First, strengthen the software and hardware construction of the network system of family planning organizations and continue to implement the responsibility system of family planning target management.
This year, since Zizi Town was listed as a town with weak family planning foundation in the city, the Party Committee and government attached great importance to it. The main leaders of the Party and government specially organized and held three meetings of family planning cadres to listen to the report on family planning work, analyze the current situation and existing problems of family planning work, study and implement the tasks of family planning work under the new situation, and invested more than 20,000 yuan to buy two new microcomputers and 1b ultrasonic machines, which increased some facilities of the town population school and provided convenience for family planning cadres to use cars and eat wrong meals.
At the same time, in order to clarify the task and implement the responsibility, the party Committee and government have also started from each village, further clarifying the principle that the top leaders of the party and government personally grasp and take overall responsibility. According to the family planning assessment indicators issued by the municipal party committee and the municipal government at the beginning of the year, combined with the actual situation of the town, village cadres implemented the responsibility system of target management, signed the responsibility book of target management of family planning with 79 administrative villages, comprehensively quantified the family planning work throughout the year, and the assessment results were directly linked to wages and bonuses, thus linking policies with systems. At the same time, the administrative network is sound and the job responsibilities of family planning personnel are readjusted. Set up nine lines and nine pieces of offices, associations, publicity, politics and law, floating population, contraceptives, statistics, informed choice and convenience window, and set up the center work of family planning and old-age insurance, separation of people and households, and re-birth approval 12. We have also improved the family planning report exchange regular meeting system, marriage and childbearing knowledge training system, information collection and summary feedback system, family planning liaison meeting system and "four actions"
Second, grasp the grassroots, promote comprehensive balance, deepen the comprehensive reform of family planning, and implement family planning work.
Grassroots level is the foothold of family planning work, and basic work is the key to the implementation of family planning work.
1, grasp the construction of village-level family planning attendants. A comprehensive survey of liaison officers in 79 administrative villages was conducted, and outstanding rural women who are young, educated, capable, good in quality and love family planning work were enriched into the liaison team. On the basis of the adjustment of three village liaison officers last year, 1 family planning liaison officers (Chixian Village) were adjusted and enriched throughout the year, and 65,438+family planning liaison officers were launched in the whole town in April this year.
2. Pay special attention to the verification and feedback of village-level monthly reports, organically combine monthly report information with microcomputer management, each feedback book is dedicated, village liaison officers check it once every quarter, and the statistical error rate of family planning is controlled below 65438 0.5%.
3. Actively carry out the activities of creating first-class associations, while strengthening administrative measures, vigorously strengthen the construction of associations, and through the organization of associations, enable the masses to truly implement self-management, self-education and self-service, and further deepen the autonomous and democratic management of family planning villagers. In deepening the democratic management of family planning, on the basis of this work in 40 administrative villages last year, 20 administrative villages have been added this year, reaching a deepening level of 76%. 30% of village associations collect membership fees.
4. Further improve the interest-oriented mechanism of family planning: ① Continue to implement social endowment insurance and one-time subsidies for rural family planning objects. On the basis of handling insurance procedures and one-time subsidies for 185 families who gave up childbearing in the previous two years, 48 people will be insured again this year and two people will be given one-time subsidies. ② Further implement preferential policies, issue family planning preferential certificate 109 in accordance with the principles of openness, justice and fairness, and strengthen supervision to ensure that family planning families get preferential fees, homestead approval and extra points in the senior high school entrance examination of the new rural cooperative medical system, so that preferential policies can be implemented and the people can really benefit. (3) Do a good job in the distribution of family planning public welfare funds. According to the "Measures for the Implementation of the Family Planning Public Welfare Fund Security System", on the basis of a thorough investigation, five poor family planning families have received family planning public welfare fund assistance this year.
Three, pay attention to publicity and education, pay attention to quality service, and take the road of management according to law.
