In Fugou County, under the leadership of the county party committee and the county government, under the guidance of the superior business departments, with the cooperation of the women's federations, education, family planning and other relevant departments, and with the concerted efforts of Qi Xin, medical and health personnel at all levels, all tasks were successfully completed. In order to carry forward the achievements and find out the shortcomings, the work in the past year is as follows:
First, maternal and child health care service institutions and personnel
Fugou County governs 16 townships, towns and farms, and 4 1 1 administrative villages with a total population of 7443 15. County Health Bureau has jurisdiction over 16 township, town and field health centers, and 4 1 1 village health centers. Married women of childbearing age147,645, children under 7 years old 52,582, children under 5 years old 35,364, children under 3 years old 220 13, and the population born in that year was 64 1 1 person.
Two, conscientiously do a good job in perinatal health care, improve the maternal system management rate, reduce maternal mortality.
Perinatal care is an important part of maternal and child health care, which has always been highly valued by the party and the government, especially the implementation of the new rural cooperative medical system, which has greatly improved the delivery rate and hospitalization delivery rate and greatly guaranteed the life safety of pregnant women and newborn babies. Maternal and child health care workers at all levels vigorously carry out systematic management of pregnant women, and the county maternal and child health hospital has added perinatal health care clinics, high-risk pregnancy clinics and pregnant women schools. The number of live births in that year was 64 1 1, the total number of pregnant women was 6404, and the number of pregnant women was 5503, with a systematic management rate of 85.84%. There were 5669 postpartum visits, and the postpartum visit rate was 88.43%. 6 173 cases were delivered in hospital, and the delivery rate was 96.29%. The new delivery method is 635 1 person, and the new delivery rate is 99.06%. There were 3 cases of maternal death, and the maternal mortality rate was 46.79/65438+ 10,000.
Third, do a solid job in children's health care, improve the systematic management rate of children, and reduce the mortality rate of children under 5 years old.
Child health care is another important content of maternal and child health care. Children are the hope of the motherland and the future of the nation, and party committees and governments at all levels attach great importance to them. In that year, there were 4694 children under 7 years old1person, and the management rate of children's health care reached 89.27%. Children under 3 years old 19350, and the systematic management rate of children under 3 years old is 87.92%. Nutritional evaluation was made on 29,565 children under 5 years old. The results showed that the prevalence rate of moderate and severe malnutrition was 1. 15%, indicating that the nutritional status of children needs to be improved. On the eve of Children's Day on June 1st, with the strong support of the County Education Committee and the active cooperation of kindergarten staff, the County Maternal and Child Health Hospital conducted a comprehensive and systematic physical examination of collective children in seven kindergartens belonging to the town. The physical examination was 2 109, and 630 people were found with defective diseases, with a detection rate of 29.87%. Mild anemia 176 cases, rickets 120 cases, 350 cases of dental caries, 9 cases of inguinal hernia and 3 cases of HBsAg carriers. On the premise of protecting children's privacy, we put forward corresponding suggestions and won unanimous praise from parents. Through the coordinated implementation of health care measures in Qi Xin, 79 children under 5 years old died in the county, and the mortality rate of children under 5 years old was12.32 ‰; The infant mortality rate was 58 cases, and the infant mortality rate was 9.05‰.
Four, actively do a good job in the general survey and treatment of women's diseases, improve the overall health status of women, and protect labor resources.
Women are important labor resources and the main force of economic construction, and the state has always given corresponding protection policies. The health and family planning departments at the county and township levels * * * conducted a general survey and treatment of gynecological diseases on 79,443 women, and the inspection rate was 1.6 1.42%, and 35,808 women were found with gynecological diseases, with a prevalence rate of 45.07%. With the strong support of the county women's Federation, the county maternal and child health hospital insists on the investigation and treatment of urban women's diseases every year. From March to May, there were 98 census units with 870 people. Due to the comprehensive items of the general survey, including breast examination, gynecological examination, B-ultrasound examination, colposcopy, hysteroscopy and vaginal cytology examination, the prevalence rate of women reached 80.00%, and 3 cases of cervical cancer were found, which belonged to a high level. After the corresponding standardized treatment, the overall health status of women has been significantly improved.
Five, continue to do a good job in reproductive technology guidance, to prevent the occurrence of reproductive surgery deaths.
Family planning technical guidance is still an important part of maternal and child health care. County Maternal and Child Health Hospital, as the technical guidance unit of family planning in the county, has always paid attention to the standardized training of family planning work at the township level and achieved remarkable results. In that year, 4 884 cases of various birth control operations were performed, of which IUD accounted for 49.30%, tubal ligation accounted for 2.83%, induced abortion accounted for 65 438+00.24%, drug abortion accounted for 20.07% and induced labor accounted for 2.52%. No one died.
