Summary and anthology of maternal and child health care work
From 20 to 2000, under the correct leadership of the Municipal Health Bureau, our county's maternal and child health work conscientiously implemented the "Manchu Autonomous County Women and Children Development Plan (20-20-2000)", vigorously implemented the project-driven strategy, and solidly promoted "maternal and child safety", "comprehensive prevention and treatment of birth defects", "prevention and treatment of maternal and child diseases" and "construction of maternal and child health care service system", which were successfully completed. The summary is as follows:
First, maternal and child health care management
(a) Women's health
1. Strengthen the systematic management of pregnant and lying-in women and continuously improve the service level. There are 302 parturients1person, 3050 live births and 2700 system managers in the county, with a system management rate of 88.52%. Prenatal examination was 302 1 time, and the rate of prenatal examination was 99.05%. Postpartum visit was 27 1 1 time, and the rate of postpartum visit was 88.89%. In-hospital delivery was 302 1 case, and the in-hospital delivery rate was 1.000%. There were 455 high-risk parturients, and the detection rate was 65438 05.06%. The systematic management and hospital delivery rate of high-risk pregnant women is100%; There were 6 perinatal deaths, and the perinatal mortality rate was 65438 0.97 ‰. 1 maternal death; No neonatal tetanus occurred.
2. Carry out a general survey of women's diseases to improve women's health. According to the requirements of women's health care, the implementation plan was formulated to carry out the general survey and treatment of gynecological diseases for married women aged 64-64. A total of 25,824 people were examined and 8,596 people were found with various diseases, with an incidence rate of 33.29%. All of them were given corresponding health care guidance and treatment.
(2) Child health care
1, strictly implement the "4.2. 1" physical examination system, and focus on strengthening the systematic management of children aged 0-3, the prevention and treatment of children's "four diseases" and the physical examination of preschool children. There are 237 children under 712 in the county, including children under 5 17367, children under 3 10943 and 3050 live births. There were 2,739 newborns visited, the visiting rate was 89.8%, 23,707 children under 7 years old were managed by health care system, the systematic management rate was 99.98%, and 9,720 children under 3 years old were managed by system, the systematic management rate was 88.82%, hemoglobin 10760, moderate and severe anemia 129, and the prevalence rate was 65,438. The nutrition of children under 5 years old was evaluated. The number of people surveyed was 13665, the number of moderate and severe malnutrition was 4 14, and the prevalence rate was 3.03%. After systematic physical examination, 49 1 frail infants were screened out, and all of them were specially managed. The neonatal death rate was 10, and the neonatal mortality rate was 3.28‰. Infant mortality 13, infant mortality rate 4.26 ‰, children under 5 years old 17, children under 5 years old 5.57‰. There were 2,794 breast-fed and 2,694 breast-fed. The breastfeeding rate was 96.42%.
2. Strictly implement the Measures for Hygienic Management of Nurseries and Kindergartens in Hebei Province, implement unified management of kindergartens under its jurisdiction, conscientiously implement the system of admission of staff with health certificates and children with health certificates, and adhere to the annual health examination of children and kindergarten teachers in the park. A total of 4597 children were examined in the whole year, and various diseases were found 1028, with a disease detection rate of 22.36%. Kindergarten teachers have health check-ups for 24 1 person, and qualified certificates are issued for 24 1 person. According to the requirements of pre-kindergarten health assessment, a steering group was set up to train kindergarten leaders and health care teachers on children's health care knowledge and epidemiological knowledge for many times. At the same time, we paid close attention to the implementation of various systems, conducted comparative inspections on kindergartens in our jurisdiction one by one, and thoroughly searched for weak links to prevent unsafe incidents such as infectious diseases and food poisoning.
3. Management of birth medical certificate
Conscientiously implement the spirit of the management meeting of the Municipal Bureau of Birth Medical Certificate, hold a special meeting to standardize the issuance management of the Birth Medical Certificate, formulate and issue the corresponding issuance management system in time, clarify the responsibilities and designate special personnel to manage it, and conduct three special inspections on the management and issuance of the Birth Medical Certificate. In the whole year, 32 14 copies were issued, 26 copies were reissued, 1 1 copies were reissued, and 19 copies were printed or filled in incorrectly, and the invalid certificate was recovered in time.
