In recent years, in the county party committee, the county government's attention, rural public **** health management system and service network is increasingly perfect, disease prevention and control work is constantly strengthened, the level of maternal and child health care work significantly improved, the patriotic health campaign in-depth, health supervision and law enforcement efforts to gradually increase the basic medical services have been improved, the entire rural public ** **health work has achieved better results.
(I) in-depth implementation of the farmers' health project, rural medical and health service system initially formed.
We adhere to the rural health, community health and public **** health as the focus, in-depth implementation of the "farmers' health project", grasp the norms, build a network, spreading, laying the foundation for rural medical and health services have been optimized. First, the rural public **** health work has begun to show results. in early 2007, according to the county's specific situation, will be the existing rural health care resources for the integration of the county *** set up 9 community health service centers, 38 community health service stations, to determine the responsibility of the 303 physicians in the village. Community health service centers to carry on the role of the next to appear, community health services in full swing, community health service stations have been basically able to undertake the three major categories of the twelve in the various tasks. So far, the county responsible doctor into the village into the household rate of 95.3%, *** for 235,700 farmers health checkups, physical examination rate of more than 72%; the establishment of farmers' health records, archiving rate of more than 80%, which combed out hypertension, diabetes, oncology, coronary heart disease and other chronic diseases object of 21,035, the annual door-to-door follow-up per capita of more than 4 times, the door-to-door follow-up rate of 95.3%. Second, the new rural cooperative medical care is running smoothly. Our county's new rural cooperative medical system through the policy adjustment and various departments *** with efforts, farmers to participate in the enthusiasm greatly improved, participation rate from 72.9% in 2005, increased to 85.4% in 2007. From January to October this year, the county **** issued reimbursements of 12.5 million yuan, of which more than 10,000 yuan 150 people, **** 10,300 hospitalized patients, 280,000 outpatient visits to enjoy the benefits of the new rural cooperative medical care. After the province's urban and rural community health work and rural cooperative medical conference, this year the county's financing standards to 70 yuan per person, and strive for the "Eleventh Five-Year" end of the per capita financing to reach the standard of 100 yuan. At the same time, the information construction is expected to be completed by the end of the year, the "xx County New Rural Cooperative Medical Care Five-Year Development Plan (2006-2010)" is being drafted, the "xx County New Rural Cooperative Medical Care Provisional Measures" has been adopted by the county mayor's office meeting, will be implemented on January 1 next year. Thirdly, farmers' health check-ups are being carried out in an orderly manner. By the county new rural medical management committee unified leadership, the township government organization propaganda and mobilization, the object of medical examination is to hold the 2006 issued "health examination vouchers" farmers, the county 0 - 7 years old children and primary and secondary school students. Each sentinel unit formulates a plan for the medical check-ups, deploys key doctors, fills out the medical check-up forms in a standardized manner, makes timely conclusions on the medical check-ups, and gives feedback to the farmers. From October 2005 to September 2007, more than 230,000 health check-ups for farmers were completed. Among them, 63,643 were children aged 0-7 and primary and secondary school students, and 174,148 were adults, accounting for 82.38% of the farmers who participated in the New Farmers' Cooperative Program and 59.86% of the total number of farmers in the county.
(2) Adhering to the prevention and treatment, preventive health care has been strengthened.
In recent years, around the rural public **** health system construction, the county constantly strengthen the prevention and control of infectious diseases and public **** health emergencies control and management, and constantly deepen to do a good job in the prevention and treatment of cholera, tuberculosis, sexually transmitted diseases, AIDS and summer intestinal infectious diseases and other prevention and treatment work. In response to the cholera epidemic that occurred in some counties and cities in our province, in order to improve our county's ability to prevent and control cholera, the health department formulated the "2007 XX County Cholera Prevention and Control Emergency Exercise Program", and successfully carried out a cholera emergency drill, further improving the emergency response, cooperation and rapid treatment capacity of the county's various public ****health institutions and medical institutions. The vaccination clinics of 7 township health centers in the county have reached the standardized clinic standard at the municipal level, and the children's planned immunization work is standardized and orderly, and the vaccination rate of the "four vaccines" is always maintained above 95%. on November 29, 2007, the construction area of 3,898.7 square meters, with a total budgeted investment of 8.25 million yuan, the new building project of the county CDC was formally completed and relocated, which greatly improved the quality of the county's public health institutions and medical institutions. Formal completion of the relocation, greatly improving the county's public **** health management and service conditions, will enhance the county's ability to respond to public **** health emergencies, improve the level of disease prevention and control to play a more useful role, marking the construction of the county's public **** health system on a new level.
(C) to focus on special rectification, health supervision and law enforcement has achieved significant results.