Six, do a good job in maternal and child health monitoring, to provide scientific basis for the implementation of the province's intervention measures.
Since 1996, our county has been the monitoring point of maternal death, death of children under 5 years old and birth defects in our province. Maternal death monitoring is implemented in the county, death monitoring of children under 5 years old is implemented in Cuiqiao Township, and birth defect monitoring is implemented in county hospitals and health centers. Over the years, the departments of obstetrics and gynecology of county hospitals, pediatrics, health care department of health centers and prevention and protection station of Cuiqiao Health Center have always maintained a rigorous working attitude, a serious working style and a down-to-earth and dedicated working attitude, and delivered valuable scientific research materials to their superiors every quarter, so as to formulate practical strategies and make due contributions to the maternal and child health work in the province.
Seven, the implementation of international cooperation projects in reproductive health and family planning, to promote the work of maternal and child health in our county with the times.
China-The sixth cycle of reproductive health/family planning project of the United Nations Population Fund was implemented in our county, which greatly improved the maternal and child health service capacity of our county. People-oriented, people's all-round development as the center and people's needs as the starting point have been deeply rooted in people's hearts. The scientific management of project information, the training of adolescent health clinics and standardized family planning services, and the exchange of visits between project counties have broadened our horizons and grasped the pulse of the times for the healthy development of women and children. The establishment and normal operation of adolescent health care clinics, pregnant women's schools, perinatal health care clinics and family planning service clinics have made the maternal and child health care work in our county keep up with the pace of the times and take on a new look. Carry out high-quality standardized services and various health education activities to benefit women, children, men and teenagers in our county.
Eight, the implementation of birth and birth defects monitoring project, grasp the case information, exercise a number of professional and technical teams, to further improve the quality of maternal and child health information.
In 20xx, the comprehensive cancer prevention and control project in Huaihe River Basin of the State Council was launched in an all-round way, and the birth and birth defect monitoring project was implemented. The township and county medical and health care units timely report the birth, death and defect information, and the hospital health care department is responsible for the final audit. Since the implementation of 20 13 in late June, 6,870 cases of birth defects and 7 cases of13 have been reported as of 22 October, which not only timely grasped the case information, broadened the connotation of maternal and child health care services, but also trained a group of professional and technical teams, further improving the quality of maternal and child health information.
Chapter II: Overview of maternal and child health care.
First, the main achievements:
1, the delivery rate in hospital was 92.77%. On the basis of last year, it increased by 4.47%;
2. The maternal mortality rate is 34.60/65438+ 10,000. It is 34.35% lower than last year and 35.93% lower than the target set by the state;
3. The incidence of neonatal tetanus is 0;
4. The prenatal check-up rate of pregnant women is 96.67%, which is 7.4 percentage points higher than the national standard;
5. The detection rate of high-risk pregnant women is 30.96%, and the hospital delivery rate of high-risk pregnant women is 98.82%, which is 72% and 0.84% higher than the national standard respectively.
The health care coverage rate of children aged 6 to 7 is 85.40%, which is 6.75% higher than the national target.
Second, the main practices
In our work, we took the opportunity of implementing the "reduction and elimination" project, taking the protection of women's and children's health rights as the main task, increased the standardization construction of obstetrics and gynecology, unblocked the green channel of obstetrics, improved the ability and quality of maternal and infant health care technical services, reduced maternal and infant mortality, and won the trust of the market and society.
(1) Strengthen the management of maternal and child health care and improve the grassroots maternal and child health care network.
1, the leaders of the county health bureau attached great importance to it and personally supervised it. Reducing maternal and infant mortality has been included in the practical work for the people. The Health Bureau attaches great importance to this work and puts it on the important agenda. * * * Six special conferences were held to study maternal and child health care, and two conferences and training courses on maternal and child health care were organized. Deputy director xxx in charge of maternal and child health attended the meeting from beginning to end and made an important speech. The staff of business units often go deep into the grassroots together with the grassroots staff of maternal and child health care to solve the problems at the grassroots level in time. This work pattern of personal supervision and personal responsibility of the main leaders has created a good atmosphere for maternal and child health care and ensured the normal operation of maternal and child health care.
2, county maternal and child health care personnel in place, solid work. In the case of insufficient manpower, I still took out eight business backbones to engage in primary medical care to ensure the needs of primary medical care. Throughout the year, it went to the grassroots level, and * * * completed the supervision of 30 townships 106 villages, and went to the grassroots level for 95 days, with an average of 105 days. They master the situation of maternal and child health work in the county and solve the problems and difficulties in the work for the grassroots in time.
