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| Mobility of vaccination personnel in community health service centers in Zhejiang Province |
| CHEN Jiaye1, HU Yu2
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1. School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To investigate the mobility of vaccination personnel in community health service centers in Zhejiang Province from 2012 to 2022, so as to provide reference for strengthening the construction of the vaccination team in grassroots healthcare institutions and enhancing the quality of vaccination services. Methods From May to July 2023, one district and one county were randomly selected from each of the 11 cities in Zhejiang Province as survey sites. Two vaccination clinic of community health service centers were selected from each site for investigation. Data on the staffing and mobility of vaccination personnel were collected to analyze the composition, vacancy rate, net inflow rate, and channels for mobility among vaccination personnel. Results In 2022, there were 192 vaccination personnel positions established across 44 vaccination clinics, with 203 staff members on duty, with 178 in-service and officially employed staff, resulting in a vacancy of 5 positions and a vacancy rate of 2.60%. There were 184 females, accounting for 90.64%. The majority were aged 20 to <41 years old, with 140 individuals representing 68.97%. There were 128 individuals with a bachelor's degree, making up 63.05%, and 110 with intermediate professional titles, accounting for 54.19%. From 2012 to 2022, a total of 102 vaccination personnel flowed in and 68 flowed out, with a net inflow rate of 20.12%. The net inflow rate of vaccination personnel in urban areas was 12.38%, which was lower than that in rural areas (32.81%, P<0.05). The flow ratio was 100.59%, with the flow ratio of vaccination personnel in urban areas being 126.67% and that in rural areas being 57.81%. Both the inflow and outflow vaccination personnel were mainly aged 20 to <31 years old (71.57% and 52.94%), with a bachelor's degree (73.53% and 61.76%), a junior professional title (70.59% and 55.88%), and no permanent position (62.75% and 61.76%). The main inflow channels for vaccination personnel was the recruitment of people, accounting for 70.57%; the main outflow channels were job transfer and resignation, accounting for 57.35% and 27.94% respectively. Conclusions From 2012 to 2022, the number of vaccination personnel in cornmunity health service centers in Zhejiang Province increased, but the personnel turnover was relatively high. Moreover, there were issues such as high personnel mobility in urban areas and instability in the ranks of young and junior professional title holders.
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Received: 11 March 2025
Revised: 24 April 2025
Published: 23 May 2025
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