1, continue to deepen publicity and education and strive to improve the quality of publicity. Family planning publicity and education covers a wide range, with strong policies and poor original foundation. In view of this reality, we have stepped up publicity, especially focusing on the publicity and education of "one law, one case, one law". This year, * * * distributed 600 publicity materials and 3,500 excellent publicity materials, and held a training course on newlyweds and adolescence 12, training more than 800 students. The penetration rate of basic knowledge of family planning among married people of childbearing age is over 95%, which creates a good atmosphere for family planning work.
2. Create conditions to provide quality services. While continuing to do a good job in informed selection, we conducted a comprehensive verification of the objects of informed selection and further implemented measures in accordance with the provisions of the agreement, so that the information feedback of 336 women of childbearing age who have given birth this year is fast and clear. All the measures were put in place, and at the same time, it took more than two months to conduct twice-yearly pregnancy check and gynecological diseases survey for 6077 women of childbearing age in the village, which achieved good results and won the welcome of the masses.
3 to further strengthen the family planning management and administrative law enforcement of floating population, and grasp the source of family planning. In order to do a good job in the management of family planning floating population, we have specially established and improved the working mechanism of combining management with service, re-established the files of floating population of childbearing age, and issued certificates for 4982 floating population (2450 women of childbearing age) and 238 floating population (women of childbearing age 1 19) in the town. The family planning responsibility system was implemented for 35 enterprises as legal persons in the town/KLOC-0, and the responsibility certificate for family planning management of migrants was signed for 2 key enterprises with large migrant population in the town/KLOC-0. In June, specially organized service station staff to go to Hualong Embroidery Co., Ltd. for pregnancy check, environmental check and disease check, serving more than 80 people, which was welcomed by migrant workers. We have improved the "localization" management service mechanism for floating population, truly guaranteed that floating population can enjoy the same family planning service as the population in the registered residence, and created a good service environment for the floating population from outside. At the same time, manage family planning work according to law. This year 12 cases of unplanned birth, 9 cases were filed at home, submitted for trial, decided and levied. And actively promote the quarterly family planning government affairs and village affairs, and accept the supervision of the masses. There is no "seven prohibitions" and administrative infringement in family planning work, which leads to major letters and visits.
4, strengthen the management of population and family planning approval, as far as possible to reduce the trouble of the masses, and constantly deepen the management of convenience window. At the same time, the reproductive conditions were further clarified, the examination and approval procedures were improved, and the time limit for examination and approval was legalized. In the whole year, 57 people were approved for the second child birth index, and there was no violation. This year, 470 cases (137 cases) of various long-term contraceptive measures were implemented, and remedial measures were taken in 84 cases, thus preventing and reducing unplanned births.
In a word, although we have made some achievements through our work in the past year, there is still a certain gap with the requirements of our superiors. We are determined to work hard, actively and strengthen services in the new year to raise the family planning work in our town to a new level.
I'm helping you clean up.
This is also from 2006. You can change it yourself. We all do this.
Under the leadership of the county party Committee, the county government and the propaganda department of the county party Committee, and under the guidance of the higher-level business departments, we persisted in taking Deng Xiaoping Theory and Theory of Three Represents as the guidance, strived to forge ahead, sought truth and be pragmatic, and strived to achieve the goal of "two firsts", which promoted the healthy development of the county's health undertakings.
I. Review of Health Work in the County in 2009
2009 is a year of rapid development of health in this county. The county party committee and the county government attach great importance to health work, and put health undertakings into the important content of the Eleventh Five-Year Plan for national economic and social development, making overall arrangements and careful arrangements. The Standing Committee of the County Party Committee, the Standing Committee of the County People's Congress and the executive meeting of the county government have listened to health work reports many times to help solve problems and difficulties in health work. The leaders of the six teams in the county insisted on going deep into the grassroots, investigating and studying, understanding the situation and guiding the work. Health units at all levels perform their duties under pressure, and create a good atmosphere for the rapid development of health undertakings around the overall requirements of "shaping a new image and realizing new development".