3, give full play to the role of rural maternal and child health care team, do a good job of network. In order to stabilize the rural maternal and child health care team and ensure the authenticity and accuracy of rural maternal and child health care information, we actively reported to the leaders to ensure that the wages of township maternal and child health care personnel were in place and specialized in maternal and child health care, which changed the previous situation of "specialization but not specialization". At the same time, according to the division of labor, adjust some towns and villages to realize blank towns and villages. The duties of village-level health workers are performed by village clinics, and the remuneration is solved by state and county finances.
4. The national debt project is in full swing. According to the requirements of the national debt project construction, the county development and reform bureau issued the county maternal and child health care business building construction plan with the document of Yongfa Gaizi 107. At present, it has been submitted to the relevant leading departments, the construction drawings have been completed, and the pre-construction work is orderly.
(two) according to the "maternal and infant health care law", standardize maternal and infant health care services.
1, standardize obstetric construction. Improving obstetric quality is an important way to ensure medical safety and reduce maternal and neonatal mortality. To this end, according to the different standards at the county and township levels, we have formulated a study plan to study in stages and in batches. The county emergency center set up a maternal emergency team, formulated an emergency plan, improved the rescue schedule and related systems to ensure that it is in a state of combat at any time, and announced the emergency number to the county. Township training is mainly aimed at flat delivery and general dystocia, and organizes township maternal and child health care personnel to go to county-level hospitals for clinical study. In the whole year, 9 obstetricians and gynecologists received advanced training and held two professional training courses, with the participation rates of 100% and 97.5% respectively.
2. Strengthen the management of reproductive medicine. Cooperate with the public security departments, adhere to the "birth medicine", improve the issuance rate of "birth medical certificates", and issue 7000 birth medical certificates throughout the year.
Chapter III: Overview of maternal and child work in township hospitals.
Over the past XX years, with the support of leaders at all levels, the leadership of the Party committee and government, the attention of the dean, and the cooperation of various departments, the maternal and child health work in my township focused on the implementation of the Maternal and Child Health Care Law, and carried out publicity and health care work in combination with the actual situation in my township, which improved the health quality of women and children. Our hospital has done the following specific work:
1. Full-time women and children's staff and the dean regularly conduct business training and study for the village women and children's staff, and supervise and inspect their work. Once problems are found, supervision opinions will be written at that time, and various forms will be taken to increase the publicity of the Maternal and Child Health Care Law and related laws and regulations, so as to protect the health protection rights of women and children according to law.
2. Women and children work on time, quality and quantity to complete all kinds of superior statistical reports, complete software and hardware, adhere to a column every month, through the distribution and posting of promotional materials, vigorously promote women and children's health knowledge, and regularly assess village-level women and children.
3. Implement the issuance and management of birth medical certificates. In XX, 63 birth medical certificates/kloc-0 were issued, which improved the quality of family planning and carried out maternal and child health care.
4. Strengthen the training and management of village-level maternal and child health care personnel. In order to strengthen the management of maternal and child health care personnel, Zhenghe Health Center has specially formulated the work management system for village-level maternal and child health care personnel, which directly links the attendance, training and assessment of maternal and child health care personnel with wages, and implements the reward and punishment system. On the one hand, these measures have improved their professional level, on the other hand, they have also improved their enthusiasm and enthusiasm for work. Regular meetings were held 12 times throughout the year, and publicity materials were distributed 12 times. In every regular meeting, they can attend the meeting on time and keep the meeting records; After each training, they can successfully complete the study summary and complete the examination paper independently. In the whole year of XX, the health center issued * * * examination papers 108, and after scoring statistics, the average score reached 78 points.
5. Improve the quality of system management, popularize new delivery methods, eliminate neonatal tetanus, and improve the hospital delivery rate, especially for high-risk pregnant women, which reaches 99%. The high-risk consultation and referral system has improved the quality of obstetrics. Maternal and neonatal mortality rates have been effectively reduced. In the whole year, there were 65,438+096 pregnant women, 65,438+094 women gave birth by new methods, 65,438+074 women underwent prenatal examination, 65,438+075 women underwent postpartum examination, and 65,438+026 women gave birth in hospitals. Among them, there were no maternal deaths and neonatal tetanus among the hospitalized delivery population.
6. Do a good job in the registration of children aged 0-6. Children aged 0-7 1329, newborns visited 175, 423 children under 3 years old were systematically managed, and 0 children aged 0-4 died. Among them, 0 newborn died.
