Time flies, a period of time has come to an end, during this time, I believe you face many challenges, but also harvested a lot of growth, develop a work summary. I think many people are worried about how to write a good work summary, the following is my collection of 2021 village health office work summary (generic 7), for reference only, we take a look at it.
Village health office work summary 1Over the past year, in the county health bureau and Ziba town health center business guidance and the leadership of the village committee, abide by national laws and regulations, strict implementation of the relevant policies of the higher level and the spirit of the relevant documents, abide by the professional ethics of health, in strict accordance with the relevant laws, rules and regulations, according to the law to carry out the relevant practice activities, the complete completion of the various public **** health services, and can guarantee the basic medical needs of the masses. The basic medical needs of the masses, basically to achieve minor illnesses do not go out of the village, won the recognition of the villagers, in the correct leadership of the health hospital successfully completed the work of the medical protection, made certain achievements, there are shortcomings, in order to make up for the shortcomings, better work, is summarized as follows:
a sound organization, scientific management
Highly important, actively increase publicity to improve the quality of villagers' thinking, health awareness and health care capacity:
1, the leadership attaches importance to. The main village leaders to participate in and personally guide the village's health work, as well as the new rural cooperative work into the village committee agenda.
2, there is a realistic health village construction plan or plan, all the information collection, organization, filing reasonable.
Second, the public **** health tasks
1, first of all, the village residents of the family and members of the various circumstances of the detailed records and verification, the established residents of the health file carefully modified timely update data, and for their family's actual situation to draw up a family guidance program, the new as well as the inflow of outflow of people's files The new as well as the inflow and outflow of people's files are categorized and managed.
2, regular to the village over 60 years of age and usually have a variety of diseases (including hypertension, diabetes, severe mental illness, etc.) of young residents door-to-door free health checkups and appropriate treatment guidance. The implementation of patients over the age of 35 years old first diagnosis of blood pressure measurement.
3, the village of all maternal and 0 ~ 7-year-old children to map on the register, and in accordance with the prescribed procedures for health checkups. For children aged 0 to 7 years old to build cards and preventive vaccination, the vaccination rate of 100%.
4, timely reporting of infectious disease report form and public **** health of various data.
5, health education is an important part of civic education, but also a basic work of public **** health services. My village vigorously carry out health education, improve the health awareness of residents, from time to time to organize health lectures to improve the villagers' knowledge of health and hygiene. Many times to the villagers to prevent and treat disease publicity and education, distribution of health knowledge folders more than 1,000 copies, so that the villagers' awareness of hygiene and disease prevention has been improved, increased the villagers' health knowledge.
Third, to participate in learning and training
On time to participate in the regular meetings of the health center, no absence without late and early departure behavior.
Fourth, the basic medical services
20xx year I room diagnosis and treatment of patients in the year, no drug allergic reactions, adverse drug reactions, no misdiagnosis and other errors, no violation, no warning, demerit points or other administrative sanctions.
In 20xx, with a pragmatic attitude, solid and effective work and full of enthusiasm for work, I strive to be strong and enterprising, for the health of the people of all ethnic groups in the country, for the county's economic growth and social progress to make greater contributions.
Village health room work summary 2
A sound organization, scientific management
My village health room staff unity, attaches great importance to, and actively take the lead to increase publicity to improve the quality of villagers' thinking, health awareness and health care capacity:
1, the leadership attaches importance to. The main village leaders to participate in and personally guide the village's health work, the health work and the new rural cooperative work into the village committee agenda.
2, organization, system implementation. There are village cadres in charge of health work, health education, in addition to four pests and disease prevention, environmental sanitation and other work systems, and seriously implement.
3, there is a realistic health village construction plan or plan, the creation of information collection, organization, filing reasonable.
Second, the public **** health tasks
1, first of all, the village residents of the family and members of the various circumstances of the detailed records and verification, for the residents of the establishment of a family health records and personal health records.
2. Regularly conduct door-to-door free health checkups and appropriate treatment guidance for the village's elderly people over 65 years old and young residents who usually have various diseases (including hypertension, diabetes, severe mental illness, etc.). The implementation of patients over the age of 35 years old first diagnosis of blood pressure measurement.
3, the village of all maternal and 0 ~ 7 years old children to map the bottom of the register, and in accordance with the provisions of the program for health checkups. For children aged 0 to 7 years old to build cards and preventive vaccination, the vaccination rate of 100%.
