1, attention to and strengthen the supplemental folic acid to prevent neural tube defects project publicity work, improve the service population's knowledge of the relevant knowledge rate, increase the amount of folic acid distribution.
2, strengthen rural women? cervical cancer, breast cancer? The publicity work of the free screening program for rural women has been strengthened to increase the awareness of the screening population of the two cancers. The two cancers have been recognized as the most important and most important cancers in the world. The program is designed to increase awareness of the two cancers among the census population.
3. Endeavor to improve the knowledge of the two cancers. The two cancers are the most common cancers in the world, and they are the most common cancers in the world. The technical ability of medical personnel in the screening program has been improved to enhance the knowledge of the two cancers in our region. The two cancers are the most common in the world, and they are the most common in China. The positive detection rate of the census, improve the detection rate of further examination for patients with abnormal initial screening, and strengthen the quality of the two cancers. Two cancers The follow-up work of the patients with positive screening will be strengthened.
4. Fill in the true, accurate and complete information about the two cancers. The two cancer screening cases registration form, the relevant The registration form of the cases of two-cancer screening should be filled out truthfully, accurately and completely, and the related information should be collected completely and the records of the relevant registration form should be improved.
(2), "birth certificate" management
Main problems:
1, "birth certificate" for the issuance of data management, archiving is not reasonable and neat.
2, "birth medical certificate" first issued before the registration information is complete.
3, individual "birth medical certificate" issued by the organization into the database registration is not standardized, the seal is not separate management.
4, individual "birth medical certificate" issued by the high rate of abolition, as well as the establishment of the abolition of the certificate register.
5, individual "birth medical certificate" issuing organization did not post "birth medical certificate" for publicity materials, and did not develop the relevant management system.
6, individual existence of "birth medical certificate" stub licensee did not sign and other issues, pre-entry rate is low, the first issuance rate needs to be improved.
Recommendations:
1, standardize the management of "birth medical certificate" processing information, timely and reasonable archiving.
2, true, accurate and complete "birth medical certificate" registration of the first issuance of the register.
3, standardize the implementation of the "birth medical certificate" into the registration management system, strict management of the seal.
4, true and accurate issuance of "birth medical certificates" to reduce the generation of waste certificates, the establishment of waste certificates register, complete records.
5, posting the "birth medical certificate" for the relevant publicity materials, and the development of "birth medical certificate" issued by the management system, strict management.
6, standardize the completion of the "Birth Medical Certificate" related forms, optimize the process, and improve the "Birth Medical Certificate" pre-entry rate.
(C), free screening of newborn birth defects
The main problems:
1, pregnant women maternity checkups and hospital deliveries, did not inform the pregnant women and newborn guardians, did not play the obligation to inform.
2. Individual midwifery institutions screened suspected positive children and did not recommend referral to higher-level medical institutions for confirmation.
3, individual midwifery institutions in the diagnosis of the city's hospital delivery of infants belonging to the scope of the disease insurance benefits, did not promptly inform the parents of the relevant treatment benefits policy, did not play the obligation to inform the relevant treatment benefits to assist the work is not enough in place, the tracking and follow-up of the positive child did not follow up in a timely manner.
Recommendations:
1. When pregnant women undergo maternity checkups and are hospitalized for delivery, they should inform the guardians of the pregnant women and their newborns, obtain their consent, and fulfill their obligation to inform.
2, when the screening of suspected positive children, timely recommended referral to a higher level of medical institutions to confirm the diagnosis.
3, midwifery institutions in the confirmed diagnosis of the city's hospital delivery of infants in the scope of the insurance coverage of the disease, timely informed the parents of the relevant treatment and compensation policy, to play the obligation to inform, and to assist in carrying out the relevant treatment and compensation, and to do a good job tracking and follow-up of the positive child.
(D), newborn screening
The main problems:
1, the prevalence of newborn screening institutions for this work, not in the form of documents to make a full-year work plan as well as a summary of the work of the previous year.
2, newborn screening informed consent is not required to be included in the medical record.
3, individual newborn disease screening organizations there is no initial screening abnormalities need to review the tracking and follow-up records of children.
4, individual newborn screening institutions on this work is not enough publicity, the hospital delivery of newborns diagnosed with birth defects or death of the relevant compensation policy, did not play the obligation to inform. Suggestions:
1, in the form of a document on newborn screening work to make the annual work plan and the previous year's work summary.
