site spot check and indoor data inspection. In the first quarter and the third quarter of the project, the pre-dial method will be adopted according to the statistical report on vaccination work. In the second quarter and the fourth quarter, according to the assessment results, if there is no record of immunization, it is regarded as not vaccinated, and the standardized vaccination clinic construction If the project is not accepted, or the unit is not functioning properly, the project funds will be temporarily suspended. The results of the two appraisals will be included in the annual target evaluation of the township hospitals. The year-end work will not be evaluated separately.
Fund management
The application, use and management of funds shall be implemented in accordance with the Measures for the Administration of the Subsidy Fund for the Public Welfare Funds of the Anhui Province, which is issued by the Provincial Department of Finance and the Provincial Health Department. The specific accounting procedures are: (1) application form for reimbursement; (2) performance commitment letter; (3) monthly report on routine vaccination rate, enhanced immunization rate report and vaccine demand report; (4) report to the district on time every quarter, Basic information on vaccination of children born in foreign counties and foreign towns; (5) vaccination personnel vaccination project funding support roster and collars; (6) Reflecting copies of children's basic immunization and booster immunization vaccination books.
8. Project supervision and evaluation
The county health bureau organizes relevant personnel to conduct supervision on immunization planning work for each unit from time to time, and to improve the supervision record. The supervision result is one of the basis for the allocation of work funds, and summarizes, supervises and feedbacks on the progress of each work every quarter. The monitoring, supervision and supervision of the allocation, distribution and use of project funds shall be carried out. If the relevant indicators and tasks of the project are not completed, the project funds will be notified and the project funds will be deducted according to the ratio of the project, and the implementation of the project immunization project will promote the standardization of the county. Manage the development of vaccination clinics and designated vaccination work to improve the quality of immunization in the county.
Part 2: Expanding the National Immunization Plan Implementation Plan
In order to continue to implement the task of expanding national immunization planning and reduce the incidence of vaccine-preventable infectious diseases, the central government allocated special funds of 7,715,700 yuan in 20XX to support the expansion of national immunization planning work. Now, in combination with the actual situation of the city, the implementation plan of the project is specially formulated. .
I. Project objectives
main target
Full implementation of the national immunization program, consolidate and improve the national immunization program vaccination rate, improve the quality of vaccination services, continue to maintain polio-free status, eliminate measles, control B liver, and further reduce the incidence of vaccine-preventable infectious diseases.
20XX work indicator
1. National immunization program vaccines, the vaccination rate of school-age children in townships and streets as the unit continues to remain above 90%;
2. Organize measles vaccination for school-age children in key areas and key populations to ensure that the target population has reached the prescribed requirements;
3. Emergency reserve leptospirosis vaccine, inoculation of target population in key areas, the inoculation rate reached more than 70%;
4, the vaccine can prevent the incidence of disease is effectively controlled. With the county as the unit, the AFP monitoring indicators meet the requirements of the Ministry of Health, and the incidence of measles is controlled below 0.1/100,000;
5. The reporting rate of vaccination abnormal response network reached 100%, and the investigation rate reached over 90%.
Second, the project content
Project scope
1. Regular vaccination covers 15 cities.
2. Implement the action to eliminate measles, and carry out immunization activities against measles vaccine in the city. The citywide activities of enrollment and enrollment vaccination certificates were carried out, and measles vaccines were vaccinated against children with measles vaccines.
Project guest
1, routine vaccination
According to the “Implementation Plan for Expanding National Immunization Program”, B-hepatitis vaccine, BCG vaccine, live polio attenuated vaccine, DTP vaccine, white broken vaccine, measles vaccine, group A meningococcal vaccine, A+C group are provided for school-age children. Routine vaccination services for vaccines such as meningococcal vaccine, Japanese encephalitis vaccine and live attenuated liver A vaccine.
Measles vaccine immunization program: 8 months old inoculated with leprosy vaccine, 18-24 months old inoculated with moxibustion vaccine.
2. Conduct measles vaccine leak detection and replanting activities in the city. According to the analysis of the incidence of measles and the age of onset, combined with measles vaccination, carry out intensive immunization activities of measles vaccine, measles vaccines found in measles vaccines found in admission and enrollment certificates, and measles vaccines for children. Class vaccination is more than 2 doses.
3. The hook vaccine is used for emergency reserve. The Provincial Health Department shall reserve a lump vaccination vaccine in the event of an outbreak of leptospirosis or a flooding hazard that may lead to the outbreak of leptospirosis, and may be carried out for people at risk of 7 to 60 years of age who may be exposed to the infected water. Emergency vaccination.
Third, the project organization and implementation
Organizational form
All localities shall, in accordance with the “Notice on Implementing the National Immunization Plan for Jiangxi Province” and the requirements of this implementation plan, formulate specific project implementation plans and organize implementation to ensure the implementation of national immunization planning work. City Health Bureau and related departments
Responsible for technical guidance and regular supervision and inspection, timely discovery and research to solve difficulties and problems in project implementation.
Fund management: In 20XX, the central government arranged for the city to expand the national immunization program special funds of 7,533,700 yuan. among them:
Conventional vaccination: According to the 20XX provincial statistical yearbook demographic data, the estimated expenditure for the vaccination and syringes required for the implementation of the national immunization program in the counties is 6,938,900 yuan. The funds are directly allocated to the municipal finance by the provincial finance department.
Measles Intensive Vaccine and Syringe: According to the number of tasks arranged by the Ministry of Health, the estimated expenditure for purchase is 116,700 yuan. The provincial financial department will release the financial resources, and the funds will be purchased at the provincial level.
Emergency vaccination and syringe for leptospirosis: the province totaled 183,300 yuan, and the funds were retained at the provincial level for centralized bidding and procurement.
The vaccine is aimed at disease surveillance: According to the Ministry of Health, 546 cases of AFP, measles, children under 15 years old, B liver, ECM, AEFI, etc. are arranged, and a total of 9.81 million yuan is allocated. The funds are allocated to the Municipal Center for Disease Control and Prevention. It is allocated to the counties by the Municipal Center for Disease Control and Prevention according to the year-end monitoring situation. Funding subsidy standard: AFP monitoring funds are subsidized in principle by 1,500 yuan per case; the measles monitoring and disposal funds are in principle 100 yuan per case at the municipal level and 200 per case at the county level; the monitoring of hepatitis B for children under 15 years of age is in principle per For example, the subsidy for 160 yuan; the cost of monitoring and disposing of AEFI cases is in principle 100 yuan per case.