4, timely reporting of infectious disease report form and public **** health of various data.
Third, to participate in learning and training
On time to participate in the various regular meetings of the health center, no absence no late and early departure behavior.
Fourth, the basic medical services
20xx year I room diagnosis and treatment of patients in the year, no drug allergic reactions, adverse drug reactions, no misdiagnosis and other errors, no violations, no warning, demerit points or other administrative sanctions.
20xx, we will be pragmatic attitude, solid and effective work and full of enthusiasm for work, to forge ahead, forge ahead, for the health of the people of all ethnic groups in the country, for the city's economic growth and social progress to make greater contributions.
Village health center work summary 320xx year my village health center at all levels under the leadership of the relevant departments, in accordance with the "People's Republic of China *** and the State Practitioners Law" "Regulations on the Management of Medical Institutions" "Regulations on the Management of Medical Institutions Implementation Rules" "prescription management approach" "medical and health institutions, medical waste management approach" and other relevant laws, rules and regulations to carry out the relevant practice activities, completed the various public *** health services, and to protect the basic medical needs of the masses, basically to achieve minor illnesses do not go out of the village, won the recognition of the villagers, now the work of the current year is summarized as follows:
First, the basic situation of the village:
My village *** have a population of 1,065 people, 281 heads of household, and the population living in dispersed.
Second, the basic public **** health services:
1, the residents of the archives: my village health clinic has undertaken the village population of the basic public **** health services, the establishment of health records 1024 people.
2, health checkups: my village 135 elderly people over 65 years old for this year's free health checkups, the actual physical examination of 96 people.
3, chronic disease management: on time to the village of hypertension, diabetes and severe mental illness patients through the management of four follow-up visits a year, of which 80 patients with hypertension, neutral mental illness 1 person, type II diabetes patients 1 person.
4, vaccination and children's physical examination: the year to the village of 49 children (including migrant children) on time to issue vaccination and physical examination notification form, and urge parents to bring their children to the health center in a timely manner to receive vaccination and children's physical examination.
5, maternal management: throughout the year in my village **** 11 pregnant women, in accordance with the management requirements to timely urge the pregnant woman to the hospital card, take folic acid, pregnancy checkups, hospital delivery. No maternal and neonatal deaths throughout the year, while vigorously publicizing the policy of free hospital delivery, and 11 women on time to do a good job of postpartum visits.
6, the prevention and treatment of infectious diseases: the village of suspected tuberculosis patients mobilized to the county tuberculosis prevention department to check, and a confirmed tuberculosis patients in accordance with the requirements of the management of tuberculosis in a timely manner to urge patients to regular medication and regular re-examination.
7, health education:
My village health office monthly health knowledge lectures from time to time, every month for a health knowledge board, at the same time through the knowledge of chronic diseases answer sheet, posting, distribution of relevant knowledge leaflets to improve the quality of education of villagers.
Three, in terms of drugs:
Since the implementation of the basic drug system in the current year, my village health center 100% use of basic drugs and zero-differential price sales, the annual **** completed more than 25,000 yuan of drug purchases, while vigorously publicizing the health care reform policy.
Fourth, medical services:
Since the standardization of my village health room, all medical technology is strictly standardized operation, strict disinfection. The year *** receive about 2,000 people. No drug allergies, misdiagnosis and other medical incidents. No administrative penalties.
Fifth, accept the higher departments of the inspection and supervision:
20xx accept the County Health Bureau, the County Office of Cooperative Health Care, the County CDC and the town central health center. Supervision and inspection, and pointed out the problems and suggestions for rectification. County Health Bureau leaders of the basic public **** health to carry out the situation and funding allocation made a special investigation. The county cooperation and treatment office of my health office of the agricultural cooperative outpatient reimbursement, registration situation has been guided.
Six, business training: 12 times this year to participate in the township monthly meeting, never late, early departure. Actively participate in the county, the town health department organization of the business knowledge training.
Reviewing the work of 20xx year I also have certain problems, in 20xx year I will strengthen the health education publicity, increase publicity, improve the masses of self-care awareness. In addition, in 20xx, I will be pragmatic attitude, hard work, solid and effective work and full of enthusiasm for work, to forge ahead, forge ahead, for the village people's health and social progress to make greater contributions.
