Second, how to prepare relevant plans?
Provincial health and family planning administrative departments should incorporate maternal and child health service guarantee measures into the implementation plan of the separate two-child policy. In the provinces (autonomous regions and municipalities) that have completed the reform of the provincial administrative system, the provincial health and family planning administrative departments should incorporate the maternal and child health service guarantee measures into the implementation plan of the separate two-child policy, strengthen internal communication and coordination, and ensure policy support; In provinces (autonomous regions and municipalities) that have not yet completed the reform of the provincial administrative system, the provincial health administrative departments should take the initiative to communicate with the population and family planning administrative departments, do a good job in maternal and child health care and family planning technical services and management, and the provincial population and family planning administrative departments should promptly and actively inform the health administrative departments of the progress of the implementation of the two-child policy, fully absorb opinions and suggestions, and ensure coordinated advancement.
Provincial health and family planning administrative departments should thoroughly analyze the impact of the implementation of the two-child policy on maternal and child health services, carry out service resource surveys, quickly find out the base, clarify work measures for the service gap, and study and formulate work plans as soon as possible. Health and family planning administrative departments at all levels shall, according to their respective responsibilities, publish the list of medical institutions that are allowed to carry out midwifery technology and prenatal diagnosis technology. Conditional areas, to dynamically publish maternal health books (cards) and the use of obstetric beds, and guide the masses to rationally choose midwifery institutions and orderly medical treatment.
3. What guarantees are there in terms of software and hardware construction?
The first is to strengthen the construction of service facilities.
All provinces (autonomous regions and municipalities) should take the construction of maternal and child health service institutions as a supporting measure to start the implementation of the two-child policy, increase funding, and accelerate the implementation progress of the "Twelfth Five-Year Plan" maternal and child health service institutions construction project. In the "Thirteenth Five-Year Plan" for the development of health and family planning, the construction of maternal and child health care service institutions will be taken as the key support content, and the conditions of business premises and equipment will be effectively improved to ensure that 1 standardized maternal and child health care service institutions sponsored by provincial, municipal and county governments will be established as soon as possible, so as to achieve the task objectives of the "two outlines". Vigorously strengthen the construction of obstetrics and gynecology and pediatrics in general hospitals, strengthen the construction of specialized hospitals for obstetrics and gynecology and pediatrics, improve the clinical professional technical level of obstetrics and gynecology and pediatrics, and promote the construction of regional obstetrics and gynecology and children's medical centers. Increase the internal potential of medical institutions, expand obstetric beds, and strive to improve the service capacity of obstetrics and gynecology and pediatrics.
The second is to equip women and children with strong technical personnel.
Health and family planning administrative departments at all levels should guide medical institutions to strengthen the post allocation of midwives, pediatricians and nurses. In terms of professional title evaluation and salary distribution, we will give preferential policies to obstetrics and gynecology, pediatricians, midwives and nurses to effectively improve the treatment of personnel. Combining the integration of maternal and child health care and family planning technical service resources, we will fully implement the establishment of maternal and child health care service institutions, establish a talent incentive mechanism, attract high-quality talents, build excellent technical teams, and train a number of academic leaders. Start the pilot work of undergraduate midwifery enrollment training. Reform the evaluation system of midwives' professional titles and speed up the construction of midwifery professional teams. Intensify training, set up midwifery technical training base, carry out "reduction and elimination" project and health personnel training project in depth, strengthen the construction of maternal and neonatal critical illness treatment ability, actively carry out on-the-job training, skill competition and other activities, organize and carry out national maternal and child health skill competition, and comprehensively improve the overall service level of maternal and child health.
Fourth, how to provide quality services that are more convenient for the masses?
First, do a good job in publicity and health education.
All localities should focus on planned pregnancy couples, pregnant women and lactating women, focus on scientific pregnancy preparation, prenatal eugenics, maternal health care, prenatal screening and diagnosis, safe delivery, child health care and family planning, make full use of television, radio, newspapers, Weibo, WeChat and other media, do a good job in policy propaganda, strengthen policy interpretation, popularize health knowledge, respond to social concerns in a timely manner, and actively advocate. Conditional medical institutions can set up a two-child fertility service consultation room separately, and actively do a good job in fertility consultation, guidance and service for couples who meet the policy.