2, the newborn screening informed consent in accordance with the provisions of the medical record.
3, accurate and complete newborn screening work registration, timely screening records, as well as to do a good job of diagnosis of positive children to assist in the treatment of work.
4, strengthen the newborn disease screening work of publicity work, related to newborn birth defects and death of the compensation policy, timely inform the families of children.
(E), the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B project
The main problems:
1, maternal and child health work a lot of data collection is incomplete, lack of real, maternal and child work-related statements of individual hospitals there is a delay, omission phenomenon as well as logical errors.
2, individual medical institutions and maternal and child health work and Ai Mei B check the establishment of the register is incomplete, the registration content is not perfect classification is not clear, not the implementation of the pregnancy and delivery test separate registration, maternal positive and the register does not meet the phenomenon of underreporting.
3, individual medical institutions to prevent HIV, syphilis, hepatitis B mother-to-child transmission of publicity efforts are not enough, maternal consultation rate and detection rate is very low.
4, individual medical institutions without HIV, syphilis, hepatitis B prevention of mother-to-child transmission of publicity columns and publicity materials.
5, individual medical institutions free injection of hepatitis B immunoglobulin registration is not standardized;
6, individual medical institutions did not implement the provisions of free testing of HIV, syphilis, hepatitis B during pregnancy and childbirth.
Recommendations:
1, standardize and improve the work of maternal and child health and the collection of data and information related to reports, strengthen training and learning, improve the quality of reports related to maternal and child health, so that the reported data is true, timely and logical.
2, standardize and improve the maternity outpatient clinics, inpatient departments and laboratory departments and other departments of maternal AIDS, syphilis, hepatitis B related registration records, timely reporting of positive cases.
3, to strengthen the work of free injection of hepatitis B immunoglobulin for newborns born to hepatitis B-positive mothers, and improve the registration;
4, to strengthen the prevention of mother-to-child transmission of HIV, syphilis, hepatitis B publicity, the establishment of publicity columns, distribution of publicity materials, and increase the rate of testing during pregnancy;
5, the strict implementation of the prevention of mother-to-child transmission of HIV, syphilis, hepatitis B, free counseling, testing
6.
6, it is recommended that the medical institutions to improve the establishment of the prevention of AIDS, syphilis, hepatitis B mother-to-child transmission of leadership group and technical guidance group, the development of the implementation of the organization, regularly held a summary meeting of the work of the clear responsibilities of the various departments, to participate in the development of related activities.
Maternal and child health hospital health education work summary 3
First, the implementation of the "Maternal and Child Health Law", according to the law to carry out health services.
1, further study and publicize the implementation of the Maternal and Child Health Law and the Women and Children Development Program. First, actively carry out activities to commemorate the 20th anniversary of the promulgation of the Maternal and Infant Health Care Law and? The Year of Maternal and Child Health Service? activities, carrying out women's and children's health care skills competitions, and selecting outstanding contestants to participate in provincial and municipal skills competitions, which have achieved excellent results. The second is to increase the publicity of maternal and child health, outpatient clinics, health departments and obstetrics and gynecology every two months a health propaganda wall posters, sent specialists to each pair of marriage test subjects for health care, eugenics and family planning and other knowledge, make full use of? We also make full use of the March 8 festival to promote health care, eugenics and family planning. The Department of Health and the Department of Obstetrics and Gynecology publish a health promotion wall newspaper every two months. June 1 The program also makes full use of the March 8, June 1, and June 3 holidays. Breastfeeding Week and other holidays, the organization of medical personnel on the street to carry out free consultation and publicity activities, counting the organization of medical personnel on the street to carry out free consultation and publicity activities more than XX times, counting the distribution of XX copies of publicity materials, free consultation more than XX times, to the county's various medical and health care units and the County Marriage Registry free of charge to provide all kinds of women and children's health publicity pamphlets XX copies of wall posters and wall charts XX copies. Increase the publicity of maternal and child health care, improve the public's self-care awareness.