4. Project supervision and evaluation
The local financial and health administrative departments shall strictly follow the requirements of the "Interim Measures for the Administration of Special Funds for Health Care in Jiangxi Province", strengthen the management of project funds, ensure the earmarking of special funds, and timely disbursement, and improve the efficiency of fund use.
Regular vaccines and syringes are purchased by the Municipal Health Bureau and commissioned by the Municipal Center for Disease Control and Prevention to organize bidding and procurement, signing contracts and payments. The Municipal Center for Disease Control and Prevention shall, according to the "Jiangxi Province Expand National Immunization Program" and the actual situation, reasonably formulate the purchase items, specifications and quantity plans, and distribute the physical objects. Vaccine procurement must be carried out by the municipal government procurement center or by an agent that has a vaccine procurement qualification. Vaccines and syringes must complete procurement tasks by February 1, 20XX, to ensure that the city's expansion of national immunization planning work is carried out smoothly and smoothly.
The Municipal Center for Disease Control and Prevention shall strictly follow the "Government Procurement Law of the People's Republic of China" and other relevant laws and the National Development and Reform Commission's "Notice on the Formulation of 14 National Immunization Plan Vaccines and Prices for Recombination of B Liver Vaccines" for government procurement. Reporting the procurement plan should be fully budgeted to ensure the quality of the vaccine, and the surplus funds should continue to be used for vaccine procurement. After the completion of the procurement, the procurement results should be reported to the Municipal Health Bureau in time, and the Municipal Health Bureau should report to the Provincial Health Department and the Finance Department for the record. Vaccine procurement funds must be earmarked for special purposes, and the use of the project must not be changed, and funds should not be misappropriated or detained. Those who are responsible for violating financial regulations, misappropriating and defaulting on project funds will be seriously investigated and punished.
The implementation of each activity should meet the relevant technical requirements. After each activity, there should be an evaluation report and summary, and the project summary will be reported to the Municipal Health Bureau in time, and will be reported to the Provincial Health Department by the Municipal Health Bureau. All local health and finance departments should regularly inspect and supervise the use of project funds, and find out problems in a timely manner. Units and principal responsible persons who violate the financial regulations, misappropriation, and arrears of project funds will be seriously investigated and punished.
Part 3: Expanding the National Immunization Plan Implementation Plan
In order to do a good job in expanding the national immunization program in our province, and effectively preventing and controlling the immunization program vaccine can prevent the occurrence of infectious diseases, according to the "Implementation of National Immunization Plan Implementation Plan", combined with the actual, this program is specially formulated.
First, the principle
The expansion of the national immunization program is implemented in accordance with the principle of “emphasis on key points, classified guidance, and pragmatic implementation and step-by-step implementation”.
Second, the main content
Based on the seven kinds of immunization planning vaccines such as B-hepatitis vaccine, BCG vaccine, polio vaccine, DTP vaccine, white-break vaccine, measles vaccine and JE vaccine, which have been used in the current province, The vaccine replaces the DTP vaccine, and four vaccines, including A liver vaccine, group A meningococcal vaccine, A+C group cerebral vaccination vaccine, and cerclage vaccine, are included in the child immunization program, and regular vaccination is carried out for school-age children.
Child-age children are vaccinated against the above 11 vaccines to prevent hepatitis B, tuberculosis, polio, whooping cough, diphtheria, tetanus, measles, hepatitis A, epidemic cerebrospinal meningitis, epidemic encephalitis, rubella, epidemics 12 infectious diseases such as mumps.
Anxillary or leptospirosis vaccines are given to key populations when an outbreak of leptospirosis, leptospirosis, or flooding may lead to an outbreak of leptospirosis. If necessary, carry out hemorrhagic fever vaccination for key populations in key areas.
Three kinds of infectious diseases such as anthrax, leptospirosis, and epidemic hemorrhagic fever are prevented by inoculation of the above three vaccines.
Third, the goal
main target.
The province implemented the national immunization program, continued to maintain a polio-free state, worked hard to eliminate measles, control B liver, and further reduce the incidence of vaccine-preventable infectious diseases.
Work indicators.
1. By 20XX, the rate of vaccination against hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine and JE vaccine for school-age children in the whole province reached over 90% in the town.
2. By 20XX, the province's school-age children will strive to popularize the inoculation of meningococcal vaccine and A liver vaccine.
3. The target population of hemorrhagic fever vaccine has a vaccination rate of over 70%.
4. The target population of anthrax vaccine and leptin vaccine emergency vaccination reached more than 70%.
Fourth, vaccination requirements
Child routine vaccination program.
1. B liver vaccine.
Three doses of inoculation, one dose of each dose at the time of birth, one month of age, and six months of age, and the first dose is inoculated as early as possible within 24 hours after birth.
2. BCG.
One dose is given, and the child is vaccinated at birth.
3. Polio vaccine.
Four doses were inoculated, and the children were inoculated once a month for 2 months, 3 months, 4 months, and 4 years of age.
4. DTP vaccine and cell-free whitening vaccine.
Four doses were inoculated, and the children were inoculated once a month for 3 months, 4 months, 5 months, and 18-24 months.
The cell-free vaccination immunization program is the same as the DTP vaccine program. In the stage of insufficient supply of cell-free DTP vaccine, the cell-free DTP vaccine was used to replace the DTP vaccine in the order of the fourth dose to the first dose; the deficiency continued to use the DTP vaccine.
5. White broken vaccine.
One dose was given and the child was vaccinated at the age of six.
6. Leprosy vaccine.
One dose of vaccination, children inoculated with one dose of leprosy vaccine at 8 months of age, such as insufficient leprosy vaccine, the lack of measles vaccine replacement.
7. MMR vaccine.
One dose of vaccination was given to children with leprosy vaccine at 18-24 months of age. If the vaccine for malignancy is insufficient, the insufficient part is replaced by paralytic vaccine; if the vaccine is insufficient, the measles vaccine is used instead.
8. Group A meningococcal vaccine.
Two doses were given, and the children were given two doses at 6-18 months of age, with an interval of 3 months.
9. GROUP A + C MENINGITIS VACCINE.
Two doses of vaccination were given, and one dose of each dose was given to children 3 years old and 6 years old.
10. JE vaccine.
The live attenuated Japanese encephalitis vaccine was inoculated in two doses, and the children were inoculated once a day at 8 months and 2 years of age.
