安徽和四川省农村地区留守儿童预防接种基本现况分析

目的了解农村地区留守儿童预防接种基本状况，为制订留守儿童预防接种策略提供依据。方法在安徽和四川省各选择1个人口〉100万的县，对2003～2006年所有在预防接种簿（卡）登记的儿童进行普查。结果留守儿童和流出儿童分别占17．94％和6．05％，主要通过村医获得儿童父母外出信息，儿童出生后父母外出的占51．60％，外出〉10个月的占78．50％，有67．97％春节回家，35．43％的留守儿童去外出父母处，成为当地流入儿童。结论流出儿童虽比留守儿童少，但容易形成免疫空白，是流动儿童预防接种管理难点，留守儿童父母外出信息来源村医，调动村医的积极性至关重要，春节期间对返乡人员进行预防接种相关知识的宣传尤为必要。

Analysis on Basic Vaccination Situation of Left-behind Children in Rural Areas in Anhui and Sichuan Provinces

Objectives To understand the vaccination situation of left-behind children in rural areas,provide the evidence for developing vaccination strategies for left-behind children. Methods The counties with population over 1,000,000 were selected from Anhui and Sichuan provinces respectively to conduct survery to the children who were born between the year 2003 and 2006 ,and had registration on vaccination book （card）. Results The proportion of left-behind and outflow children are 17.94 % and 6.05 % respectively. The information about the children＇s parents going out most came from village doctors. The proportion of the parents going out after children born was 51.60%,staying outside for more than 10 months was 78.50%. 67.97% pareets came back home during the spring festival, 35.43% left-behind children went out with their parents. Conclusion Although the number of outflow children was smaller than the left-behind children,it was easy to develop immunization gap. It is the difficult part of management on EPI to migraut children. The information aboat the children＇s parents going out mostly came from village doctors. It is impotant to mobilize the enthusiasm of doctors. It is especially essential that we should propagandize to the people with vaccination knowledge to the pareets came back home during spring festival.