In recent years, in the county-wide organization of special rectification as the focus of rural health supervision and law enforcement work, through a series of health law enforcement action, timely investigation and handling of a number of health violations detrimental to the interests of the masses of farmers, and vigorously rectify and standardize the food hygiene, public **** hygiene and the rural medical market order, to protect the health of the masses of farmers. In the "two sessions", the Golden Week, the provincial disabled art performance, the college entrance examination and other major events and festivals, specially formulated programs, carefully arranged forces, seriously implement the inspection and guidance measures to successfully complete the health safety and security work. By the end of October this year, **** deployed 232 health law enforcement officers, 218 catering units in the county, 71 canteens for 486 comprehensive supervision and inspection, banned 38, on-the-spot penalties for 80 cases, filed 13 cases, forfeited 18,000 yuan. County holding a health license for the operation of food and beverage units up to 201, the license rate of 92.5%; the establishment of raw material purchase of food and beverage establishments and canteens 261, the proportion of 90%; 289 food and beverage establishments and canteens sales of pork from designated slaughtering enterprises, the proportion of 100%; the implementation of the quantitative grading management of food hygiene 100%. At the same time, according to "xx county urban and rural health supervision system construction implementation views" on "in the county health supervision set up under the Health Supervision Branch" requirements, in order to every 2 - 4 townships or 6 - 120,000 people to set up a dispatching agency standards, to be set up in the xx, shuhong, the new, directly under the set up of four health supervision branch. At present xx health supervision branch has been formally established to further promote the extension of health supervision to rural areas.
(D) to maternal and child health project as a grasp, maternal and child health care work continues to deepen.
Actively implementing the "Maternal and Child Health Project", "Women's Health Promotion Project", vigorously carry out women's disease census, perinatal health care, pre-marital medical check-ups, newborn disease screening, hearing screening and "three monitoring" and other work. The program has effectively improved the health of women and children and the quality of newborns in the county. Free screening for rural women's diseases has been introduced as part of the medical examination for the New Rural Cooperative Medical Program (NRCP), and has reached the 80 per cent screening rate required by the provincial government. Maternal system management rate of 92.35%, high-risk pregnant women county screening rate of 86%, women's disease detection and treatment rate of 2.12%, premarital health care counseling rate of 85%, prenatal screening rate of 19%, newborn disease screening rate of 91%, newborn hearing screening rate of 60%.
(E) to create a provincial civilized county as a carrier, the rural living environment has been improved to some extent.
Further consolidating the results of the "sanitation" campaign, we have carried out in-depth activities to create sanitary towns, villages, households and sanitary advanced units, and promoted the development of patriotic hygiene in a deeper and deeper way; comprehensively consolidating the results of cockroach extermination, and successfully passing the review of the "cockroach-eliminating advanced urban area" by the Municipal Office of Health Care in October this year; and comprehensively consolidating the results of cockroach extermination. "In accordance with the requirements for building a new socialist countryside, we will carry out the "Health Promotion Action for Hundreds of Millions of Farmers"; continue to carry out in-depth work to change water and toilets in rural areas, increase the rate of benefiting from piped water, the rate of popularizing sanitary toilets, and the rate of harmless treatment of feces in rural areas, and make efforts to improve rural living environments and the overall level of health of farmers. overall health level.
Two, rural public **** sanitation work in the problems and difficulties
(a) insufficient financial investment, restricting the development of rural sanitation.
One is the weak infrastructure. Township health centers due to the lack of necessary investment, shortage of medical equipment, poor equipment, aging problem is quite common, from the farmers' health needs there is still a certain distance. Secondly, the heavy burden of health centers, rural health personnel low wages. Because of the poor equipment, medical standards can not go up, resulting in health centers generally poor efficiency, low income of employees.
(2) rural health technology talents are relatively lacking, the structure is unreasonable.
On the whole, the county health technology team there is a total shortage, poor quality, team instability and other issues. From the personnel structure, township health centers are mostly dominated by health technicians graduating from junior colleges, and lack of health technicians at the college level or above. Its business quality is generally low, subject to a variety of factors: on the one hand, in-service personnel have fewer opportunities for further study, medical level is difficult to improve; on the other hand, the rural health centers have weak infrastructure, poor conditions, low treatment, not only the lack of preferential conditions to attract talent, and even the staff's normal wages can not be guaranteed, it is difficult to retain high-quality personnel, such as surgical, gynecological, radiology, testing, b ultrasound, and other shortages of professional talent is even more lacking. The lack of talent is even greater.
(3) rural health conditions are generally poor, the general public health awareness of disease prevention is not strong.
Because of the county's overall economic level is not high, the village collective economy is weak, for the improvement of the village environment, to protect the masses of life security infrastructure investment is very limited. By the end of 2006, the county water penetration rate has reached 81.62%, but the vast majority of water supply points are not routinely disinfected; hygienic toilet penetration rate of 80.2%, but most do not have three-format septic tanks, the rate of harmless treatment of feces is low. In addition, the general public by the economic conditions, cultural level and the impact of traditional concepts, health awareness is weak, the common infectious diseases and group food poisoning prevention measures know little, living habits are generally poor, drinking raw water, eating preserved food, cooked food, raw food and other phenomena are very common, "not clean, eat no disease," the concept of serious, "small illnesses can be delayed, but not the disease". The concept of "no cleanliness, no disease" is serious, and the rate of timely consultation is low, as "minor illnesses can be postponed, while major illnesses can be endured. The existence of various problems, once there is a source of infection, it is very easy to cause disease outbreaks and epidemics.