11. A liver vaccine.
A live attenuated liver vaccine was inoculated once a day, and children were vaccinated at 18 months of age.
Emergency vaccine immunization program.
1. Hemorrhagic fever vaccine.
Three doses were inoculated, the second dose was inoculated 14 days after the first dose of the recipient, and the third dose was inoculated 6 months after the first dose.
2. Anthrax vaccine.
Inoculation 1 dose, inoculation in the case of an anthrax epidemic, direct contact with patients or sick animals and patients can not be vaccinated.
3. Leptospirosis vaccine.
The leptospirosis vaccine was inoculated twice, and the second dose was inoculated 7-10 days after the first dose of the inoculation.
Implementation time.
Since September 1, 20XX, the National Immunization Program has been expanded in accordance with the above-mentioned routine routine immunization program for children.
Inoculated object.
1. 7 kinds of current immunization planning vaccines such as B liver vaccine, BCG vaccine, polio vaccine, DTP vaccine, white broken vaccine, measles vaccine, and JE vaccine. According to the above immunization program, all province-wide age-appropriate ages should be reached. Children are all vaccinated.
2. Four newly-implanted immunization planning vaccines, such as A liver vaccine, group A meningococcal vaccine, A+C group cerebral vaccination vaccine, and phlegm vaccine, have met the vaccines prescribed by the above-mentioned immunization program since September 1, 20XX. The children of the next month should be vaccinated, and the children of the province who have exceeded the age of each dose should not be replanted free of charge.
3. The vaccination targets for emergency vaccination and booster immunization are determined according to the relevant implementation plan.
Vaccination principle.
1. The vaccines used in the implementation of the Children's Immunization Program are administered in accordance with the first category of vaccines as stipulated in the Regulations on the Administration of Vaccine Circulation and Vaccination. Vaccination fees and vaccination fees are borne by the government. Vaccination units are not allowed to receive vaccinations for affected children or receive any fees in disguise. .
2. If the child or his guardian volunteers to choose to vaccinate the second type of vaccine of the same type of vaccine instead of the first type of vaccine at his own expense, the inoculation unit shall clearly inform the vaccine of the role of the vaccine, the cost commitment and the method of compensation for abnormal reactions, and respect the people. The right to know, the right to choose.
3. The affected children should not be vaccinated more than 2 times in one day. The second type of vaccine cannot be vaccinated in the same day as the first type of vaccine.
V. Implementation scope
Vaccines such as hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, white broken vaccine, measles vaccine, Japanese encephalitis vaccine, group A meningococcal vaccine, and A+C group influenza vaccine were implemented in the province.
According to the relevant requirements of the state and the newly included immunization program vaccine supply quantity and related disease epidemics, A liver vaccine was implemented in Guangzhou, Shenzhen, Dongguan and Shaoguan in 20XX. The moxibustion vaccine is formulated by the local health administrations at various levels according to the number of vaccines supplied and the prevalence of related diseases.
Sixth, implementation measures
Strengthen leadership and conscientiously organize and implement the expansion of national immunization programs.
Health administrative departments at all levels should take the implementation of the expansion of national immunization programs as the current work focus and effectively strengthen leadership. It is necessary to conscientiously formulate specific implementation plans for expanding national immunization programs in the region, and under the leadership of the local government, actively coordinate with the relevant departments of finance, development and reform, education, food and drug supervision, etc., to coordinate the human and material resources needed to implement immunization programs. And financial resources, do a good job in propaganda, training, implementation and supervision, and organize and implement the plan to expand children's immunization. In accordance with the requirements of the Provincial Health Department, the Provincial Department of Finance, the Provincial Food and Drug Administration, the Provincial Department of Education, and the Provincial Price Bureau on the implementation of the Regulations on the Administration of Vaccine Circulation and Vaccination, the funds required for vaccination work shall be guaranteed. Ensuring the expansion of the implementation of child immunization programmes.
Extensive publicity to raise public awareness of the expansion of national immunization programs.
All localities should vigorously carry out child vaccination knowledge publicity activities, widely popularize vaccination knowledge, increase the enthusiasm and initiative of the whole society to participate in the expansion of children's immunization planning work, and create a good atmosphere for the whole society to implement the expansion of children's immunization programs. Health administrative departments at all levels should give full play to all aspects of society, use various media and propaganda methods, and vigorously promote the expansion of children's immunization planning policies and the importance and achievements of implementing immunization programs to protect public health. It is necessary to organize and mobilize relevant departments, medical and health institutions and social organizations to organize publicity publicity activities in public places such as squares, stations, docks, and communities, and invite local government leaders to participate in child vaccination publicity days to reflect the party and government. The concern of the people's health and the care of the grassroots health workers.
Strengthen team building and improve the ability to implement and expand national immunization programs.
Health administrative departments at all levels shall, in accordance with the implementation of the task of expanding national immunization planning, strengthen the construction of relevant institutions and teams of immunization programs, rationally plan and set up vaccination units, and adjust and enrich immunization planning management professionals and grassroots vaccination personnel. Develop training plans, and train immigrant planning management professionals, grassroots vaccinators and medical and health institutions. Disease prevention and control institutions at all levels should strengthen business technology guidance and continuously improve the business level and capabilities of grassroots immunization planners.
Improve the form of immunization services, standardize vaccination behavior, and improve the quality of immunization services.
All localities should adjust the form of immunization services according to the work content and requirements of the expansion of the child immunization program, and combine the local conditions, increase the frequency of services, and ensure that school-age children receive timely vaccination services. Further strengthen the standardization of vaccination clinics, carry out vaccination work in strict accordance with the Regulations on the Administration of Vaccine Circulation and Vaccination, the Regulations on Vaccination and the new child immunization program, provide standardized vaccination services, and prevent Inform the work before the vaccination certificate management and vaccination.
When the school-age children apply for the certificate, the vaccination unit shall issue the vaccination certificate and the child's parents' book before the vaccination for free; before each vaccination, the vaccination unit shall make a detailed inquiry according to the requirements of the notification record, earnestly fulfill the obligation of notification, fill in and Save the vaccination record. Further strengthen the vaccination work of migrant children and strive to increase the vaccination rate. Actively cooperate with the education department to do a good job in the inspection of child enrollment and admission vaccination certificates. Continue to strengthen the monitoring of abnormal response to vaccination, accelerate the construction of child vaccination information management system, and provide information support for the implementation of the expansion of child immunization programs.
Strengthen the construction of the cold chain to ensure the cold chain operation of the immunization program vaccine.