Village health office work summary 420xx annual Laomiao Town fair village health office in the Party's health work guidelines under the guidance of the correct leadership of the Laomiao Town Health Center, strictly based on the "Chinese People's **** and the State of the Practicing Physicians Law", "Regulations on the Administration of Medical Institutions", "Regulations on the Handling of Medical Accidents", "Regulations for the Implementation of the Regulations on the Administration of Medical Institutions", "the basic standards for medical institutions", "the Regulations on the Administration of Medical Records in Medical Institutions", "Measures for the Administration of Prescriptions", "Measures for the Administration of Medical Waste in Medical and Healthcare Institutions" and other relevant laws, regulations and rules, comprehensively, efficiently and satisfactorily accomplished all the tasks assigned by the superiors, fulfilled the obligations of the medical workers of the health care industry and the work to be done, and demonstrated the excellent style of the grass-roots rural doctors who are pragmatic, hardworking, and down-to-earth, endowed with "Respect for people and work, hard work and dedication," the spirit of work, abide by the "heart service, touching the customer" service concept, based on an advanced sense of service, with professional technology, thoughtful service, won the people's high degree of trust, and established a good reputation. Now the work of the year is summarized as follows:
First, political and business learning.
On time to participate in the regular meetings of the health center, no absence without late and early departure behavior. In daily life, the strict implementation of the work system, diagnostic and treatment routines and operating procedures, meticulous reception and conscientious and responsible handling of each patient, to avoid misdiagnosis and misdiagnosis to the greatest extent possible. Also by subscribing to a large number of business magazines and books, online access and other means, thus broadening the horizons, expanding the knowledge base, and constantly strengthen the learning, and constantly involved in the new nutrition, to promote the improvement of the level of business.
Second, the public **** health work.
In 20xx, my office assumed the fair village 1325 households, 4975 people public **** health three major categories of twelve work, took the distribution of publicity materials, health education, set up publicity columns in a variety of ways, targeting key populations, key diseases and the main health problems and risk factors to carry out health education and health promotion activities. The establishment of family health paper files 1325; the village villagers in hypertension, type 2 diabetes and other chronic diseases to establish health records, hypertension, type 2 diabetes and other chronic diseases to carry out follow-up management, rehabilitation guidance, grasp my hypertension, type 2 diabetes and other chronic diseases, morbidity, mortality and the current situation; registration and management of the elderly aged 65 years old and above 75 people, and as required, entered into the residents' electronic health record system ; take a variety of forms of infectious disease prevention and control knowledge of the villagers of publicity and education, improve the knowledge of the villagers of infectious disease prevention and control of the knowledge of the rate of knowledge, in accordance with the "Prevention and Control of Infectious Diseases Act" "infectious disease information reporting management norms," the requirements of the strict implementation of the infectious disease reporting system; throughout the year, through the visit to the village of the village of reproductive age women with screening, as well as preferential services for maternity policies to implement the policy, to maximize access to the maternal family's absolute The company's website is a good source of information about the company's products and services, and the company's website is a good source of information about the company's products and services, and the company's website is a good source of information about the company's products and services!
Third, basic medical services
Strictly in accordance with the district board, the town health center work requirements, grasp the "prevention-oriented" this important main line, adhere to the development of prevention-oriented work guidelines, supplemented by outpatient treatment work, strict, accurate and not miss the record! We keep a strict, accurate, and unobtrusive record of outpatient visits in a day-by-day register. The outpatient work is carried out seriously, with dignified manner, kind attitude, neat and tidy working clothes and badges, and strictly in accordance with the scope of practice on the license to regulate the practice of medicine. During the whole year, more than 10 referrals were made from one level to another, and the total number of outpatient visits was more than 2,600; the total income was 16,700 yuan, of which 12,300 yuan was from medicines; the total expenditure was 6,500 yuan, of which 5,500 yuan was from medicines, purchase of equipments, other expenditures, and salary expenditures; the state subsidy was 48,000 yuan; and the average medical fee for each outpatient visit was 60 yuan. In the work, all the staff work seriously, do things practically, strictly implement all kinds of work systems, diagnosis and treatment routines and operating procedures, meticulously receive and seriously and responsibly deal with each patient, to avoid misdiagnosis and miscarriage of justice to the greatest extent possible, there has never been an accident, and there has never been a dispute with a patient. The treatment effect is good, no drug allergic reaction, adverse drug reaction, no violation of the warning, demerit points or other administrative penalties; daily medical activities, treat every patient seriously, do their best to relieve the patient's pain, carry forward the spirit of selfless dedication of doctors, wholeheartedly serve the people; actively participate in all levels of the sessions of the meeting, the meeting of the study records clearly organized, serious and pragmatic to fill out a variety of forms He has filled out all kinds of forms, cards and books in a conscientious and practical manner, so that he can keep records of his work, provide information on outpatient services and report on major events. For the township integration construction to make a modest contribution.