Second, major public * * * health maternal and child projects
Seriously implement major public health and maternal and child projects, timely adjust and formulate project implementation plans and supervision and evaluation plans, regularly supervise and evaluate project implementation and quality, standardize fund management and use, and ensure earmarking.
1, rural obstetric hospital delivery subsidy project
By the end of 1 1, * * had given a subsidy of 687,700 yuan to 20-year-old pregnant women, and implemented it in the county financial reimbursement system, with complete procedures and strict implementation of the project implementation plan.
2, rural married women of childbearing age folic acid to prevent neural tube defects project.
* * * Free distribution of 2181/bottle of folic acid to 3,680 women.
3, AIDS, syphilis and hepatitis B mother-to-child blocking project
Widely publicized in the county, 126 newborns were injected with hepatitis B immunoglobulin for free. On March 24 and May 8 this year, newborns born to pregnant women infected with HIV in our county were given blocking drugs in time under the guidance of the Municipal Maternal and Child Health Hospital, and case management was carried out.
4. "Reduction and elimination" project
Conscientiously carry out health education and publicity activities, make full use of radio and television, blackboard window, distribute leaflets, post publicity slogans and other forms of publicity. * * * Printed all kinds of publicity materials 10, distributed 8 leaflets100, hung 4 banners, posted more than 500 propaganda slogans and posters10, and the coverage rate of health education reached over 85%. The use of experts in the county, the county technical guidance group to the countryside to guide and hold training courses. Take the mentoring system to train obstetric technicians.
During the year, the experts stationed in the county and the county technical guidance group gave technical guidance for 4 times, and held the "three basics" assessment of obstetric technicians, maternal and child health care personnel and rural doctors in the county 1 time, with a qualified rate of 100%. The project fund for 20- 2000 is 29,000 yuan, of which 29,000 yuan has been used. Among them, personnel training funds are 6,543,800 yuan, and social mobilization funds are 6,543,800 yuan; The funds for experts stationed in the county are 0.4 million yuan.
Third, prevention and treatment of birth defects.
1. Actively publicize the purpose and significance of prenatal screening, and constantly improve the awareness rate and coverage rate of prenatal screening. A total of 258 people were screened for prenatal screening in the whole year, and high-risk population 19 people were screened out, all of which were dealt with accordingly.
2. Further strengthen the management of neonatal disease screening, and set the working goal that the screening rate will reach over 95% in 20-20 10. County hospitals, county traditional Chinese medicine hospitals and other major midwifery units responded positively and took effective measures to seriously carry out screening work. 3666 newborns were screened, and the screening rate was 100%.
Four, maternal and child health information management
Further strengthen the management of maternal and child health information statistical reports, determine the information reporting and management personnel, and adopt the combination of on-site guidance and business training to improve the professional level of reporting personnel. Issue special documents to standardize the management of information reporting, establish a statistical reporting system, improve all work records, put an end to omission, misreporting and omission, and strengthen quality control to ensure that all maternal and child health information work is reported in time and the data is accurate.
Problems in verb (abbreviation of verb) and future work plan
(a) problems
The shortage of business premises and basic equipment in county maternal and child health hospitals and the shortage of maternal and child health technicians in township hospitals have restricted the development of maternal and child health in our county to some extent.
(II) Work plan for the next step
Actively plan the infrastructure construction of maternal and child health hospitals, incorporate the staffing of maternal and child health technicians in township hospitals into the overall planning of health system personnel recruitment, make overall consideration, rationally allocate existing health technicians, strengthen technical guidance at the grassroots level, and improve the service capacity of grassroots maternal and child health care personnel.
Excerpts from maternal and child health care work: Fan
Politically, we always adhere to the Party's line, principles and policies, earnestly study Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory and Comrade Theory of Three Represents of Jiang Zemin, always adhere to the guiding ideology of serving the people wholeheartedly, persist in reform, development and progress, and constantly improve the level of political theory. Actively participate in various political activities, safeguard leaders and unite comrades, have good professional ethics and professionalism, work hard and work hard, and have been rated as advanced workers at the county, city and provincial levels for many times.
During my professional work, I actively focused on the principles and policies of maternal and child health work, on the premise of improving management level and professional ability, and on the basis of enhancing theoretical knowledge and professional skills, I adhered to the road of combining clinical and social work, and actively led hospital staff Qi Xin and Qi Xin to work together and successfully completed various tasks.