According to the implementation of the need to expand the child immunization planning work, timely expand the cold chain capacity, improve the cold chain construction, supplement and update mechanism. Disease prevention and control institutions and vaccination units at all levels shall properly allocate, supply, distribute and store vaccines in accordance with the requirements of the “Regulations on the Management of Vaccine Storage and Transportation”, and conscientiously carry out cold chain monitoring of all aspects of immunization planning vaccine storage, transportation and use. And management work to ensure the normal operation of the vaccine cold chain.
Regulate the use management and supervision of immunization program vaccines.
Disease prevention and control centers and vaccination units at all levels should uniformly use the "Guangdong Province Immunization Plan Vaccine Entry and Exit Account Book" and "Guangdong Province Immunization Plan Use Syringe In and Out Account Book" to earnestly implement the vaccine and syringe use and reporting system, and strengthen the immunization program vaccine. The establishment of the syringe, the use of management and supervision and inspection to ensure the timely supply of immunization planning vaccines, not to sell the valuable vaccines in disguise on the basis of insufficient supply of vaccines, and to prevent the immunization planning vaccine from expired, lost or diverted for other purposes.
The municipal disease prevention and control centers shall report the actual use of the previous year's immunization plan vaccine and supporting syringes and the current year's demand plan to the provincial disease prevention and control center before the end of January each year. After the provincial disease prevention and control center compiled and summarized, the province's vaccine use plan was proposed and reported to the provincial health department.
VII, supervision and evaluation
The health administrative departments at all levels should regularly organize supervision and evaluation of the implementation of the expansion of the national immunization plan within the jurisdiction, formulate a scientific supervision and evaluation program, and carry out supervision and evaluation activities on a regular basis to identify problems and solve them in a timely manner. The Provincial Health Department will organize and evaluate the implementation of immunization programs around the country from time to time.
According to the "Opinions of the Chaohu Municipal People's Government on Implementing the People's Livelihood Project in 20XX", the implementation of the National Immunization Program for the expansion of the county in 20XX has been incorporated into the people's livelihood project, in order to comprehensively complete the objectives and tasks of expanding the national immunization program, and effectively prevent and control related infections. According to the requirements of the province's expansion of the national immunization program implementation plan, combined with the actual situation of our county, this program is specially formulated.
First, the guiding ideology
Guided by Deng Xiaoping Theory and the important thinking of the 'Three Represents,' comprehensively implement the scientific development concept, and thoroughly implement the requirements of the Regulations on Vaccine Circulation and Vaccination Management and the Opinions of the General Office of the People's Government of Anhui Province on Further Strengthening the Work of Women and Children. Full implementation of the national immunization program, free immunization program vaccine for school-age children, improve children's health.
Second, project objectives and indicators
Full implementation of the national immunization program, improve the national immunization program vaccination rate and vaccination quality, continue to maintain polio-free status, eliminate measles, control B liver, further reduce the incidence of vaccine-preventable infectious diseases, and realize hepatitis B vaccine, BCG, The vaccination rate of polio vaccine, DTP vaccine, leprosy vaccine and leprosy vaccine for school-age children is over 90% in rural areas, and the immunization rate of measles vaccine intensive immunization target population is over 95%.
Third, the project content, implementation time and scope
1. B liver vaccine, BCG vaccine, polio vaccine, DTP vaccine, leprosy vaccine, leprosy vaccine, meningococcal vaccine, and JE vaccine immunization continue to be implemented throughout the county.
2. The leprosy vaccine replaces the original first measles vaccine, and the vaccination target is children aged 8 months; the leprosy vaccine replaces the original second measles vaccine, and the vaccination target is children aged 18 months to 24 months.
3. Cell-free white-break vaccine: used for the third dose of basic immunization and booster immunization.
4. Measles vaccine booster immunization: It is planned to be implemented in the countywide in October 20XX. The target population is children aged 8 months to 14 years old, and one dose of each age-aged subject is inoculated.
5, the use of syringes: B liver, white broken, white broken vaccine inoculation using a self-destructive syringe; BCG inoculation using a disposable blue core syringe; other vaccination using a disposable white core syringe.
IV. Inoculation program and vaccination requirements
Inoculation time.
1. B-hepatic vaccine: 3 doses of vaccination, 1 dose of each dose at birth, 1 month, and 6 months of age, and the first dose is given as soon as possible within 24 hours after birth.
2. BCG: Inoculation 1 dose, the child is vaccinated at birth.
3. Polio vaccine: 4 doses were given, and children were given 1 dose of 2 months, 3 months, 4 months and 4 years of age.
4. DTP vaccine: 4 doses of vaccination, children 3 months old, 4 months old, 5 months old and 18-24 months old, each dose of one dose, no cell white vaccination immunization program and white vaccination program The same, the DTP vaccine was used for the first and second injections, and the cells were broken for the third needle and boosted the immunization.
5. White-break vaccine: Inoculate 1 dose, and children should be vaccinated when they are 6 years old.
6. Leprosy vaccine, inoculated 1 dose, 8 months old children; leprosy vaccine, 1 dose, 18 to 24 months old to strengthen immunity.
7. ECM vaccine: 4 doses of vaccination, children 6-18 months old inoculated 2 doses of group A meningococcal vaccine, 3 weeks old, 6 years old each inoculated 1 dose of A + C group of meningococcal vaccine.
8. JE vaccine: Inoculated with a live attenuated JE vaccine for 2 doses, and children were given 1 dose of 8 months and 2 years of age.
Inoculated object.
The current national immunization program vaccines are in accordance with the immunization program, and all children of school age who have reached the age of the species are all vaccinated.
V. Project implementation scope
1. Immunization of vaccines such as B liver, BCG, polio, Baibai broken, ECM, JE, white broken, leprosy, leprosy and other vaccines is implemented throughout the county.
2. The scope of implementation of measles vaccine intensive immunization is determined according to the immunization program.
Sixth, project promotion measures
Strengthen leadership, raise awareness, and clarify responsibilities.
The 20XX annual expansion of the National Immunization Program was included in the provincial government's 28 livelihood projects for the first time. With the major adjustments in national immunization planning policies and tasks, township health centers, county women's insurance centers, and county CDCs should implement national immunization programs as the focus of current public health work, effectively strengthen leadership, and set up project working groups. Establish a system of accountability and accountability, speed up project implementation, improve project implementation quality, and continuously strengthen project supervision to ensure that work schedule and quality, fund flow, use of funds, and performance evaluation are in line with project requirements. The County Health Bureau is responsible for formulating the implementation plan of the county project, responsible for the organization, coordination and management of the county's immunization planning project; the county finance bureau is responsible for the supervision and management of special funds; the county CDC is responsible for the technical guidance, training and workload of immunization planning. The review and vaccine supply; township health centers, county women's insurance centers, county disease control centers are responsible for organizing implementation according to program requirements.
