Tongzi County to promote the gradual equalization of basic public **** health services implementation program
According to the "Guizhou Province to deepen the reform of the medical and health system in the near future focus on the implementation of the program (2009-2011)" (Qianfufa [2009] No. 32), "deepening the reform of the medical and health system of Guizhou Province, the work of the objectives and tasks" (Qianfufu Office of the [ 2009] No. 97) and "Guizhou Province to promote the gradual equalization of basic public **** health services implementation plan" (Qian Wei Fa [2009] No. 128) spirit, combined with the actual county, specially formulated this program.
I. Work objectives
From 2010 onwards, basic public **** health services are provided to all county residents. The outstanding problems affecting the health of urban and rural residents to implement interventions to reduce major health risk factors, effective prevention and control of major infectious diseases and chronic diseases, improve public **** health services and emergency response to health emergencies, so that urban and rural residents gradually enjoy equalized basic public **** health services.
By 2011, the basic public **** health service programs provided by the State will have been universalized, and the gap in access to public **** health services between urban and rural areas will have been gradually narrowed. Both permanent residents and the floating population within the jurisdiction can enjoy the public **** health services provided by the State and the Government. By 2020, the mechanism for equalizing basic public **** health services will be basically improved, major diseases and major health risk factors will be effectively controlled, and the health of urban and rural residents will be further improved.
Second, public **** health service projects and content
(a) basic public **** health service projects. 2010 onwards, to start the establishment of residents' health records, health education, immunization planning, prevention and treatment of infectious diseases, children's health care, women's health care, health care for the elderly, management of chronic diseases, management of patients with severe mental illness and other nine national basic public **** health service projects.
(2) Major public **** health service projects. 2010 onwards, the implementation of new national projects was launched, namely, cervical cancer and breast cancer screening for rural women aged 35-59 years old, supplemental folic acid for rural women before and during pregnancy, blindness-restoring surgeries for impoverished cataract patients, supplemental hepatitis B vaccines for people under the age of 15 years old, and conversion of stoves to cookstoves in areas of coal-burning polluted fluorine poisoning, construction of harmless rural toilets, and six other major public **** health service projects. It continues to implement projects on hospital delivery of pregnant women in rural areas, the national immunization plan, AIDS and tuberculosis. Cooperate in the construction of village health center projects.
(C) Population and Family Planning Bureau to organize and carry out family planning and reproductive health technical services, mainly including contraception and birth control, eugenics science publicity and birth defects intervention, contraceptive methods of advice and guidance, the distribution of contraceptives, the implementation of contraception and birth control and restoration of fertility surgery, follow up services, and to carry out family planning surgical complications and contraceptives, such as the diagnosis and treatment of adverse reactions to contraceptives.
Three, public **** health services and responsibilities
(1) basic public **** health services and responsibilities
1, basic public **** health services are mainly provided free of charge by the community health service centers (stations), township health centers and village health clinics for residents.
2. The Center for Disease Control and Prevention (CDC) and the County Maternal and Child Health Center (CMCHC) are responsible for the corresponding basic public ****health service projects (see Annex 2)
(2) Major public ****health service institutions and their responsibilities
Major public ****health service projects are mainly organized by the County CDC, the County Maternal and Child Health Center (CMCHC), the family planning department, and other professional public ****health institutions. According to the major public **** health service project program involved in the relevant departments, in accordance with the requirements and tasks of the various major public **** health service project program requirements and tasks to carry out departmental responsibilities, to undertake major public **** health service tasks.
Fourth, the basic public **** health services operating norms
The basic public **** health service projects stipulated by the state, in accordance with the "national basic public **** health service norms" and the provinces and municipalities to determine the operation of the basic public **** health service projects. According to the "National Basic Public **** Health Service Specification (2009 Edition)", the basic public **** health services in the county include:
(1) the operation specification for the service of building residents' health records;
(2) the operation specification for the service of health education and missionary;
(3) the operation specification for the service of children's health care for the period of 0-36 months;
(4) the operation specification for the service of children's health care for the period of 0-36 months;<
(4) Maternal Health Service Practice;
(5) Elderly Health Service Practice;
(6) Preventive Vaccination Service Practice;
(7) Communicable Disease Reporting and Handling Practice;
(8) Hypertension Patient Management Practice;
(9) Type II Diabetes Patient Management Practice;
(j) the norms for the management of patients with severe mental illness.