2, conscientiously carry out the implementation of the XXXX Province "birth medical certificate" management approach, standardize the use and management of "birth medical certificate", strict implementation of maternal and child health care related to the management of legal certificates, the implementation of special management of the "birth medical certificate", to achieve the certificate, the seal separate custody, "birth medical certificate" by the obstetrics head nurse, the seal by the director of the office custody, each birth certificate of the Each birth certificate is issued by filling out the Registration Form for Issuance of Birth Medical Certificate, so that each certificate issued is reliable, complete and effective. To assist the county health bureau of the county's medical units "birth medical certificate" purchase and use of unified management, in collaboration with the county health bureau of the county medical institutions to check the use of birth certificates, on the existence of the problem of notification, deadline for rectification.
3, the implementation of the "XXXX Province prohibit non-medical needs to identify fetal sex and selective termination of pregnancy regulations", set up to combat ? The leading group, formulated a plan to prohibit non-medical identification of fetal sex and selective termination of pregnancy. Leading group, developed a ban on non-medical needs to identify the sex of the fetus and selective sex termination of pregnancy related systems, ultrasound room door to install monitoring probes, ultrasound room, obstetrics and gynecology, pharmacy installation of computers and second-generation ID card identifiers, pregnant women more than 14 weeks of pregnancy ultrasound and family planning surgery to implement a real-name system. The hospital leadership and obstetrics and gynecology, ultrasound room and pharmacy signed a management responsibility, set up a reporting phone, every six months to organize a supervision, supervision of the situation reported in writing to the Health Bureau.
4, conscientiously implement the "nursery school kindergarten health care management approach", in order to further strengthen the health care management of child care institutions, improve the quality of management, organized the XXXX County kindergarten health care training courses, participate in the training of health care personnel XX person-times, the jurisdiction of the county of nursery school health care institutions to provide health care guidance to assist health care personnel to do a good job of dietary management. Organize medical examination team, down to the parks for young children's health checkups, growth monitoring, in 2014, the Department of Child Protection of the county's XX child care institutions for health supervision and management, health care guidance, child care institutions, health management rate of 100%, counting young children's health checkups XXX times, early childhood staff health checkups XXX people, qualified to issue certificates XXX, timely feedback on the results of the medical examination and put forward the appropriate guidance and intervention measures to ensure that children's health growth. The company has been able to provide timely feedback on the results of the medical examinations, and put forward appropriate guidance and intervention measures to ensure the healthy growth of children.
5, in accordance with the law to standardize the pre-marital health care work, seriously implement the "Maternal and Child Health Care Law", "pre-marital health care norms", "XXXX County, the full implementation of scientific marriage examination to prevent birth defects work implementation program". This year, the county maternal and child health hospital was included in the province's first batch of marriage test standardized clinic construction by the provincial health planning commission, in strict accordance with the provincial planning commission to develop the standardized construction of premarital health clinic standard requirements, invested more than XX million, the marriage test clinic renovation. Standardized set up male and female marriage examination room, consultation room, propaganda classroom and related auxiliary examination rooms, arrange X medical personnel with marriage examination qualification to engage in marriage examination work, strictly implement the Ministry of Health "pre-marital health care work norms", do a good job in pre-marital medical examination, health consultation and health guidance work, especially for the object of abnormal results of the marriage examination, patiently do a good job in counseling and guidance, resolutely eliminate humane customs, to ensure that the quality of the marriage examination, praised by the provincial Department of Health evaluation team. In XX year, XX month, XX year, XX month, there were XX times of premarital medical examination, the rate of premarital medical examination was 100%, and XXX times of all kinds of diseases were detected, the rate of detection of diseases was XXX%, among which XX cases of specified infectious diseases, XX cases of hepatitis, XX cases of syphilis, X cases of AIDS were detected, XX cases of AIDS were detected, and according to the results of the examination, we put forward the corresponding medical opinions: XX people who were suspended from marrying, XXX people who were respected, XXX people who were qualified for marrying, XXX people who were qualified for marrying. XXX people who meet the medical conditions for marriage, XX people who have pre-marital health guidance, pre-marital health counseling XXX people.