Extensive publicity to raise public awareness of the expansion of national immunization programs.
All localities should make full use of various forms such as radio, television and publicity columns, vigorously publicize the national immunization planning policies and achievements, and implement the importance of immunization programs to protect public health, carry out regular publicity and “4.25” vaccination day publicity activities. Popularize the knowledge of vaccination, improve the enthusiasm and initiative of the whole society to participate in the national immunization program, and create a good social atmosphere.
Standardize vaccination behavior and improve the quality of immunization services.
According to the content and requirements of the national immunization program, in order to ensure timely access to vaccination services for school-age children, all localities should adjust the form of immunization services and increase the number of services. All township hospitals should continuously strengthen the construction of standardized vaccination clinics and undertake all types of vaccine prevention in the jurisdiction. Inoculation, township hospitals with a population of 40,000 or more should establish a vaccination clinic, and must report the plan before the end of April. The county health bureau will organize the acceptance in early May, according to the needs of the vaccination work and the experience of the surrounding counties. The unit will set up a child health room in the pre-diagnosis clinic of the standardized vaccination clinic, and in combination with the vaccination work, organize a “3.2.1” physical examination for children under 7 years old, and for this work, each vaccination unit will determine the profession. Personnel, establish and improve children's medical examination related materials. In order to improve the quality of immunization planning work, it is necessary to adjust and enrich the immunization planning professionals, strengthen business training, keep the cold chain equipment in normal and efficient operation, and achieve special county-level disease control centers, county women's insurance centers, and township town vaccination units. Vaccines and syringes should be carefully registered, used and managed, and no planned or wasted vaccines or second-class vaccines should be collected.
Full implementation of the national immunization program to further reduce the incidence of vaccine-preventable infectious diseases.
All towns and villages must maintain a high level of expansion of the national immunization program vaccination rate. In 20XX, the county's “five seedlings” full-time immunization rate for children in townships and towns reached more than 90%, and the first inoculation rate of B-hepatitis vaccine was 80%. Baibai broken, white broken two-way, polio vaccine boosted immunity by 90%, leprosy vaccine, leprosy vaccine vaccination rate of more than 95%, vaccine-targeted disease monitoring work reached national monitoring indicators, the county popularized vaccination "two brains" Vaccination, the full immunization rate of 90%, immunization planning information construction reached 100%, the national small and child care institutions children enrolled in the vaccination certificate inspection rate reached 100%, resolutely cancel a class of vaccine village-level vaccination, resolutely put an end to a class of vaccination Charges for violations.
Keep abreast of basic information about children's birth.
The township hospitals should report the basic information of children born in 20XX and 20XX from January to March in the first half of April, and report the basic information of children in the previous quarter in early July, early October and late December.
7. Project Funding and Management
Funding arrangement
The number of newborns approved by the province for the county was 15,700, measles immunization was 218,800, and the dose was 2 yuan per dose. The immunization program was subsidized with 1.427 million yuan. According to the national immunization program, each newborn child It is necessary to vaccinate 21 doses of immunization services, and 3 yuan per vaccination for each newborn, and 1 yuan per needle for 20XX. The subsidy is used to subsidize the vaccination personnel for the vaccination work. According to the implementation requirements of the provincial implementation plan, combined with the actual situation of our county, the county's immunization planning project work is uniformly arranged in 32 township health centers, county women's insurance centers and county CDCs. The village clinics shall not undertake a type of vaccination for children. The actual number of immunization plan vaccination is determined by the actual amount of the project subsidy. Specific subsidy method: The site immunization work will be carried out by the designated township health center. The subsidy fund will be paid to the township hospitals according to the actual inoculation workload and immunization planning information input. The vaccination work is combined with the usual assessment and the year-end assessment results. The vaccination registration is combined with the on-site review; the township hospitals that do not carry out the vaccination will be approved at the county level and approved according to the actual vaccination workload of the vaccination clinic of the hospital. Subsidy funds; for the approval of the vaccination workload and fixed-point vaccination reported by the township hospitals, the county health bureau organizes personnel to conduct the evaluation of the immunization program, and according to the work performance, the appraisal work is scheduled for mid-July, 12 At the end of the month, it was divided into two times. The assessment method was conducted by on-site spot check and indoor data inspection. In the first quarter and the third quarter of the project, the pre-dial method will be adopted according to the statistical report on vaccination work. In the second quarter and the fourth quarter, according to the assessment results, if there is no record of immunization, it is regarded as not vaccinated, and the standardized vaccination clinic construction If the project is not accepted, or the unit is not functioning properly, the project funds will be temporarily suspended. The results of the two appraisals will be included in the annual target evaluation of the township hospitals. The year-end work will not be evaluated separately.
Fund management
The application, use and management of funds shall be implemented in accordance with the Measures for the Administration of the Subsidy Fund for the Public Welfare Funds of the Anhui Province, which is issued by the Provincial Department of Finance and the Provincial Health Department. The specific accounting procedures are: (1) application form for reimbursement; (2) performance commitment letter; (3) monthly report on routine vaccination rate, enhanced immunization rate report and vaccine demand report; (4) report to the district on time every quarter, Basic information on vaccination of children born in foreign counties and foreign towns; (5) vaccination personnel vaccination project funding support roster and collars; (6) Reflecting copies of children's basic immunization and booster immunization vaccination books.
8. Project supervision and evaluation
The county health bureau organizes relevant personnel to conduct supervision on immunization planning work for each unit from time to time, and to improve the supervision record. The supervision result is one of the basis for the allocation of work funds, and summarizes, supervises and feedbacks on the progress of each work every quarter. The monitoring, supervision and supervision of the allocation, distribution and use of project funds shall be carried out. If the relevant indicators and tasks of the project are not completed, the project funds will be notified and the project funds will be deducted according to the ratio of the project, and the implementation of the project immunization project will promote the standardization of the county. Manage the development of vaccination clinics and designated vaccination work to improve the quality of immunization in the county.
