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本文通过吉林省舒兰县实施妇幼卫生合作项目两年多的实践,介绍了该县加强三级网建设的基本思路、措施和取得的显著成效,指出了目前三级网建设存在的主要问题.文章提出,抓好三级网是各级政府加强妇幼卫生工作包括完成合作项目任务的关键;各级政府不仅要重视三级网的“软件”建设,更要解决好三级网建设的“硬件”问题,如人员配备、报酬兑现、房舍设备、经费投入等.文章强调,继续提高干部和群众的认识,把三级网建设始终摆在重要位置抓实抓好,因地制宜重点加强“网底”建设,强化三级网的服务功能,充分发挥三级网在整个妇幼卫生工作中的重要作用.  相似文献
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近年来,H5N1亚型高致病性禽流感在我国及东南亚多个国家爆发,引起270人感染,半数以上感染者死亡。禽流感这一重大禽类疫病,目前已成为公共卫生面临的最大威胁,需要多部门合作共同防控。此文对防治禽流感的意义以及我国禽流感防治相关部门间合作情况进行了综述,并对今后禽流感的防治提出了建议。  相似文献
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Objective

To assess the construct validity and reliability of the Parent Attitudes about Childhood Vaccines survey.

Study Design

Cross-sectional survey of parents of 19-35 month old children in a closed model HMO. We used factor analysis to confirm survey sub-domains and Cronbach's α to determine the internal consistency reliability of sub-domain scales. Construct validity was assessed by linking parental responses to their child's immunization record.

Results

Our response rate was 46% (N = 230). Factor analysis identified 3 factors that explained 70% of the total variance for the 18 survey items. We deleted 3 items that failed to load highly (>.4) on an identified factor, correlated poorly with other items, or had a hesitant response that was not associated with increased under-immunization. Cronbach's α coefficients for the 3 sub-domain scales created by grouping the remaining 15 items were .74, .84, and .74, respectively. Children of parents with survey scores of 50-79 had 14% more days under-immunized from birth to 19 months (95% CI: 8.0, 20.5) than those with parents who scored <50. Scores of ≥80 were associated with 51% more days under-immunized (95% CI: 38.2, 63.4).

Conclusion

The revised survey is a valid and reliable instrument to identify vaccine-hesitant parents.  相似文献
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