According to the requirements of higher authorities, we will continue to consolidate baby-friendly hospitals and accept the re-examination of our town by county health centers in reducing the "two rates". Because our town is located in the mountainous area, the economy is relatively backward, and there are still some problems in our work, so as to strive for better results in our work in the coming year.
Chapter IV: Summary of the work of the Municipal Maternal and Child Health Hospital.
In XX, under the leadership of the Municipal Health Bureau, our hospital earnestly studied the spirit of the Sixth Plenary Session, forged ahead in unity, worked hard, adhered to the service tenet of "people-oriented, patient-centered and quality-centered", and paid close attention to the construction of medical team. There were no bad accidents in the whole year, which promoted the harmony between doctors and patients.
I. Completion of various indicators in XX years
1, child health care work: the number of people served in the child health clinic * * * was 6,783 (last year, 73 13) (including 5,222 children for physical examination, 507 children for consultation 1054, and 507 children for disease diagnosis).
2. Women's health care: outpatient visits: 706 (women's disease 108, leucorrhea examination of kindergarten teachers 176), 56 patients were diagnosed and 56 patients were treated.
3. Processing of birth certificates: more than 65,438+0,000 birth medical certificates were issued.
Second, the work carried out
(1) Change the hospital management concept and improve the service quality in an all-round way.
As a third-class and first-class municipal maternal and child health hospital, the Municipal Maternal and Child Health Hospital is not only the requirement of the municipal health department, but also the requirement of the masses, and it is also the requirement of building a harmonious xx. This year, through the activity of "patient-centered, honesty for the people" in the whole hospital, the staff of the whole hospital have a stronger sense of ownership, higher enthusiasm and stronger sense of service.
First, advocate "humanistic care for pregnant women" and improve the level of medical ethics. As a service unit, the hospital faces thousands of patients from all walks of life in Qian Qian. They have special medical characteristics and psychological needs. They are sensitive, self-respecting and eager for family-style warmth and care. In addition to contact with patients, medical staff should also deal with patients' families, relatives and colleagues. Therefore, the professional ethics of medical staff directly affects patients' mental health and treatment effect, and has an important impact on people's understanding of hospitals. The service image of medical staff directly represents the image of the hospital. Advocating "humanistic women's health care", strengthening the quality internally, cultivating the image externally, further strengthening the concept of purpose, showing the good medical ethics of the Municipal Maternal and Child Health Hospital, actively creating a comfortable rehabilitation environment for patients, enhancing the courage and confidence of patients to overcome diseases, and winning the reputation of patients and good praise from all walks of life.
The second is to create "honest obstetrics" and improve the quality of medical services. With the continuous development of economy and the improvement of people's living standards, people's requirements for medical services are getting higher and higher, and the traditional service consciousness and service model can no longer adapt to the current development of medical and health undertakings. Positioning development as providing comfortable, convenient, warm and satisfactory services for patients must become the primary goal of the hospital. Therefore, the hospital has further established the concept of "all for the patient, all for the patient and all for the patient", constantly improved the medical environment around the hot, difficult and focus issues in the process of patient medical treatment, carried out in-depth honest service, made a fuss about quality service, ensured medical quality and medical safety, and made the people see clearly and happily, spend less money and afford the disease, so as to get the best and most satisfactory quality service.
The third is to build "harmonious care for pregnant women" and care for every life. Under the new situation, medical disputes have become increasingly prominent. The hospital requires that the service should be changed from the traditional concept of "patient-centered" to the modern concept of "patient-centered", so as to truly serve patients wholeheartedly, fully implement humanized service with "family communication" as the main content, and realize humanized ward service, personalized patient service and garden-like hospital environment. Carry out the activity of "Give you back your health and send you a piece of warmth", truly respect every patient from the heart, worry about the patient's urgency, hurt the patient's pain, think about the patient's thoughts, help the patient's needs, put an end to the phenomenon of simple treatment and neglect of care, and make every effort to build a healthy, harmonious and developed municipal maternal and child health hospital.
(2) Strengthen personnel training and lay a solid foundation for hospital development.
The Municipal Maternal and Child Health Hospital has always adhered to the policy of "developing the hospital with talents", focused on the long-term and made great efforts to solve the problem of "successors". It spends millions of yuan every year as a talent training fund to train professionals in various ways, and has built an echelon with high overall quality, adapting to the development of new technologies and basically reasonable structure on the existing basis. According to experts from the Municipal Maternal and Child Health Hospital, the hospital has taken five measures to pay close attention to personnel training and improve the overall quality of the talent team.