I. Maternal and child health care services in accordance with the law
1. Issuance of birth medical certificates
My county stipulates that, when issuing birth medical certificates, the health care management card is established for the child, and health checkups are conducted on a regular basis in order to improve the rate of health care management. From October 1, 2006 to September 30, 2007, the county *** issued birth medical certificates for 3,128 people, (of which 2009 were issued by the health station, 1,071 children within 1 year of age), are handled by the children's health care management card.
2, newborn disease screening
This year there are 11 hospitals to carry out newborn disease screening, from October 1, 2006 to September 30, 2007, the county **** blood sampling and testing laboratory screening of newborns number of people as early as 2894, which screened one case of hypothyroidism, phenylketonuria, the above two cases of children have been treated! These two children were treated and are still being followed up. Their growth and development are now basically normal, reducing the number of children with disabilities by two.
3, newborn hearing screening
For the early detection of newborn hearing impairment, timely intervention or treatment, to protect children's physical and mental health, so that deaf but not dumb. My unit self-funded 50,000 yuan to purchase an otoacoustic emission detector, from March to September 30, 2007, **** screening 408 people, and four failed to pass the newborn in 1 month after the re-examination, have passed. Effective prevention of hearing impairment in newborns.
4, the issuance of kindergarten teacher health certificate
at the end of September for the demonstration of kindergarten 53 people kindergarten teacher health checkups, and the issuance of kindergarten health checkup certificate. Inspection of 2 Ming kindergarten teachers failed to pass the medical examination, given treatment, review and pass the reissue of the certificate.
Two, maternal and child health care business
1, baby-friendly hospitals, baby-friendly health center business guidance
In order to continue to consolidate the results of the baby-friendly, improve the quality of obstetrics, and effectively reduce the maternal mortality rate and neonatal mortality. I sent professional and technical staff quarterly, respectively, to three baby-friendly hospitals and seven baby-friendly health centers for business guidance, focusing on breastfeeding education and "two early" work, each time to the countryside there are written guidance signed by the dean or the person in charge of the deficiencies found, requiring immediate correction. At the same time, the "two management" work also give timely guidance. During the year *** to the grassroots 252 times.
2, maternal health management
3,894 live births, the total number of mothers 3,889, the number of maternal card number 1,746, the number of hospitalized births 3,695, the number of ambulatory births 194, the rate of hospital births 94.89%, the breastfeeding rate of 81.21%. Because most of the maternal health handbooks are in the hands of the mothers who fail to apply for birth certificates in a timely manner, some of the handbooks are recalled late, and there is the phenomenon of duplicate card-creation, resulting in a low rate of maternity checkups. In addition, a few obstetricians and gynecologists have a weak sense of responsibility, and publicity is not in place, so the coverage rate of maternal health care management needs to be further improved. There was one maternal death, with a mortality rate of 25.68 per 100,000. In August, the station carried out AIDS screening for 19 pregnant women, with no abnormal results.
3, child health care management
Children's health care management of 4802 people, health care management rate of 31.93%. 905 children under the age of 3 years of systematic management of the number of systematic management of the rate of 13.64%, 38 cases of infant mortality, infant mortality rate of 9.67 ‰. 11 cases of death of children aged 1-4 years old, the mortality rate of children under the age of 5 years old, 12.58 per 100,000.
I station in the "June 1" holiday for the city of 1002 collective children health checkups and nutritional assessment, and the results of the medical examination timely written report to the kindergarten and parents of children.
Three, strengthen the business training, improve the quality of health care personnel
In order to improve the overall quality of business personnel and service capacity, I station in recent years, three medical personnel to participate in adult college medical specialties, eight people to participate in the provincial level maternal and child health care business knowledge learning, there are seven people to participate in the municipal health care training courses. The station all business personnel have participated in a variety of continuing education learning, each has achieved more than 20 points of continuing education credits.
To the grassroots maternal and child health care workers, the county still insisted on quarterly training courses or a regular meeting. In March and June this year, respectively, ran a maternal and child health care business knowledge training course and a newborn asphyxia resuscitation technology training course. The township health centers of health workers and obstetrics and gynecology in charge of the study, in which the neonatal asphyxia resuscitation technology training courses to invite the city of hospitals and hospitals of experts lectures, on-site learning, so that all participants will be able to use the resuscitation capsule correctly, and will be able to operate a newborn tracheal intubation techniques.
Four, do a good job of maternal mortality assessment and child deaths to make up for the omission of the investigation work
1, in July, organized a perinatal health care collaborative group working meeting on a case of maternal deaths were analyzed and assessed, and will be assessed cases and the assessment results of the competent departments at the city and county levels to the city and county.
2, in order to accurately and truly reflect the situation of maternal and child health care in the county, we attach great importance to the grass-roots level of business guidance, including business guidance to the community, in particular, the quality control of the annual statement in May and October has been 2 times on the statement of the township health centers to verify and make up for the leakage of the survey, in particular at the end of the year, the station I drew women's health care, child health care, statistics and other four business people, the townships Annual maternal and child health care work was verified and guidance, for the statement data, checking the pregnancy management card, child management card, and to 18 townships family planning office for maternal mortality and death of children under 5 years of age to make up for the omission of the survey found that 3 townships have no omission of the remaining 15 townships have omission of the phenomenon of omission of the results of the omission of the survey has been reported to the city.
Fifth, strengthen the infrastructure, improve service capacity
In the county health bureau's strong support, I station to overcome the small number of personnel, medical equipment, such as the shortage of obsolete, and other difficulties, and strive to carry out obstetrics and gynecology business and technical work, in order to improve the service environment and the service capacity, and this year to raise funds of nearly 100,000 yuan to purchase microwave therapy instrument, anesthesia machine and otoacoustic emission detector. And through the open recruitment of two undergraduate graduates will enter my station in December. So that the county maternal and child health care team to improve the overall quality of the health station to change the history of no undergraduate.
Sixth, there are problems
At present, due to the small number of things, coupled with a serious lack of township health centers maternal and child health care workers and obstetrics and gynecology staff, maternal health care management coverage and children's health care management coverage of maternal and child health care quality of work needs to be further improved. In the next work, we will do a good job of health care hospital in the second half of 2009 work plan, and strive to carry out all the work better.