Part 2: Expanding the National Immunization Plan Implementation Plan
In order to continue to implement the task of expanding national immunization planning and reduce the incidence of vaccine-preventable infectious diseases, the central government allocated special funds of 7,715,700 yuan in 20XX to support the expansion of national immunization planning work. Now, in combination with the actual situation of the city, the implementation plan of the project is specially formulated. .
I. Project objectives
main target
Full implementation of the national immunization program, consolidate and improve the national immunization program vaccination rate, improve the quality of vaccination services, continue to maintain polio-free status, eliminate measles, control B liver, and further reduce the incidence of vaccine-preventable infectious diseases.
20XX work indicator
1. National immunization program vaccines, the vaccination rate of school-age children in townships and streets as the unit continues to remain above 90%;
2. Organize measles vaccination for school-age children in key areas and key populations to ensure that the target population has reached the prescribed requirements;
3. Emergency reserve leptospirosis vaccine, inoculation of target population in key areas, the inoculation rate reached more than 70%;
4, the vaccine can prevent the incidence of disease is effectively controlled. With the county as the unit, the AFP monitoring indicators meet the requirements of the Ministry of Health, and the incidence of measles is controlled below 0.1/100,000;
5. The reporting rate of vaccination abnormal response network reached 100%, and the investigation rate reached over 90%.
Second, the project content
Project scope
1. Regular vaccination covers 15 cities.
2. Implement the action to eliminate measles, and carry out immunization activities against measles vaccine in the city. The citywide activities of enrollment and enrollment vaccination certificates were carried out, and measles vaccines were vaccinated against children with measles vaccines.
Project guest
1, routine vaccination
According to the “Implementation Plan for Expanding National Immunization Program”, B-hepatitis vaccine, BCG vaccine, live polio attenuated vaccine, DTP vaccine, white broken vaccine, measles vaccine, group A meningococcal vaccine, A+C group are provided for school-age children. Routine vaccination services for vaccines such as meningococcal vaccine, Japanese encephalitis vaccine and live attenuated liver A vaccine.
Measles vaccine immunization program: 8 months old inoculated with leprosy vaccine, 18-24 months old inoculated with moxibustion vaccine.
2. Conduct measles vaccine leak detection and replanting activities in the city. According to the analysis of the incidence of measles and the age of onset, combined with measles vaccination, carry out intensive immunization activities of measles vaccine, measles vaccines found in measles vaccines found in admission and enrollment certificates, and measles vaccines for children. Class vaccination is more than 2 doses.
3. The hook vaccine is used for emergency reserve. The Provincial Health Department shall reserve a lump vaccination vaccine in the event of an outbreak of leptospirosis or a flooding hazard that may lead to the outbreak of leptospirosis, and may be carried out for people at risk of 7 to 60 years of age who may be exposed to the infected water. Emergency vaccination.
Third, the project organization and implementation
Organizational form
All localities shall, in accordance with the “Notice on Implementing the National Immunization Plan for Jiangxi Province” and the requirements of this implementation plan, formulate specific project implementation plans and organize implementation to ensure the implementation of national immunization planning work. City Health Bureau and related departments
Responsible for technical guidance and regular supervision and inspection, timely discovery and research to solve difficulties and problems in project implementation.
Fund management: In 20XX, the central government arranged for the city to expand the national immunization program special funds of 7,533,700 yuan. among them:
Conventional vaccination: According to the 20XX provincial statistical yearbook demographic data, the estimated expenditure for the vaccination and syringes required for the implementation of the national immunization program in the counties is 6,938,900 yuan. The funds are directly allocated to the municipal finance by the provincial finance department.
Measles Intensive Vaccine and Syringe: According to the number of tasks arranged by the Ministry of Health, the estimated expenditure for purchase is 116,700 yuan. The provincial financial department will release the financial resources, and the funds will be purchased at the provincial level.
Emergency vaccination and syringe for leptospirosis: the province totaled 183,300 yuan, and the funds were retained at the provincial level for centralized bidding and procurement.
The vaccine is aimed at disease surveillance: According to the Ministry of Health, 546 cases of AFP, measles, children under 15 years old, B liver, ECM, AEFI, etc. are arranged, and a total of 9.81 million yuan is allocated. The funds are allocated to the Municipal Center for Disease Control and Prevention. It is allocated to the counties by the Municipal Center for Disease Control and Prevention according to the year-end monitoring situation. Funding subsidy standard: AFP monitoring funds are subsidized in principle by 1,500 yuan per case; the measles monitoring and disposal funds are in principle 100 yuan per case at the municipal level and 200 per case at the county level; the monitoring of hepatitis B for children under 15 years of age is in principle per For example, the subsidy for 160 yuan; the cost of monitoring and disposing of AEFI cases is in principle 100 yuan per case.
4. Project supervision and evaluation
The local financial and health administrative departments shall strictly follow the requirements of the "Interim Measures for the Administration of Special Funds for Health Care in Jiangxi Province", strengthen the management of project funds, ensure the earmarking of special funds, and timely disbursement, and improve the efficiency of fund use.
Regular vaccines and syringes are purchased by the Municipal Health Bureau and commissioned by the Municipal Center for Disease Control and Prevention to organize bidding and procurement, signing contracts and payments. The Municipal Center for Disease Control and Prevention shall, according to the "Jiangxi Province Expand National Immunization Program" and the actual situation, reasonably formulate the purchase items, specifications and quantity plans, and distribute the physical objects. Vaccine procurement must be carried out by the municipal government procurement center or by an agent that has a vaccine procurement qualification. Vaccines and syringes must complete procurement tasks by February 1, 20XX, to ensure that the city's expansion of national immunization planning work is carried out smoothly and smoothly.
The Municipal Center for Disease Control and Prevention shall strictly follow the "Government Procurement Law of the People's Republic of China" and other relevant laws and the National Development and Reform Commission's "Notice on the Formulation of 14 National Immunization Plan Vaccines and Prices for Recombination of B Liver Vaccines" for government procurement. Reporting the procurement plan should be fully budgeted to ensure the quality of the vaccine, and the surplus funds should continue to be used for vaccine procurement. After the completion of the procurement, the procurement results should be reported to the Municipal Health Bureau in time, and the Municipal Health Bureau should report to the Provincial Health Department and the Finance Department for the record. Vaccine procurement funds must be earmarked for special purposes, and the use of the project must not be changed, and funds should not be misappropriated or detained. Those who are responsible for violating financial regulations, misappropriating and defaulting on project funds will be seriously investigated and punished.