In my work, I deeply understand the qualities and conditions that a qualified obstetrician and gynecologist should have. Strive to improve their professional level, and constantly strengthen business theory learning. By subscribing to a large number of business magazines and books, they can understand the knowledge of maternal and child health care, write down reading notes, and enrich their theoretical knowledge. I often attend academic conferences held at home and abroad, listen to academic lectures by famous experts and scholars, and study new medical knowledge, medical technology and management methods in provinces, cities and brother units many times, which broadens my horizons and broadens my knowledge. Always adhere to the new theory and technology to guide business work, master the diagnosis and treatment technology of common, frequently-occurring and difficult diseases in obstetrics and gynecology, master the diagnosis and treatment of obstetric complications such as obstetric hemorrhagic shock, septic shock and amniotic fluid embolism, master the diagnosis and treatment of various acute and critical diseases in gynecology, and be able to independently complete common operations in obstetrics and gynecology and various family planning operations. Strict implementation of various work systems, diagnosis and treatment routines and operating procedures, careful treatment of every patient, to a certain extent, to avoid misdiagnosis and mistreatment. Since taking up my present post, the diagnosis and treatment accuracy of gynecological diseases I have diagnosed and treated has reached over 98%. I have independently completed hundreds of gynecological operations such as cesarean section, and all patients can leave the hospital on time, and there has never been an error-free accident.
Paying attention to clinical research, he participated in the county-level scientific research project of "Clinical research on drug ovulation induction combined with artificial insemination for infertility" and won the first prize. He wrote four articles, which were published in provincial journals successively, and were appreciated and affirmed by experts.
Pay attention to personnel training and actively guide the work of doctors at the next level since taking office. In the training of maternal and child health care personnel, I undertook the task of organizing teaching, with more than 2,000 maternal and child health care personnel at all levels, which improved the working ability of maternal and child health care personnel at all levels and really played the role of business backbone.
When I was in charge of health care, I worked out feasible work indicators and plans in strict accordance with the requirements of maternal and child work at higher levels, further improved the three-level health care network at county, township and village levels, established "four books and four cards" for women and children, regularly checked and implemented them, and grasped the health status of women and children in the county. Every year, there are more than 3,000 physical examinations for female workers and 0-7-year-old children 1000, which realizes the systematic management of women and children and effectively guarantees their health.
Cooperate with the leaders in charge to complete various objectives and tasks, such as primary health care and the establishment of "baby-friendly hospitals". Seriously organize study, train business backbones, go deep into villages and towns, cooperate with leaders at all levels, be good staff, formulate practical implementation measures, accumulate a large number of implementation materials, and pass smoothly in spot checks, evaluation and acceptance in provinces and cities.
Studying, publicizing and implementing the maternal and infant health care law, sorting out and collecting relevant materials, writing special pages, organizing personnel to use propaganda vehicles to publicize in various towns, distributing propaganda materials, leading comrades to set up propaganda classrooms, and helping to guide towns to set up propaganda classrooms or billboards, which laid a certain foundation for the implementation of the maternal and infant health care law. Actively carry out premarital physical examination, issue a letter to newlyweds, publicize the knowledge of newlywed health care and prenatal and postnatal care, and hold 1-2 classes every year, which improves the self-care ability of pregnant women, reduces the morbidity and mortality of pregnant women and newborns, and lays a foundation for improving the quality of our county population.
Since I have worked in our hospital for 20 years, I have actively coordinated the relationship between the leading bodies. Qi Xin makes concerted efforts, is pragmatic and enterprising, boldly innovates, constantly absorbs advanced management experience, and adheres to the road of combining clinical practice with health care. By improving the appearance of the hospital, increasing medical facilities and improving the medical level, the clinical work has reached a new level and promoted the development of all work. In terms of management, establish and improve various rules and regulations, strengthen work style construction, pay attention to ideological education, appoint people on merit, actively play the role of business backbone leaders, and greatly improve the enthusiasm of employees and enhance their sense of ownership by implementing measures such as post responsibility system and separation of job title evaluation and employment. Over the past year or so, there has been a new breakthrough in clinical work, and the business income has reached the level since the establishment of the hospital. Social health care has also been further improved, greatly improving the management rate of the two systems, reducing maternal and neonatal mortality, and achieving a new leap in the work of hospitals.