-The prevention and control of infectious diseases has progressed steadily. The county conscientiously implemented the Law on the Prevention and Control of Infectious Diseases, strengthened the prevention and control of key infectious diseases such as SARS, human avian influenza and cholera according to law, improved organizational leadership, formulated prevention and control work plans, and strengthened supervision and monitoring, thus maintaining the stable epidemic situation of infectious diseases in the county. This year, the province issued 64 1 case of new smear-positive pulmonary tuberculosis in our county, and completed 629 cases, accounting for 98.438+02% of the tasks assigned by the province. In the whole year, 238,000 people were vaccinated, and the whole vaccination rate of "Five Vaccines" reached 93.6%. The prevention and control of malaria has been strengthened, and the microscopic examination of patients with fever has been carried out in an all-round way. Fever patients were 67 16, and the positive rate was 5%. Roots should be cut off 1567 people, and roots should be cut off 15 10 people, with a root cutting rate of 96.36%. Through the monitoring of 200 children aged 8-65 with 438+00, the elimination standard has been reached. 268 samples of iodized salt were sampled, and 268 samples were qualified, and the qualified rate was 100%. Implement the policy of "four exemptions and one care" for AIDS patients and infected people. Seriously organized and carried out the investigation of missing reports of infectious diseases. Throughout the year, * * * investigated county and township health units 1 1, investigated 360 cases of infectious diseases, and reported 330 cases, with the omission rate of 8.3% and the timely reporting rate of 9 1%. The ability to respond to public health emergencies has been strengthened, and the only case of human avian influenza in the city has been successfully handled, achieving the goal of no death and no second-generation patients, which provides a positive reference for the prevention and control of human avian influenza in the country.
-New progress has been made in maternal and child health care. Conscientiously implement the maternal and infant health care law and its implementation rules, and strengthen the management of maternal and infant health care technical services according to law. * * * 20,650 medical birth certificates were issued. Pregnant women in the county 10772, with a pregnancy rate of 80%. There are 8 1074 children in custody, and the child care rate is 79.9%. Hospital delivery 1 1784 cases, the hospital delivery rate was 89.9%. The mortality rate of children under 5 years old is 6.28 ‰; The maternal mortality rate is 15/65438+ 10,000; Breastfeeding 1 1078 people, the breastfeeding rate reached 96%. The pace of establishing baby-friendly hospitals was accelerated, and four towns, Gengpeng, Ba Huang, Jiangdian and Yanghu, passed the municipal baby-friendly hospitals. The management of kindergartens was strengthened, and 65,438+0,700 freshmen were examined. Completed the provincial maternal mortality monitoring task as required. The "reduction and elimination" project is being standardized. * * * 106 1 1 maternity assistance cards have been issued, 6,400 pregnant women have been rescued, and 960,000 yuan has been paid.
-The pace of health reform has been accelerated. The reform of disease prevention and control, health supervision system and rural health management system has been further improved, and the responsibilities of disease control, health supervision and rural health work have been well implemented. The pace of personnel system reform has been accelerated. With the support of the county personnel and supervision departments, we openly recruited 10 health professionals to enrich county-level medical institutions; Through the introduction of urgently needed talents, * * * introduced four urgently needed talents, such as computer, accounting, health and epidemic prevention, which completely broke the old pattern of personnel distribution system of personnel distribution and recruitment distribution and laid the foundation for implementing the strategy of promoting medicine through science and technology.
-the special campaign to crack down on illegal medical practice was carried out in depth. All kinds of medical institutions at all levels were inspected 164, 35 illegal medical practitioners were banned, 33 illegal medical devices (pieces) were confiscated, the value of illegal drugs was confiscated 1 100000 yuan, 22 illegal medical billboards were removed, 43 households were rectified within a time limit, 9 practice licenses were revoked, and1was put on file for investigation. We will comprehensively strengthen the rectification of obstetrics and gynecology and B-ultrasound rooms in county and township medical units, revise the working system of obstetrics and gynecology and B-ultrasound rooms, and issue regulations on handling violations of special work. Cooperate with family planning, public security and other departments to crack down on illegal delivery and illegal B-ultrasound market, * * * confiscate 5 illegal B-ultrasound machines and ban 33 illegal delivery points. The medical market in the county has obviously improved and the medical market tends to be standardized.
