Dredge and inoculate the policy free " Obstruct "
Dredge and inoculate the policy free " Obstruct "
Staff reporter Meng QingPu It is that the country defines the policy of Huimin stipulated that the children of the right age inoculate a kind of vaccine free. But for various reasons, this policy often meets " obstructs " in the course of implementing ,The country calls and sounds, but ordinary people can not experience. In 2007, Jiangsu Province launches the immunization programs for children to plan the immunization campaign note to manage in some area pilot projects, the ones that attempt to dredge free policy of vaccine inoculation " Obstruct " . It is that vaccine of loud small sharp town commune hospital of water county of Jiangsu Province concentrates on inoculating on day on steady and sure November 13 to take the ticket and have an injection in the heart. At 9 o'clock a.m., the clinic of immunization campaign located in northeast corner of commune hospital gathered much parents who embrace the child. Inoculate the procedure sticking on the clinic wall: Child's physical examination, registering, parents sign the letter of consent in the know, inoculate according to the ticket, evidence, leave the view for 30 minutes after inoculating, child leaves away determination after having no question. Have to cry and scream child frequently, there are single rooms in each step, in order strictly. "What needle is brought child to hit today? " The reporter asks a middle-aged person lining up to register. "It is this one, ask What is name? " He leafed through the immunization campaign note in the hand, " the grandson was born on July 4, in 4 months, should hit Do not have whooping cough, diphtheritis and tetanus vaccine of cell to make. " He shines a word and a word of note and reads the vaccine name. "Does having injection charge the money? " The reporter asks again. "Do not accept, are all free! " This time, he is without hesitation, the language is extremely sharp in speed. The parents shout Xue add land, come from small sharp the intersection of town and four abundant the intersection of village and 5. He says, the grandson is after the commune hospital was born in, doctors gave two small book ones, one is immunization campaign certificates of children of Jiangsu Province, one is immunization campaign notes of children of Jiangsu Province. He seems to have no impressions, " just fills out for the doctor when having an injection " to the former . He is with deep impression to the latter, because the doctors should all tear the next from it when having an injection each time. The reporter notices, " immunization campaign note " It is a brochure, every volume has serial numbers, it is the one-one relation with the child. There are 22 tickets inside, arrange in an order from small to large according to inoculating age, each ticket corresponds to vaccine of time of a kind of pharmaceutical, expand immunity and plan the vaccine and conform with the country. Print three parts of contents on the ticket: Part one " inform children parents " ,Prove vaccine that the government purchases in unison is safe and effective, inoculate free, it can't collect any expenses to inoculate the unit. Part two Printing the vaccine kind that will be inoculated on the same day, it is annual to inoculate (the moon) Age, and especially mark out to inoculate free according to the ticket. The back of the ticket is the third part - -Letter of consent in the know before immunization campaign. Lao Xue's note held has already torn 7. "One fen has no flower! " He says loudly. " have tickets " Equal to " having an injection free " . The reporter successively visited the loud water county, salt 4 villages and towns and several dozen parents of the district of Yancheng, this is which they spoke most. The pilot result was gone beyond and expected two years ago, disease of Jiangsu Province in charge of immune planning accused of the great waves of sheep of Deputy Director in the centre to go to the countryside to survey and study while just taking up an official post, finding peasants general will inoculates the policy and does not understand to vaccine of the country free. Some peasants complain, does not know at all that it can be free to have an preventive injection, " 3, 5 pieces, always the money of point of intersect " ; Though some peasants understand state policies, inoculate the doctor does not always say free Miao, can only be hit and spent money; There are some peasants, actually went going straight free, but did not stand doctor's " flicker " ," a high quality one can be free " ,Make into and charge temporarily. Sheep great waves are pondered, the country invests billions of yuan in one year, give children a immunization campaign free, why common people enjoy such good Huimin policy? Disease of department of public health of Jiangsu Province accuses of Wu HongHui, division chief of place and experiences similarly too. As the officers in charge of immune planning of department of public health, often old leader in provinces ask him, is not a kind of vaccine inoculation in the country free? How to take child to have an injection and also want the money? "The state policies are good, but meet ' obstructs ' in implementation. " Disease in Jiangsu Province is accused of the immunity of centre and planned Ma FuBao, section chief of department, and said. Inoculate personnel until free vaccine have no interest and sense of responsibility immediate cause. The profound reason is, the local government subsidizes the funds uncompletely, manage the examination mechanism imperfectly. The basic unit inoculates the unit and fond of hitting vaccine of price, because be able to bring the direct income. If the government compensates uncompletely, the interests are excited and will be enlarged limitlessly. Other places, though has subsidized in place, the examination method is too thick, to inoculating the unit, have an injection and does not earn money free, " one stitch more might as well lack the injection " . Survey and study through a last year, under the circumstances that disease of Ministry of Public Health accuses of the guidance of the office, in May of 2007, the department of public health of Jiangsu Province begins to plan the immunization campaign note and manage in the loud water county of the area of northern Jiangsu and pilot immunization programs for children of the