Fourth, the new rural cooperative work
Actively publicize and correctly guide the villagers to participate in the new rural cooperative medical system, so that the majority of villagers more numerous, more in-depth, more profound, and more continuation of the participation of this benefit to the people, the benefit of the people, the people, the people of the macro-people of the good policy. All staff can actively assist village cadres to do a good job of publicity, and take the initiative to introduce to the villagers the contents of the new rural cooperative medical care and compensation methods. Reception of patients in the village and patients outside the village, can do minor illnesses do not go out of the village, fundamentally solve the majority of villagers to see a doctor difficult, expensive problem. And can do a good job of outpatient medical records and prescription management, fill in the details of outpatient compensation registration form, timely reporting.
Fifth, the village health room set up and construction
Rural health work is an important part of the development of health care, the village health room is the bottom of the network of rural three-tier health service network, in order to standardize the construction of the fair village health room, the 20xx out of the heavy fist, **** investment of more than 50,000 yuan to repair the ground level, painting the interior, additional equipment, built within the 6 rooms, 2 observation beds, and relatively independent, the layout is basically reasonable. The treatment room is fully equipped with first aid medicines, sterilization facilities are fully equipped. The treatment rooms are basically well-ventilated and well-lit, and the clean, semi-contaminated and contaminated areas are relatively separated. Treatment room are posted "three check seven right", drug dispensing contraindications, infusion reaction rescue procedures, disinfection and other systems are uniformly posted on the wall, and strictly enforced.
In the new year, the development of new rural cooperative medical care, in full swing, to improve the environment of farmers, reduce the burden of farmers' medical care. Fair village health office will actively publicize the spread of the new rural cooperative policy, serious service to the farmers, careful writing a variety of medical instruments, and actively cooperate with the work of the higher authorities, on time to complete the work of the task. Respond to the call, do their jobs, so that the majority of farmers more comprehensive understanding of the new rural cooperative policy, a deep understanding of the significance of the new rural cooperative, for the development of the new rural cooperative contribution to their own modest efforts. Let the majority of farmers y appreciate the superiority of the new rural cooperative policy.
Village health center work summary 5
Village health center is the construction of rural public **** the foundation of the health service network, in the convenience of the farmers to seek medical treatment, to protect the people's health plays an important role. Over the past year, in accordance with the city's unified arrangements and deployment, system construction, strengthen training, highlighting the public **** health functions as the main content of the village health room standardization construction. Promote the reform and development of rural health, and effectively protect the health of the farmers.
First, the main practice
1, the leadership attaches importance to strong measures to create a good atmosphere for the development of the village health room
Rural health work is an important part of the development of health care, the village health room is a three-tier rural health service network network bottom, the standardized construction of the village health room is related to the vast number of rural people "Difficulty in seeing a doctor, see a doctor," the effective solution to the problem, focusing on the development of rural health work ideas, talent training and other issues to make instructions, an important one is the integrated management of rural health, so that the village health office construction and management of policy guarantees. The health department has clearly defined a specific leader in charge, responsible for the daily supervision and management of the village health department.
2, carefully organized, strengthened training, enhance the village health room service can influenza prevention and control knowledge, grass-roots maternal and child work content, after the training exam all qualified, (township) appropriate technology training courses, so that the village health room of the public **** health service awareness to further strengthen the village doctor's ability to serve.