The implementation of each activity should meet the relevant technical requirements. After each activity, there should be an evaluation report and summary, and the project summary will be reported to the Municipal Health Bureau in time, and will be reported to the Provincial Health Department by the Municipal Health Bureau. All local health and finance departments should regularly inspect and supervise the use of project funds, and find out problems in a timely manner. Units and principal responsible persons who violate the financial regulations, misappropriation, and arrears of project funds will be seriously investigated and punished.
Part 3: Expanding the National Immunization Plan Implementation Plan
In order to do a good job in expanding the national immunization program in our province, and effectively preventing and controlling the immunization program vaccine can prevent the occurrence of infectious diseases, according to the "Implementation of National Immunization Plan Implementation Plan", combined with the actual, this program is specially formulated.
First, the principle
The expansion of the national immunization program is implemented in accordance with the principle of “emphasis on key points, classified guidance, and pragmatic implementation and step-by-step implementation”.
Second, the main content
Based on the seven kinds of immunization planning vaccines such as B-hepatitis vaccine, BCG vaccine, polio vaccine, DTP vaccine, white-break vaccine, measles vaccine and JE vaccine, which have been used in the current province, The vaccine replaces the DTP vaccine, and four vaccines, including A liver vaccine, group A meningococcal vaccine, A+C group cerebral vaccination vaccine, and cerclage vaccine, are included in the child immunization program, and regular vaccination is carried out for school-age children.
Child-age children are vaccinated against the above 11 vaccines to prevent hepatitis B, tuberculosis, polio, whooping cough, diphtheria, tetanus, measles, hepatitis A, epidemic cerebrospinal meningitis, epidemic encephalitis, rubella, epidemics 12 infectious diseases such as mumps.
Anxillary or leptospirosis vaccines are given to key populations when an outbreak of leptospirosis, leptospirosis, or flooding may lead to an outbreak of leptospirosis. If necessary, carry out hemorrhagic fever vaccination for key populations in key areas.
Three kinds of infectious diseases such as anthrax, leptospirosis, and epidemic hemorrhagic fever are prevented by inoculation of the above three vaccines.
Third, the goal
main target.
The province implemented the national immunization program, continued to maintain a polio-free state, worked hard to eliminate measles, control B liver, and further reduce the incidence of vaccine-preventable infectious diseases.
Work indicators.
1. By 20XX, the rate of vaccination against hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine and JE vaccine for school-age children in the whole province reached over 90% in the town.
2. By 20XX, the province's school-age children will strive to popularize the inoculation of meningococcal vaccine and A liver vaccine.
3. The target population of hemorrhagic fever vaccine has a vaccination rate of over 70%.
4. The target population of anthrax vaccine and leptin vaccine emergency vaccination reached more than 70%.
Fourth, vaccination requirements
Child routine vaccination program.
1. B liver vaccine.
Three doses of inoculation, one dose of each dose at the time of birth, one month of age, and six months of age, and the first dose is inoculated as early as possible within 24 hours after birth.
2. BCG.
One dose is given, and the child is vaccinated at birth.
3. Polio vaccine.
Four doses were inoculated, and the children were inoculated once a month for 2 months, 3 months, 4 months, and 4 years of age.
4. DTP vaccine and cell-free whitening vaccine.
Four doses were inoculated, and the children were inoculated once a month for 3 months, 4 months, 5 months, and 18-24 months.
The cell-free vaccination immunization program is the same as the DTP vaccine program. In the stage of insufficient supply of cell-free DTP vaccine, the cell-free DTP vaccine was used to replace the DTP vaccine in the order of the fourth dose to the first dose; the deficiency continued to use the DTP vaccine.
5. White broken vaccine.
One dose was given and the child was vaccinated at the age of six.
6. Leprosy vaccine.
One dose of vaccination, children inoculated with one dose of leprosy vaccine at 8 months of age, such as insufficient leprosy vaccine, the lack of measles vaccine replacement.
7. MMR vaccine.
One dose of vaccination was given to children with leprosy vaccine at 18-24 months of age. If the vaccine for malignancy is insufficient, the insufficient part is replaced by paralytic vaccine; if the vaccine is insufficient, the measles vaccine is used instead.
8. Group A meningococcal vaccine.
Two doses were given, and the children were given two doses at 6-18 months of age, with an interval of 3 months.
9. GROUP A + C MENINGITIS VACCINE.
Two doses of vaccination were given, and one dose of each dose was given to children 3 years old and 6 years old.
10. JE vaccine.
The live attenuated Japanese encephalitis vaccine was inoculated in two doses, and the children were inoculated once a day at 8 months and 2 years of age.
11. A liver vaccine.
A live attenuated liver vaccine was inoculated once a day, and children were vaccinated at 18 months of age.
Emergency vaccine immunization program.
1. Hemorrhagic fever vaccine.
Three doses were inoculated, the second dose was inoculated 14 days after the first dose of the recipient, and the third dose was inoculated 6 months after the first dose.
2. Anthrax vaccine.
Inoculation 1 dose, inoculation in the case of an anthrax epidemic, direct contact with patients or sick animals and patients can not be vaccinated.
3. Leptospirosis vaccine.
The leptospirosis vaccine was inoculated twice, and the second dose was inoculated 7-10 days after the first dose of the inoculation.
Implementation time.
Since September 1, 20XX, the National Immunization Program has been expanded in accordance with the above-mentioned routine routine immunization program for children.
Inoculated object.
1. 7 kinds of current immunization planning vaccines such as B liver vaccine, BCG vaccine, polio vaccine, DTP vaccine, white broken vaccine, measles vaccine, and JE vaccine. According to the above immunization program, all province-wide age-appropriate ages should be reached. Children are all vaccinated.
2. Four newly-implanted immunization planning vaccines, such as A liver vaccine, group A meningococcal vaccine, A+C group cerebral vaccination vaccine, and phlegm vaccine, have met the vaccines prescribed by the above-mentioned immunization program since September 1, 20XX. The children of the next month should be vaccinated, and the children of the province who have exceeded the age of each dose should not be replanted free of charge.
3. The vaccination targets for emergency vaccination and booster immunization are determined according to the relevant implementation plan.
Vaccination principle.
1. The vaccines used in the implementation of the Children's Immunization Program are administered in accordance with the first category of vaccines as stipulated in the Regulations on the Administration of Vaccine Circulation and Vaccination. Vaccination fees and vaccination fees are borne by the government. Vaccination units are not allowed to receive vaccinations for affected children or receive any fees in disguise. .