6, strengthen the construction of obstetrics, consolidate the results of the baby-friendly hospital. The quality of obstetrics maintains the health and life safety of mothers and children for two generations, and conscientiously implement the relevant provisions of the Maternal and Child Health Care Law. According to the Ministry of Health's "Midwifery Technology Management Measures" and the "Basic Standards for Midwifery Service Institutions in XXXX Province," the county health bureau assisted the county in carrying out midwifery technology to carry out the assessment of healthcare institutions and midwifery technicians, and to strictly control the qualifications of the institutions and the qualifications of the personnel to engage in the practice of the qualification. After the assessment of the county's midwifery institutions licensed XX, of which three X, two XX, one X, the county to obtain midwifery technical qualification certificate XX people, so that the institutions and personnel to implement licensed practice, licensed to work. The health care institutions actively carry out activities to create baby-friendly hospitals, consolidate the results of baby-friendly hospitals, X medical institutions in the county to carry out midwifery technology, there are already X obtaining? X medical institutions carrying out midwifery technology in the county, X of which have already obtained the title of baby-friendly hospitals. The title of baby-friendly hospital, XX year XX medical institutions to declare baby-friendly hospital reassessment. XX year the county breastfeeding rate of XXX%, pure mother and child feeding rate of XXX%.
7, to carry out newborn disease screening, improve the quality of birth. To carry out newborn disease screening work is to prevent the child's intellectual and physical development backward, improve the quality of the birth of an effective measure. According to the provincial Department of Health issued "XXXX Province, newborn disease screening management approach" and "on the expansion of the scope of newborn disease screening implementation plan", the organization of the county health care institutions to actively carry out newborn disease screening, the organization of the relevant medical institutions of obstetrics and medical personnel to the provincial maternal and child health hospital to participate in business training, focusing on the quality of blood collection, suspicious patient recall, tracking and follow-up, to achieve early detection, early diagnosis, Early detection, early diagnosis, early treatment, to promote the early recovery of sick children, and further promote the improvement of the quality of our county's birth population. I have XXXX County Hospital, civilian hospitals, hospitals and maternal and child health centers to carry out newborn disease screening, newborn hearing screening. XXXX county newborn disease screening XXX people, found X cases of low A, hearing screening XXX people.
8, actively carry out the work of AIDS, plum, B prevention and control. Conscientiously implement the XXXX Provincial Department of Health on strengthening the implementation of prevention of mother-to-child transmission of AIDS and XXXX City, the implementation of prevention of mother-to-child transmission of AIDS program. It has strengthened the work of preventing mother-to-child transmission of AIDS, syphilis and hepatitis B. It has actively carried out publicity and education on the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B, trained personnel, set up initial screening laboratories, carried out premarital health-care populations and maternal AIDS, syphilis and hepatitis B testing and counseling, and set up an information management system, among other things. Maternal AIDS testing rate XXX%, positive rate X; maternal syphilis testing rate XXX%, syphilis infection rate XX%; maternal Hepatitis B testing rate XX%, Hepatitis B table resistance positive rate XXX%; marriage testing AIDS testing rate XXX%, found X cases of AIDS; marriage testing syphilis testing rate 100%, found XX cases of syphilis; marriage testing Hepatitis B testing XX%, found XX cases of Hepatitis B, XXX cases of Hepatitis B Table resistance positive, positive rate XXX%.
Second, there are problems and difficulties
1, personnel funding operational funding is not guaranteed. xxx years ago XXXX County Maternal and Child Health Hospital self-supporting, relying solely on clinical medical services income, to maintain maternal and child public **** health services, the history of the more indebtedness, cadres and workers can not be resolved social security. With the development of the national health care reform, women and children public **** health tasks increase, relying on clinical medical income is difficult to maintain survival, let alone development.
2, more staff shortage. In accordance with the XXXX Provincial Editorial Office, the Provincial Department of Health, "on the adjustment of the province's maternal and child institutions preparation standards and other related issues of the notice" xX Committee Editorial Office [XX] XX document, the county (county) level of maternal and child health care institutions of maternal and child health care personnel staffing XXX, clinical staff by beds XXX. my county population of more than XX million, the current staffing of maternal and child health care hospitals XX, the actual XX, the lack of more personnel. This results in part of the department business can not be carried out, restricting the development of maternal and child health.
3, insufficient medical equipment. Due to the lack of funds, unable to purchase medical equipment, compared with the basic equipment of maternal and child health institutions to meet the construction standards, the gap is large.
4, insufficient business premises, poor office conditions. XXXX County Maternal and Child Health Hospital complex is XXX years using the XXXX provincial rural health three construction funds for the project, the construction area of XXX square meters, on the one hand, the area of business premises to meet the needs of women's and children's health business, on the other hand, women's and children's complex has been in use for XX more than a few years, the lack of funds for renovation of the worn-out, environmental conditions are poorer.