-Health supervision has been strengthened. Conscientiously implement the "Food Hygiene Law" and the "Decision on Further Strengthening Food Safety Work" of the State Council, comprehensively strengthen the supervision and inspection of food safety in consumption links, implement the responsibility of dicing, put people first, highlight key points, supervise by listing, and carry out quantitative management. In the whole year, 523 food production and business units were inspected, 90 households put forward rectification opinions, and 44 food samples were sampled, 44 of which were qualified, and the qualified rate was100%; 475 new food hygiene licenses were issued throughout the year. Conscientiously implement hygiene laws and regulations such as Regulations on Hygienic Supervision of Cosmetics and Regulations on Protection of Radioisotopes and Radiation Devices, and investigate and destroy unqualified cosmetics 132 bottles; Supervise and monitor 37 CT, X-ray machines and other radiation equipment; Drinking water sampling 10, qualified 10, qualified100%; Physical examination: 1 14 1.
-Blood donation was carried out smoothly. The publicity of "Blood Donation Law" and "Measures for the Administration of Blood Stations" has been further intensified. In the whole year, 3,500 people participated in voluntary blood donation, and the amount of blood donation was 6,000 units. The work of component blood transfusion was further standardized, and the component blood transfusion rate reached 95%; Safety measures such as blood quality control have been strengthened, and the qualified rate of blood supply test has reached 100%, ensuring the timely and safe use of blood in clinic.
The work of rectifying discipline and rectifying chaos in the industry has been carried out in depth. While continuing to carry out the "Year of Medicine Management" activities, we systematically and comprehensively carried out special rectification activities to correct commercial bribery in the field of medicine purchase and sale, improved the organizational structure, formulated the implementation plan, issued clear papers, established a clean government ledger, and carried out in-depth self-examination and self-correction activities in county and township health units. Up to now, health units and health personnel have paid 9350 yuan to the clean government account. Combined with the efficiency construction of organs, health units at all levels have carefully organized and carried out rectification work, and the responsibility system and accountability system have been fully implemented in health administrative law enforcement. County hospitals and county traditional Chinese medicine hospitals insist on bringing centralized bidding and purchasing of drugs into the focus of party style and clean government building and anti-corruption work, and participate in centralized bidding and purchasing of drugs in the city according to regulations. In the whole year, 460 kinds of drugs were purchased by tender, with the amount of 228 1 10,000 yuan, accounting for more than 80% of the varieties and total amount of clinical drugs respectively, benefiting more than 5 million yuan of patients. Combined with the pilot work of the new rural cooperative medical system, the designated medical institutions in counties and townships comprehensively cleaned up the charging items and standards, investigated and dealt with two cases of arbitrary charges, and publicly handled them, educated employees, continuously improved patient satisfaction, and further harmonious doctor-patient relationship.
-New progress has been made in infrastructure construction. Our bureau firmly grasped the project construction wedge machine and ran to the ministries and agencies to win support. Health units at all levels will increase income and reduce expenditure by increasing the burden and pressure of infrastructure construction. In the whole year, * * * strived for project funds120,000 yuan, built or rebuilt 3,700 square meters of medical rooms, and purchased 27 sets (pieces) of medical equipment worth more than 30,000 yuan. County health has played a better role as a rural manpower training base, offering training courses on infectious disease prevention and control knowledge, medical personnel and laboratory inspectors, and training 980 rural health personnel throughout the year.
-the pilot work of the new rural cooperative medical system has achieved remarkable results. As the only pilot county of the new rural cooperative medical system in the city, the county party committee and the county government attached great importance to it, set up high-standard management and supervision institutions, improved the team of township government administrators and designated hospitals, and approved 28 county and township health centers. Through baseline investigation and risk prediction, it was reported to the Provincial Agricultural Association for review, and the county government promulgated the Implementation Plan of New Rural Cooperative Medical System in Yingshang County (Trial). County and township governments and relevant departments take various forms to vigorously carry out the propaganda work of the new rural cooperative medical care policy. There are 9917.08 million farmers and 268,000 farmers in the county, the township coverage rate reaches 100%, the county participation rate reaches 7 1.57%, and the individual financing of farmers reaches 99 1. 1.78 million yuan. County-level financial subsidies of 5.95 million yuan; Municipal financial subsidies of 2.975 million yuan; Provincial financial subsidies of 5.95 million yuan; Central financial subsidy19.8 million yuan. This year 1 month 1 day, the pilot work of the new rural cooperative medical system in our county started as scheduled. All levels and relevant departments earnestly perform their duties and strengthen supervision over the designated hospitals in counties and townships and the use of funds. Up to now, farmers have been provided with 184600 outpatient services. County * * * expenditure funds 15889500 yuan, accounting for 45 14% of available compensation funds.