To sum up, from the aspects of political performance, working years, professional skills and scientific research ability, I have the qualification to be promoted to deputy chief physician. After the evaluation, I will conscientiously perform my duties, strive to do all the work and contribute my life to the cause of maternal and child health!
Summary of maternal and child health care work, selected by Fan Wensan
Over the past year, under the leadership of the County Health Bureau and under the guidance of the County Maternal and Child Health Station, the maternal and child health care work in our hospital has adhered to the working principle of maternal and child health care, adhered to the goal of meeting the health needs of the people, started with standardizing the routine management of maternal and child health care, strictly followed the requirements of the norms and systems of maternal and child health care work, and combined with the actual situation in our township, and strengthened the management of maternal and child health care in towns.
Focusing on the "consumption reduction" project, we will strengthen the systematic management of pregnant women and children in the county, improve the rate of hospital delivery, popularize new delivery methods, adhere to the principle of taking health care as the center and ensuring reproductive health, implement the policy of combining health care with clinic, facing the grassroots, facing the group and focusing on prevention, and strive to complete all the task indicators assigned by cities and counties. Comprehensively promote the development of maternal and child health in the county, and with the efforts of relevant rural staff, comprehensively
First, improve the regular meeting and supervision system and strengthen the management of maternal and child health information.
This year, our hospital has improved the training of maternal and child health meetings and health reduction programs. In strict accordance with the arrangement of the main points of work at the beginning of the year, the regular meeting of maternal and child health care attended by women health care personnel and hospital leaders in each village was held, and business training was also carried out. Throughout the year, * * * held 12 regular meetings and conducted 2 trainings, with a total of 28 participants. Strengthen the supervision of maternal and child health work from county to township, township to village, establish and improve the basic data and supervision records of maternal and child health, standardize the quarterly reporting time of maternal and child health, and further improve the accuracy, timeliness, logic and science of maternal and child health information.
Second, carry out health education in depth
In order to improve the national health awareness and self-care awareness, our hospital has carried out all-round, multi-channel and multi-level health education, focusing on women as the core, family as the best place and family members as the main target. On the one hand, health education is carried out by hanging health education bulletin boards in health centers and village clinics and going deep into the homes of county visitors.
On the other hand, the health classroom in our hospital is regarded as the position to carry out health education all the year round, and health education with emphasis on prenatal examination and health care is carried out. During outpatient consultation and pregnancy examination, CDs are played for pregnant women and caregivers, and on-site consultation is conducted. Third, take the opportunity of "going to the countryside" to carry out health education and free consultation in the main streets, distribute three kinds of health education materials 1400, hang 2 banners (times), and post more than 20 propaganda slogans and posters. Through effective health education activities, the coverage rate of health education has reached over 85%.
Third, find the right starting point and adhere to "one law and two cardinal guides"
Based on the principle of "one law and two schemes", our hospital carries out women's health care, children's health care and maternal health care, strengthens the construction of "three-level network", forms the linkage of "two levels in rural areas", takes into account the bottom of the network and improves the quality of medical care.
1, female health care
There are 4452 women over 0/5 years old in my hometown, including 2935 women of childbearing age aged 15-49, with 99 live births 100, 99 people in the birth management system and 99 people in hospital, and the delivery rate in hospital 100%. 99 women gave birth through the new method. In order to strengthen the health care during pregnancy, improve the delivery rate in hospital, screen high-risk pregnant women at an early stage, implement project management, and fundamentally reduce the maternal mortality rate, this year, the township maternal and child health care personnel in our hospital extended their work focus to every pregnant woman's home to provide health care services, further strengthening maternal and child safety.
In order to further control the prevalence of gynecological diseases and improve the health status of rural women in their hometown, our hospital conducted gynecological disease investigation, health education and health care guidance on 1466 married women this year, including vaginitis 1 19 cases and treatment19 cases; 78 cases of cervicitis and 323 cases of other gynecological diseases were treated.
2. Child health care
There are 692 children aged 0-7 in my hometown, including 0-year-old children 100, 5-year-old children10, and 3-year-old children14, including 4 low-birth-weight infants, the incidence of low-birth-weight infants is 0.4%, and the total number of perinatal deaths is 0, completing 6/kloc-.