2. If the child or his guardian volunteers to choose to vaccinate the second type of vaccine of the same type of vaccine instead of the first type of vaccine at his own expense, the inoculation unit shall clearly inform the vaccine of the role of the vaccine, the cost commitment and the method of compensation for abnormal reactions, and respect the people. The right to know, the right to choose.
3. The affected children should not be vaccinated more than 2 times in one day. The second type of vaccine cannot be vaccinated in the same day as the first type of vaccine.
V. Implementation scope
Vaccines such as hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, white broken vaccine, measles vaccine, Japanese encephalitis vaccine, group A meningococcal vaccine, and A+C group influenza vaccine were implemented in the province.
According to the relevant requirements of the state and the newly included immunization program vaccine supply quantity and related disease epidemics, A liver vaccine was implemented in Guangzhou, Shenzhen, Dongguan and Shaoguan in 20XX. The moxibustion vaccine is formulated by the local health administrations at various levels according to the number of vaccines supplied and the prevalence of related diseases.
Sixth, implementation measures
Strengthen leadership and conscientiously organize and implement the expansion of national immunization programs.
Health administrative departments at all levels should take the implementation of the expansion of national immunization programs as the current work focus and effectively strengthen leadership. It is necessary to conscientiously formulate specific implementation plans for expanding national immunization programs in the region, and under the leadership of the local government, actively coordinate with the relevant departments of finance, development and reform, education, food and drug supervision, etc., to coordinate the human and material resources needed to implement immunization programs. And financial resources, do a good job in propaganda, training, implementation and supervision, and organize and implement the plan to expand children's immunization. In accordance with the requirements of the Provincial Health Department, the Provincial Department of Finance, the Provincial Food and Drug Administration, the Provincial Department of Education, and the Provincial Price Bureau on the implementation of the Regulations on the Administration of Vaccine Circulation and Vaccination, the funds required for vaccination work shall be guaranteed. Ensuring the expansion of the implementation of child immunization programmes.
Extensive publicity to raise public awareness of the expansion of national immunization programs.
All localities should vigorously carry out child vaccination knowledge publicity activities, widely popularize vaccination knowledge, increase the enthusiasm and initiative of the whole society to participate in the expansion of children's immunization planning work, and create a good atmosphere for the whole society to implement the expansion of children's immunization programs. Health administrative departments at all levels should give full play to all aspects of society, use various media and propaganda methods, and vigorously promote the expansion of children's immunization planning policies and the importance and achievements of implementing immunization programs to protect public health. It is necessary to organize and mobilize relevant departments, medical and health institutions and social organizations to organize publicity publicity activities in public places such as squares, stations, docks, and communities, and invite local government leaders to participate in child vaccination publicity days to reflect the party and government. The concern of the people's health and the care of the grassroots health workers.
Strengthen team building and improve the ability to implement and expand national immunization programs.
Health administrative departments at all levels shall, in accordance with the implementation of the task of expanding national immunization planning, strengthen the construction of relevant institutions and teams of immunization programs, rationally plan and set up vaccination units, and adjust and enrich immunization planning management professionals and grassroots vaccination personnel. Develop training plans, and train immigrant planning management professionals, grassroots vaccinators and medical and health institutions. Disease prevention and control institutions at all levels should strengthen business technology guidance and continuously improve the business level and capabilities of grassroots immunization planners.
Improve the form of immunization services, standardize vaccination behavior, and improve the quality of immunization services.
All localities should adjust the form of immunization services according to the work content and requirements of the expansion of the child immunization program, and combine the local conditions, increase the frequency of services, and ensure that school-age children receive timely vaccination services. Further strengthen the standardization of vaccination clinics, carry out vaccination work in strict accordance with the Regulations on the Administration of Vaccine Circulation and Vaccination, the Regulations on Vaccination and the new child immunization program, provide standardized vaccination services, and prevent Inform the work before the vaccination certificate management and vaccination.
When the school-age children apply for the certificate, the vaccination unit shall issue the vaccination certificate and the child's parents' book before the vaccination for free; before each vaccination, the vaccination unit shall make a detailed inquiry according to the requirements of the notification record, earnestly fulfill the obligation of notification, fill in and Save the vaccination record. Further strengthen the vaccination work of migrant children and strive to increase the vaccination rate. Actively cooperate with the education department to do a good job in the inspection of child enrollment and admission vaccination certificates. Continue to strengthen the monitoring of abnormal response to vaccination, accelerate the construction of child vaccination information management system, and provide information support for the implementation of the expansion of child immunization programs.
Strengthen the construction of the cold chain to ensure the cold chain operation of the immunization program vaccine.
According to the implementation of the need to expand the child immunization planning work, timely expand the cold chain capacity, improve the cold chain construction, supplement and update mechanism. Disease prevention and control institutions and vaccination units at all levels shall properly allocate, supply, distribute and store vaccines in accordance with the requirements of the “Regulations on the Management of Vaccine Storage and Transportation”, and conscientiously carry out cold chain monitoring of all aspects of immunization planning vaccine storage, transportation and use. And management work to ensure the normal operation of the vaccine cold chain.
Regulate the use management and supervision of immunization program vaccines.
Disease prevention and control centers and vaccination units at all levels should uniformly use the "Guangdong Province Immunization Plan Vaccine Entry and Exit Account Book" and "Guangdong Province Immunization Plan Use Syringe In and Out Account Book" to earnestly implement the vaccine and syringe use and reporting system, and strengthen the immunization program vaccine. The establishment of the syringe, the use of management and supervision and inspection to ensure the timely supply of immunization planning vaccines, not to sell the valuable vaccines in disguise on the basis of insufficient supply of vaccines, and to prevent the immunization planning vaccine from expired, lost or diverted for other purposes.
The municipal disease prevention and control centers shall report the actual use of the previous year's immunization plan vaccine and supporting syringes and the current year's demand plan to the provincial disease prevention and control center before the end of January each year. After the provincial disease prevention and control center compiled and summarized, the province's vaccine use plan was proposed and reported to the provincial health department.
VII, supervision and evaluation
The health administrative departments at all levels should regularly organize supervision and evaluation of the implementation of the expansion of the national immunization plan within the jurisdiction, formulate a scientific supervision and evaluation program, and carry out supervision and evaluation activities on a regular basis to identify problems and solve them in a timely manner. The Provincial Health Department will organize and evaluate the implementation of immunization programs around the country from time to time.
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