Hospitalization compensation 14964 person-times, compensation 143 14600 yuan, of which, township hospitals compensated 7240 person-times, with per capita medical expenses of 907 yuan, * * * compensation of 2,696,200 yuan and per capita compensation of 3.72.4 yuan; County-level hospitals compensated 4,438 people, with per capita medical expenses of 2,950 yuan, * * compensation of 4,959,600 yuan, and per capita compensation of 1 17.6 yuan; There were 3,286 hospitalizations in hospitals outside the county, and the per capita medical expenses were 8 186 yuan, with compensation of 6,658,800 yuan and per capita compensation of 2,026.5 yuan. There were 2838 cases of hospital delivery in line with the family planning policy, and the compensation was 634,900 yuan. Family account used 47,000 person-times and spent 940,000 yuan. According to statistics, 432 people received compensation of more than 5,000 yuan in one lump sum or cumulatively, distributed in 357 administrative villages in 30 townships in the county, of which 12 people received compensation of 20,000 yuan. The above data fully shows that since the implementation of the new rural cooperative medical system in our county, the participating farmers have gained tangible benefits, especially the compensation for serious illness, which has alleviated the poverty of some seriously ill farmers and the problem of returning to poverty due to illness. From the key data analysis of the pilot counties of the new rural cooperative medical system in the province, the actual compensation ratio of participating farmers in our county is 30.75%, which is at the upstream level in the province. It can be considered that the pilot work of the new rural cooperative medical system in our county is successful and has achieved the expected results.
-Healthy development of medical and health services. County and township medical and health units have highlighted the theme of hospital management development, constantly improved various rules and regulations, and strictly implemented medical and nursing operation procedures, which has strengthened medical safety. County People's Hospital has always regarded medical safety and quality service as the lifeline of the unit's survival and development. In 2005, there were 82,000 outpatients and 9,942 inpatients, the bed utilization rate was 97.2%, and the total business income was 47 million yuan, an increase of 6.3% over 2005. Conscientiously implement the "Regulations on the Development of Traditional Chinese Medicine in Anhui Province", the county hospital of traditional Chinese medicine adheres to the development model of "specialty-oriented, small comprehensive", with 36,000 outpatient visits and 684 hospitalizations throughout the year, with a total business income of 3.06 million yuan. Township hospitals such as Nanzhao, Bangang, Liushipu, Xia Qiao, Jiangdian, Gucheng, Huangqiao, Xie Qiao, Ba Huang and Jiangkou have a good development momentum. The total number of medical institutions in the county reached 5 1 10,000 person-times, 43,000 people were hospitalized, the utilization rate of hospital beds was 68%, and the total business income was 8 1.43 million yuan, an increase of 29% over 2005.
-comprehensive work was carried out in a down-to-earth manner. Further strengthen the leadership of investment promotion, set up a special investment promotion task force, and introduce 600 thousand yuan of investment promotion project funds throughout the year. Comprehensive work such as comprehensive management, civilization creation, family planning, file management, stable letters and visits, and safe production has been carried out in a solid manner and gratifying results have been achieved.
Second, the main problems and difficulties
First, the situation of infectious disease prevention and control is not optimistic. In particular, the prevention and control of new infectious diseases such as SARS and human avian influenza has a great responsibility and an arduous task.
Second, the rural health infrastructure construction is still weak compared with the county economic development, and the township hospitals are outdated in equipment, lack of talents and lack of management experience.