V. Establishment of a Subsidy Mechanism for Funding Public **** Health Services
(1) Funding for the basic public **** health services program is shared by the central and local governments. 2010 per capita funding standard for basic public **** health services was no less than 15 yuan per person, of which the central government subsidized 12 yuan per person, and the local government arranged for 3 yuan.
(2) The funding for major public **** health service projects is mainly arranged by the central government through special arrangements, and the supporting funds for the projects are arranged by local finances.
(3) Professional public **** health institutions personnel funds, development and construction funds, public funds and operating funds are arranged by the county budget. In accordance with the provisions of the service income paid to the financial account. The county treasury rationalizes the funds required for major public **** health service projects. Funds required for family planning services organized by the population and family planning departments are approved by the finance in accordance with the original funding channels. The people's government of the county shall give fixed subsidies to rural doctors for the public **** health services and other tasks, of which the funds required for the basic public **** health services shall be co-ordinated and arranged from the subsidies for the basic public **** health services arranged by the finance.
VI. Strengthening the leadership of the work of the public **** health service project
(I) Strengthen the organizational leadership. The county people's government set up a basic public **** health service project work leading group (see Annex 1), is responsible for the county's basic public **** health service project work leadership, the establishment of the county health bureau, the county finance bureau, the county population and family planning bureau and other multi-departmental cooperation mechanism, **** with the promotion of the implementation of public **** health service project.
(ii) Establishment of performance evaluation. The county health bureau and the population and family planning bureau shall establish and improve the performance appraisal system for basic public **** health services, and improve the appraisal and evaluation system and methods. Adopt professional assessment and social satisfaction evaluation methods for assessment, with the assessment results as the basis for the settlement of project funds, the settlement of subsidies for public **** health service projects is linked to the quantity and quality of work. An elimination system is in place for non-government-organized community health service stations that perform poorly in basic public **** health services.
(3) Increase publicity. Departments at all levels should take a variety of forms to strengthen the publicity of the basic public **** health service projects and major public **** health service projects, so that the majority of urban and rural residents to understand the content of the basic public **** health services that they can enjoy free of charge, to increase the rate of knowledge of the masses, and to encourage the masses to participate in a wide range.
(iv) Strengthening supervision and management. County Health Bureau, Population and Family Planning Bureau to strengthen dynamic monitoring and management, and do a good job of collecting, summarizing, organizing and analyzing relevant data and information. The health department shall strengthen the guidance on the information and statistical work of community health service centers (stations), township health centers and village health offices, and provide systematic training for their statisticians. Community health service centers (stations) and township health centers should have clear personnel responsible for information statistics to ensure complete information and accurate data.
Attachments:
1. Tongzi County Basic Public **** Health Services Gradual Equalization Project Work Leadership Group Personnel List
2. Tongzi County Basic Public **** Health Services Responsibility Decomposition Table
Attachments:
Tongzi County Basic Public **** Health Services Gradual Equalization Project Work Leadership Group Personnel List
Team Leader: Zhang Yongkang County Vice Governor of the People's Government of Tongzi County
Deputy Leader: Wang Shoubao Deputy Director of the County Government Office
Zhou Xing Director of the County Finance Bureau
Chen Dejun Director of the County Population and Family Planning Department
Zhang Zhonghong Deputy Director of the County Health Bureau
Members: Li Anping Director of the County CDC
Luo Zhaoqi Deputy Director of the County Health Bureau
Deng Huaiyi Director of the County Health Supervision Department
Deng Huaiyi County Health Supervision Director
Yuan Xiaoqiang County, deputy director of the Bureau of Culture and Broadcasting
Huang Changjing County, deputy director of maternal and child health center
Wang Zhonghua County, director of the People's Hospital
The people's governments of the townships in charge of the leadership group set up an office in the County Health Bureau, Comrade Zhang Zhonghong concurrently served as the director of the Office of the Office of the comrades Luo Zhaoqi concurrently served as deputy director of the Office of the Office of the Comrade.