The second is to provide convenient and high-quality services.
In view of the increasing number of elderly pregnant women, it is necessary to strengthen the systematic management of pregnant women and strengthen maternal and child health care services in a targeted manner. Deepen the appointment service for pregnant women and children, optimize the outpatient and emergency environment and service processes, and extensively carry out convenience outpatient services. Carry out customer satisfaction survey and continuously improve medical and health services. We will fully implement the open system of hospital affairs in medical institutions, unblock complaint reporting channels by setting up suggestion boxes, opening hotlines and online mailboxes, and take the initiative to accept social supervision. Timely issue birth medical certificates according to the prescribed time limit, and promote information management. Strengthen operational guidance to primary medical and health institutions, and urge the implementation of basic public health services such as maternal health care, child health care and free basic family planning technical services.
5. In view of the high proportion of elderly pregnant women and the increased risk of complications of pregnancy and birth defects, what targeted measures are there?
First, strengthen the management of high-risk pregnant women and newborns.
Medical institutions providing midwifery technical services shall set up obstetric safety management offices, which shall be specifically responsible by business leaders, strengthen quality and safety management, and coordinate the establishment of mechanisms such as treatment and referral for high-risk pregnant women. Medical institutions in the establishment of maternal health care books (cards) for multiparas, should seriously ask the previous birth history, dystocia history, contraceptive history, detailed physical examination. According to the requirements of "Maternal Health Care Standard" and "National Standard for Child Health Care (Trial)", we will pay special attention to elderly pregnant women and pregnant women after cesarean section, screen risk factors, identify high-risk pregnant women and newborns, manage high-risk pregnant women, closely monitor and deal with pregnancy complications and complications, strengthen visits to high-risk newborns, strengthen active services, and deal with critically ill pregnant women and newborns referred in time. All localities should speed up the construction of rescue centers for critically ill pregnant women and newborns within their jurisdiction, establish and improve a fast and efficient referral consultation network for critically ill pregnant women and newborns, improve the operation and management mechanism, and ensure effective connection and smooth green channels.
The second is to strengthen the comprehensive prevention and treatment of birth defects.
Combined with pre-pregnancy, pregnancy and neonatal health care services, comprehensive prevention and control measures for birth defects will be fully implemented. Actively promote the national free pre-pregnancy eugenics project, ensure the quality of the project, encourage local areas to expand the pre-pregnancy eugenics project to cities, and accelerate the full coverage of urban and rural residents. Solidly do a good job in folic acid supplementation in poverty-stricken areas to prevent neural tube defects and neonatal diseases screening projects, promote the pilot project of thalassemia prevention and control, and gradually expand the coverage of the project. Strengthen the capacity building of prenatal diagnosis and continuously improve the level of prenatal screening and prenatal diagnosis. Through comprehensive prevention and control, the quality of the birth population will be effectively improved.
Six, how to dynamically understand the changes in maternal and child health care service demand and do emergency support?
The administrative departments of health and family planning of all provinces (autonomous regions and municipalities) should focus on large and medium-sized cities and areas with a large influx of floating population, establish a monitoring and early warning mechanism for maternal and child health care services, and timely and dynamically understand the amount of obstetric outpatient and emergency services, the number of maternal health care books (cards), the utilization rate of obstetric beds, the number of live births, maternal mortality and infant mortality. Scientifically delimit the early warning line, formulate targeted risk prevention and control measures and emergency plans, and strengthen the provision of emergency equipment for obstetrics and pediatrics. All localities should report the progress of work to the National Health and Family Planning Commission in a timely manner, and the National Health and Family Planning Commission will organize and supervise the implementation of local policies in a timely manner. Source: National Health and Family Planning Commission of the People's Republic of China)