3, standardize behavior, strict assessment, strengthen the village health room management
In the village health room management mode, for the "village hospital management", the village health room strict implementation of the "six unified" and "six have" management mode, the village health room management mode, the village health room management mode, the village health room management mode, the village health room management mode, the village health room management mode, the village health room management mode, the village health room management mode, the village health room management mode. Six" management mode, that is, the agency unified set up, personnel unified deployment, unified purchase of drugs, unified financial supervision, unified assessment of work, unified system on the wall; to see the patient has a registration, issued a prescription, charges have a basis, into the drug vouchers, income and expenditure details, infectious diseases have a report. In order to ensure that the village health room standardized management measures into practice, a focus on supervising the implementation of public **** health services. This year in the avian influenza epidemic, hand, foot and mouth disease epidemic, influenza A epidemic disposal, especially the intensive immunization of measles, hepatitis B leakage < / p>
kinds of work, the village health office of the village doctors have played an important role, the successful completion of the requirements of the higher level, in addition to the prevention and control of tuberculosis, schistosomiasis, the rural gathering of information reports, the management of maternity, deaths reported to the organization of the organization of the delivery of doctors and medicines to the countryside, such as the relevant notices and A great deal of work has been done in the distribution of health education materials. The public **** health services purchased at government expense have been implemented, reflecting the accessibility and fairness of the services. At the same time, this year by the District Health Bureau unified printing management system and village health office drugs and medical service price standards on the wall for publicity, the village doctors seriously implement the medical operation norms, seriously for the villagers to carry out basic medical services, so far, the village health office did not have a large medical disputes and medical accidents.
Second, the sound implementation of the village health center management system. To do the appointment of rural doctors and functions to fulfill the link, the task issued by the quality of evaluation linked to the assessment results and labor compensation linked to the formation of the administrative management as a guarantee to the integration of village health center services management as a means to quality control as the focus of the management model, and continue to strengthen the management of village health centers to standardize the practice of rural doctors.
4, "comprehensive implementation", file building, expanding the function of the village health office
This year in the region carried out a comprehensive pilot project to establish farmers' health records, the village **** established nearly 3,000 copies of personal health records, maternal and child health care, geriatrics, chronic disease management and health education and consultation The service, a comprehensive grasp of the basic situation of farmers' health, and door-to-door for farmers to measure blood pressure, weight, publicity health knowledge, etc., so that the village farmers actually feel the benefits of promoting the improvement of farmers' awareness of self-care, and for the gradual transformation of the village health clinic for the community health service institutions to accumulate experience.
The second problem
First, the construction work is not balanced, the village health center only stays in the low-level standard acceptance.
Third, next year's work plan
Improve the rules and regulations, focusing on the implementation of the prevention and control of infectious diseases, maternal and child health, rural food safety management, health education, and other public **** health functions, to improve the quality of rural doctors' practice and quality of service, and to improve the level of protection of the health of the rural population.
The second is to give full play to the hub function of the town health center. Strict implementation of the town health center to the village health, and further promote the construction of village health room, and constantly strengthen the management function of the town health center, give full play to its central position and pivotal role in the region, and gradually implement the town health center village health center of the basic medication delivery system system system, hold the entrance gate of the drugs, purify the rural drug market, and safeguard the safety of the medication of the rural masses.
Fourth, standardize the medical treatment, to protect the health rights of the masses of farmers.
Village health center work summary 6However, in the daily work but also found the grassroots health work is not easy, due to the uncertainty of the consultation time, the patient's medical literacy is not high, frequent emergencies and other problems of the limitations, can not ensure that the most comprehensive, the most timely, the most effective to meet the majority of the patient's medical needs. Although the government subsidized standardized health room construction of the xx year's livelihood project has greatly improved the medical facilities of our office and ensured that the four rooms are divided into separate rooms, the various medical equipment of our office is in urgent need of expansion and improvement in relation to the level of facilities of the perfect primary health care service. Access to business guidance and policy knowledge as well as the custody and delivery of relevant information puts a demand on electronic information services.
Summarizing the past is for the better development of the future, the gains and losses in the past year can always bring experience and lessons for the development of the health office in the future. In the future, I will be committed to providing better medical services to the villagers, accept more business training, and strive to learn more professional knowledge, and accumulate experience in practice, trying to moderate innovation in the treatment method, medical means, the choice of drugs and other aspects, and learn to understand the relevant government policies, and increase the construction of health center facilities, and strive to maximize the improvement of self-improvement, to protect the The first step is to make sure that you are able to get the best out of your car.