district of Henan Province of constellation of Suqian. Disease accuse of centre or inoculate unit in the neonate ' Children) including flowing While building the card and building the card for the first time, release the note according to being born in the identification or hepatitis B vaccine inoculation triplicate form. Parents point out and inoculate some and inoculate according to the ticket according to the note. County (district) Health bureau inoculate the intersection of procedure and complete note that unit retrieve according to every, cash and subsidize once quarter while being every according to every the intersection of needle and times of yuan of standards. "The reason why choose these two local pilot projects, it is mainly in consideration of economy. " Ma FuBao says, northern Jiangsu area is low developed, if the pilot project succeeds, will pursue naturally in the area with better economy. "The pilot result goes beyond expectancy. " The loud water chief of county hospital Jiang YueHua tells reporters. First of all, the inoculating rate has been improved. This county June to will it be September 2008, 2007 the intersection of children and basic immunity person who inoculate up to 99.8% totally, 1.5% more high than the pilot prerequisite, poliomyelitis, diphtheria, whooping cough, neonatal tetanus, epidemic encephalitis, the second brain,etc. have no case to take place. Secondly, through releasing the note, getting seedling, inoculating free, guardian and signing etc. and restricting the means according to the ticket, have improved a kind of vaccine rate of utilization effectively, has reduced vaccine to waste. The pilot project is more than one year, this county retracts more than 120,000 pieces of receipt for a kind of vaccine, the rate of recovery of the note is up to 98.34%. Compared with the pilot project, defrayed class II vaccine more than 50,000 stitch times with the note, saved the expenditure of more than 300,000 yuan for the masses. Jiang YueHua says, the note is a lifelike carrier, can make children parents ocular and experience the free policy of a kind of vaccine in the country. Meanwhile, subsidize according to the ticket neck, defend protecting personnel's funds and is implemented, working enthusiasm has been improved a lot. In view of management, disease in the county accuses of the centre the unit retrieves the receipt quantity and plans to calculate and use seedling quantity synthetically with the seedling according to inoculating, guarantee a kind of enough but not extravagant vaccine, has saved limited public health resources. In addition, the note is managed and inoculated according to the ticket, the guardian signs, improve the authenticity inoculated, have overcome a few children in the past " The nib inoculates " The phenomenon, make the immunity at the basic level planned The materials are more systematic, norm. "Politically warm, material benefit in economy, knowledge popularize, policy? Stern Suan! Finish, braise the intersection of and Kui finish Man, ご of Yao, pour Li regret, climb already ? " in order to be still needed good Buddhist monk to read " The pilot project succeeds for designer's great encouragement of the policy. Will it be July 2008, the intersection of Jiangsu Province and department of public health hold on-the-spot meeting in loud the intersection of water and county, popularize children one vaccine according to method that ticket inoculate to the whole province. Disease in the province accuses of centre's printing 1,500,000 immunization campaigns note in unison, release to all children of the right age born after January 1, 2008. Ma FuBao says, the immunization campaign note is to implement the evidence inoculating a kind of vaccine free, do not cash the cash, material object, can't buy and sell, tell, inquire recording and function that agrees in the know before inoculating at the same time. "Inoculate the unit to close and subsidize the funds according to the ticket, according to different economic conditions, a stitch time can get 5 yuan - 10 yuan to subsidize. " Reporter ask the intersection of children and parents have one inoculate card, add one promissory note and then according to, will increase parents to bear? Ma FuBao says, 1,500,000 pay the bill and print while saving in advance, can use for several years. Wu HongHui tells reporters, practice has proved, it is to dredge and inoculate the policy to inoculate according to the ticket free and " obstruct " Fine method. But " easy to pass and still need the Buddhist monk to read, can't read aslantly " . The note wide quantity of chain of command is big, the procedure is tight, the policy is strong, must standardize operation. Government department want, devote more efforts to supervising, let, prevent from, assuare personnel are responsible for really, do not " miss one child " . On the other hand, need to be wide to cover, propagate on a large scale, let the relevant policy, procedure, method come into each family, " let parents supervise our work too " . Wu HongHui has especially put emphasis on the importance of defending protecting the senses of responsibility of personnel in two grades of villages, it is puerile to especially flow correctly. November 14, reporter the intersection of district and the intersection of floor and Wang town commune hospital meet bring grandson mother-in-law Song that have an preventive injection in the intersection of Yancheng and the intersection of city and salt. On the previous day, the commune hospital defended protecting a doctor while consulting that inoculate information on the computer, find mother-in-law Song's little grandson should dial second brain vaccine, the telephone informs the township of medicine. After the notice of receiving the township and curing, mother-in-law Song comes to the commune hospital at once. The free ticket is Jiangsu, that inoculated the card and took is Shanghai, reveals the child is just a kind of second brain vaccine at the end of October. Originally, by the parents that the child has been going to Shanghai to work as a temporary labourer for the previous period. See the doctor to the data of failing in the computer, though make a trip in vain conscientiously, but mother-in-law Song is very glad: "The doctor of Shanghai is good, the doctor of the native place is good too, responsible for! "
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