3. Reduce work
According to the requirements of the higher authorities, notify each parturient who gives birth outside the county to take relevant documents to the county maternal and child health care station to receive project subsidy funds. Do a good job in the propaganda of consumption reduction projects. 25 people were born outside towns and counties this year. Up to now, 24 people have been reimbursed (including 8 secondary subsidies) with the amount of 1.465 million yuan. One of the patient's family members lost the relevant invoice and there was no way to compensate.
Third, the existing problems
1. Due to its large jurisdiction and inconvenient transportation, it is impossible to conduct postpartum visits in time.
2. Some pregnant women have a weak awareness of health care, do not pay attention to prenatal examination and postpartum visit, and the awareness rate of health education knowledge is low.
Children's health care in the 3.0-year-old group lags behind. Because parents don't understand health care, some children's health care work can't keep up with the requirements.
_ _ annual work plan
1 and _ _ years, the focus of maternal and child health care work is to adhere to the principle of one law and two cases, strive to improve the delivery rate of pregnant women in hospital and the management rate of two systems, and reduce the mortality rate of pregnant women and children under 5 years old.
2, further maintain and carry forward the team spirit, strengthen the construction of women's and children's specialist and rural women's health care personnel, so that the work of women's and children's health care in our township will leap to a new level.
A summary and selection of maternal and child health care work
Our station will further implement the Maternal and Child Health Care Law and the Outline for the Development of Women and Children, and increase the health care services for women and children. Vigorously carry out the publicity and popularization of maternal and child health care knowledge, and actively expand and implement various service measures for maternal and child health care.
First, in order to do a good job in maternal and child health care in our station, combine health care with treatment to better serve the majority of women and children. Maternal and child health hospital set up outpatient service.
Two, to further strengthen the management of project funds, and earnestly do a good job in poverty alleviation and rural maternity hospital delivery subsidies.
Third, we should further prevent mother-to-child transmission of AIDS and curb the spread of AIDS.
Fourth, further do a good job in folic acid supplementation and prevention of pregnant women in rural areas, and strive to do a good job in prevention to reduce the occurrence of neural tube defects in newborns.
Five, the "neonatal disease screening project" started behind. Part of the work is in the preparatory stage, and we will strive to fully launch and implement this project in 20__.
Main working ideas and objectives of county-level maternal and child health stations in the next five years.
The guiding ideology of maternal and child health care planning is: adhere to people-oriented, strive to build a United, cooperative, harmonious and pleasant working environment, and establish a doctor-patient relationship of equality and mutual trust. Adhere to the principle of taking health care as the center, ensuring reproductive health as the goal, combining health care with clinic, and facing the grassroots and groups, strengthen professional and technical guidance, expand service areas, improve service standards, and stabilize and develop medical and health care. Strengthen the implementation of the system and strive to do a good job in basic public health services and maternal and child health projects.
(A) maternal and child health care work ideas.
1. Strengthen the management of maternal and child health care, strengthen the systematic management of maternal and child with county maternal and child health care stations as the core, be clearly responsible for coordinating pregnant women and children within the jurisdiction, find pregnant women of childbearing age in time, screen high risks, reduce the incidence of obstetric complications, and improve the level of maternal and child health care services.
2, efforts to implement the autonomous region rural pregnant women in hospital delivery subsidy project, the autonomous region to prevent mother-to-child transmission of AIDS project, neonatal disease screening project, the autonomous region to supplement folic acid to prevent neural tube defects and other projects.
3. Further intensify publicity, make full use of various forms loved by the masses, popularize popular science knowledge to prevent birth defects, and intensify the prevention and control of birth defects.
4. Strengthen the general survey of women's diseases, improve women's awareness of self-care, ensure that women enjoy good health care services, and improve women's average life expectancy.
5. Strengthen the construction of professional ethics, improve service quality, innovate service mode, and strive to build a harmonious doctor-patient relationship.
(2) the task of maternal and child health care.
1, 20__ -20__, strive to improve the office conditions of our station, gradually increase the staffing, and plan to set up outpatient department, clinical laboratory department, electrocardiogram, B-ultrasound, X-ray and other departments of maternal and child health station. Combine health care and treatment to better serve women and children.
2, 20__ _ years -20__ years to establish a maternal and child health hospital, maternal and child health hospital with health care and clinical departments. Each department should set up corresponding business departments (rooms), departments (rooms) and medical equipment according to their functions and work scope.