General office of the ministry of health, about immune programming work mechanism construction progress report

The ministry of health of the People's Republic of China: www.moh.gov.cn

Who does hair [2013] no. 12 for disease control

Provinces, autonomous regions and municipalities directly under the central government health bureaus, the xinjiang production and construction corps health bureau, the Chinese center for disease control and prevention:

        Local outbreaks of some vaccines against infectious diseases in our country in recent years, especially in xinjiang in 2011 polio outbreak due to input, exposed our country local immune programming work show the tendency of landslide. To further strengthen immune programming work, I in July 6, 2012, issued the notice on strengthening immunization work who do hair [2012] no. 50, (hereinafter referred to as the "notice"), and held on July 19, to further strengthen the focus on the prevention and treatment of infectious diseases work picturephone meeting, to perfect the work mechanism of immune planning the specific deployment. For understanding throughout the implementation situation in time, I on September 11, 2012 organization expert group in tianjin, heilongjiang, anhui, hubei, guangdong, chongqing, gansu, xinjiang and other eight provinces (area, city) has carried on the research, and to other provinces (area, city) to understand the progress of related work. Relevant information will be notified as follows now:

        First, the practice and experience

        National television after the conference call, the provinces (area, city) held by CDC work, immunization planning workshops, and other forms to convey the meeting spirit, strengthen immune planning work mechanism construction. There are 23 provinces (area, city) or forward the "notice" issued by the file, refine various policy measures. Among them, part of the province (area, city) to strengthen organizational leadership, implement the funds safeguard, establish incentive mechanism, improve the performance appraisal, strengthen team construction, etc, formed some good practice and experience.

        (a) to strengthen organization and leadership. Anhui provincial health office, immune programming work included in the provincial government and people's livelihood project. Heilongjiang province health department regulations, all levels of CDC established basic public health services in the project management office of CDC, form basic public health services in the specialist team. Hubei province health department organize eight to supervise commission co-chaired, immune state of municipal key for disease control and prevention work to supervise the inspection planning, and the evaluation results reported in the province.

        (2) to carry out the funds safeguard, establish incentive mechanism. Gansu province health department stipulated vaccination subsidies proportion is less than 18% of the total funds of basic public health services. Ningxia hui autonomous region health department, departments at the county level CDC immune planning funds according to the operation areas population standard allowance per capita not less than 1 yuan. Of tianjin health bureau, bureau of finance regulation, basic public health services in the immunization program for each vaccination outpatient service fixed subsidies of 80000 yuan, 4.5 yuan per inoculation agent 1 times, 1 child allowance RMB 10 per specification management, in accordance with the RMB 0.5 per dose and counties centers for disease control and prevention. Shaanxi provincial health department regulations each inoculation agent 1 times no less than 8 yuan, every school-age child vaccinations service fee not less than 180 yuan. Jiangxi province health department regulations, undertake the door-to-door campaigns, the examination registration, reservation notification tasks such as the village doctor or cadres at the grass-roots level to 1 yuan/agent time, 1 yuan/agent for vaccination personnel of subsidies.

        (3) perfect the performance appraisal. Tianjin health bureau, bureau of finance regulation, basic public health service projects immunization programme in single row, funds management, assessment of CDC, independent finances disbursed directly. Gansu province health department stipulated vaccination work in basic public health service project performance appraisal the proportion of not less than 20%. The xinjiang uygur autonomous region health department formulated the "one ticket veto" system, the assessment of vaccination work not qualified as a basic public health services is not up to standard, given a yellow card at the same time, to the people's government at the same level, and linked to the basic public health service project expenses for.

        (4) strengthen the team construction. Gansu province health department stipulated the municipal center for disease control and prevention with immune planning personnel not less than 5 people, the centers for disease control and prevention at the county level for 3 to 5 people, rural hospitals and community health service center equipped with full-time immune planning staff 1 to 3 people, village clinic vaccination for at least one person. Guangdong province health department stipulated at the county level CDC immune planners in principle of 1/10 population by district fact standard, in towns and townships according to the standard 1 / m. Zhejiang province health department regulations, city and county levels for disease control and prevention center for immunization programmes, in principle, of not less than 2 people, each inoculation against units engaged in the work personnel, in principle, of not less than 4 people.

        Second, the existing problems

        A province is a part of the research will be "basic public health service project" is equivalent to the basic public health service project, budget allocation is simple to take "times the $25 districts population" package to basic medical and health institutions, lead to the first dose of BCG vaccine and hepatitis b obstetric services for didn't get the corresponding subsidy, part failed to effectively implement the vaccination work.

        Inoculation against two provinces is part of the research in the basic public health service project integrated performance evaluation of the weight is low (about 4-5%), CDC vaccination on basic public health service project assessment and lack of the guidance of the binding, the performance appraisal results of strengthening and improving immune planning guide has not been fully reflected.

        Three research is part of the province of grassroots medical institutions internal funding mainly adopt the mode of "Commons" average, vaccination shall provide merit pay, pay the overall cap, "dry do more less the same," the lack of vaccination staff incentive mechanism, resulting in a decline in the enthusiasm and initiative of the vaccinated people.

        Four is investigation provinces reflect generally, as the basic public health service contents constantly amplification, the increasing demand for immune planning services, grassroots medical and health institutions, undertake the task of basic public health services, services personnel relatively insufficient, immunization service ability is insufficient, seriously affect the immunization service quality.

        3, the next step of work requirements

        One is to intensify the implementation of "notice". Around to combine practice, summarize and learn from the best practices and experience, innovative working methods, further perfect the work mechanism of immunization programmes. Establish and improve the supervision, the supervisory work, the mechanism of strengthening the supervision inspection, the problems in the research work in time, implement all measures to ensure that the "notice".

        Second is according to the principle of "walking about with money" distribution of subsidies. To vaccination around the basic public health service projects such as the core service implements the fine management, improve the subsidy standard, according to the completed inoculation quantity and quality of the task allocation project subsidy funds, and pay in full and in a timely manner for to the medical and health institutions responsible for vaccination.

        Third, give full play to the role of institutions for disease control in project appraisal. Around to CDC into the complete system of basic public health service project, guarantee its begin vaccination staff training, technical guidance and daily management, evaluation and running funds, will promote vaccination CDC special assessment results as project performance evaluation, and as a grassroots health institutions to carry out the basic public health services in the funds allocated to the prerequisite, to carry out the system of "one ticket veto".

        Four is to design and explore under the new situation of the incentive mechanism. Around to combine practice, design and explore the new situation according to the inoculation quantity and quality of the completion as service subsidy standard, reasonable subsidies, arouse the enthusiasm of grass-roots staff. At the same time, the exploration to the economic incentives and mobilization comprehensive methods, such as improving residents to participate in the initiative of immunization services.

        Number five is to further ensure vaccination at the grass-roots level. Around to convenient to the masses, can be set up and the principle of vaccination units, clear professional personnel engaged in vaccination work quantity, in the remote mountainous areas, pastoral areas and the floating population to gather to take household vaccination, tour and so on the many kinds of inoculated way, avoid taking simple seat type passive immunization service mode. At the same time, actively play the role of village cadres and village doctor working in vaccination.

General office of the ministry of health

On February 16, 2013