The village health office is based on the xx city regional health planning and the establishment of the basic facilities are more complete, more convenient access, is directly for the farmers to provide public welfare services of non-profit institutions, for the rural three-tier medical preventive health care to lay a good foundation for the specific work is as follows:
1, in the municipal administrative departments and health centers under the supervision and guidance of the law to carry out the prevention of rural disease control, focusing on the control of serious harm to the health of the farmers. Focus on controlling infectious diseases, endemic diseases, occupational diseases and parasitic diseases that seriously jeopardize the health of farmers, and actively carry out the prevention, treatment and management of chronic non-communicable diseases. It carries out and assists in the timely handling of infectious disease outbreaks and public **** incidents. Carry out maternal and child health care in accordance with the law, responsible for the management of maternal and child system within the village, to assist the health center to do a good job of children's immunization planning and vaccination, and do a good job of registration of health records of residents in the village.
2, the strict implementation of diagnosis and treatment procedures, reasonable inspection standardized medication, conscientiously implement the outpatient registration system, medical instruments written correctly and standardized, strict implementation of aseptic operation procedures, for the referral of the number of patients and suspected infectious diseases to do a detailed registration and immediately reported.
3, the implementation of primary health care.
4, to do a good job in rural areas of common diseases and diseases of the general diagnosis and treatment, emergency patients of primary care, timely referral and family rehabilitation guidance.
5, actively support, publicize and participate in the work of the new rural cooperative medical care
6, and actively promote farmers' health education initiatives, vigorously publicize the popularization of scientific knowledge, guiding the farmers to develop good hygiene habits, to establish a healthy lifestyle, and to improve the masses of self-prevention and health care capabilities.
7, to assist in the development of village-level patriotic health campaigns to improve the rural environment (such as the two seasons of rodent control, drinking water surveys, farmers sewage and feces treatment, etc.).
8, to assist the health supervision department to do a good job in the village health supervision and inspection and guidance services (statistics in the village of large and small restaurants, kindergartens, and large and small supermarkets, the number of employees, urged to apply for health certificates, business licenses and health permits, etc.)
9, to complete the outbreaks of births and deaths of a variety of village health statistics information records, collection, collation and reporting.
10, to assist in family planning guidance, to complete the higher health administrative departments deployed other work.
As the village health office is a relatively difficult work, involving a wide range of work requirements, meticulous work, strong policy work, we are required to improve their own quality and technical skills at the same time, to strengthen the sense of responsibility, and strive to do a warm and civilized service, work conscientiously and conscientiously, and continue to improve the technical level.
Village health office work summary 7My health office in the county health bureau and health center under the business guidance, abide by national laws and regulations, strict implementation of the relevant policies of the higher level and the spirit of the relevant documents, abide by the health professional ethics. Under the correct leadership of the health center, completed the work of the medical protection, made certain achievements, there are also shortcomings, in order to make up for the shortcomings, better work, is summarized as follows:
First, the establishment of updated residents' health records in accordance with the Ministry of Health "urban and rural residents Health Fan established the number of residents to build a file for the number of people, the rate of building a file in more than 99%, the file project to fill in the basic complete, the health file con File Management Standards" requirements, to assist the Township Health Center for the residents to establish the file, my village is now all villagers, the rules used to update in a timely manner.
Second, health education health education publicity content every 2 months to update, replace a layout. Carry out health education knowledge lectures 6 times, issued tuberculosis. AIDS. High blood pressure. Diabetes, "three highs and one disease" and the prevention and treatment of common diseases about 120 copies of publicity materials. Prevention board 6 issues, women and children board 6 issues. Cooperative medical board 2 health education lectures 3.
Third, the elderly and hypertension, type 2 diabetes. Management of severe mental illness. The village residents over 65 years of age to register the disease and management, to assist the health center of my village elderly 115 people for chronic disease follow-up, and in the dietary habits. Comprehensive guidance on medication and self-care was provided. Registered management of patients with hypertension and type 2 diabetes in my village, has carried out 2 regular follow-up visits, and a comprehensive physical examination, each follow-up visit to conduct face-to-face visits, asking about the condition and medication, so that the follow-up rate of more than 95%. And in the diet. Medication. Exercise. Psychological and other habits of life guidance. To the serious mental illness patients to build a file to build a card 4, with professional institutions and people to the serious mental illness patients for psychological guidance and rehabilitation guidance, environmental health, grass-roots organizations, the importance of services and management.