Third, rural residents have a weak awareness of disease prevention, and the harm of environmental pollution to human health cannot be underestimated.
Fourth, it is necessary to strengthen the material reserve and capacity building to deal with public health emergencies as soon as possible.
Fifth, the pilot work of the new rural cooperative medical system lacks mature management experience.
Sixth, the infrastructure construction of village-level health organizations lags behind.
Three. Working idea of 20 10
20 10 is a crucial year for the health system to rise first. The general guiding ideology is: under the guidance of Deng Xiaoping Theory and Theory of Three Represents, comprehensively implement Scientific Outlook on Development, conscientiously study and implement the spirit of the Sixth Plenary Session of the 16th CPC Central Committee and the 11th Party Congress of Yingshang County Committee, seize the opportunity, take advantage of the situation, deepen the reform, promote the leap-forward development of health undertakings, and realize the first rise of Yingshang Health in the city.
(a) continue to implement the comprehensive target management of health work, strict management, strict assessment, strict rewards and punishments, and promote the orderly development of daily health work.
(two) solidly promote the pilot work of the new rural cooperative medical system, actively be the staff of the county party committee and government, and strengthen the construction of designated counties and townships.
The supervision and management of hospitals and rural cooperative funds, standardize the service behavior of health units, ensure the safe and closed operation of funds, and pay compensation to participating farmers in time. Further publicize the new rural cooperative medical care policy and strive to improve the participation rate. Strengthen the research and investigation of the new rural cooperative medical system, and constantly improve the relevant rules and regulations to ensure the long-term implementation of the new rural cooperative medical system in our county.
(3) comprehensively strengthen the prevention and control of infectious diseases. Conscientiously implement the Law on the Prevention and Control of Infectious Diseases, further strengthen the leadership over the prevention and control of infectious diseases, highlight the key points of prevention and control of SARS, human avian influenza, cholera, hepatitis B and tuberculosis, strengthen measures, clarify responsibilities, be strict in discipline, and do a good job in implementation. Invite the county people's congress to take the lead in carrying out law enforcement inspection of sexually transmitted diseases in the county.
(4) Vigorously rectify the medical market order. Continue to carry out in-depth special actions to crack down on illegal medical practice, promote the process of establishing a new medical market order, and ensure the safety of people's medical treatment.
(5) Strengthen food safety management. Conscientiously implement the "Food Hygiene Law" and the "Decision on Further Strengthening Food Safety" of the State Council, intensify efforts to rectify the catering industry, school canteens and the surrounding environment of schools, and ensure the food hygiene and safety of the broad masses.
(6) Strengthen maternal and child health care. Vigorously publicize the maternal and child health care law and strengthen the management of maternal and child health care technical services according to law. Solidly carry out child health care and pregnancy management. Publicity and implementation of pre-marital medical examination system. Accelerate the establishment of baby-friendly hospitals and strive to create 8 baby-friendly township hospitals. Standardize the operation and management of the "reduction and elimination" project and give full play to the social benefits of the project. Do a good job in the statistical report of maternal and child health.
(seven) to speed up the construction of national debt projects. Strive for the county CDC and the county infectious disease area to be put into use as soon as possible.
(eight) vigorously rectify the industry style. First, vigorously carry out the rectification activities of inaction and chaos in health administrative law enforcement, and establish a good social image of health administrative law enforcement; The second is to carry out in-depth special rectification activities to control commercial bribery in the field of pharmaceutical purchase and sale; Third, comprehensively strengthen professional ethics education in health system and standardize service behavior.
(nine) to strengthen the capacity building of public health emergencies, organize medical personnel training, and hold emergency simulation drills to ensure scientific disposal and calm response.
(ten) run into the ministries and agencies, actively strive for project support, improve the rural health infrastructure construction lag. Increase investment attraction.
(eleven) vigorously promote the construction of village clinics, village clinics with conditions will be included in the new rural cooperative medical service carrier, strengthen supervision, and give play to the role of village health organizations in disease prevention and control.
(12) comprehensively strengthen party building, cadre team building, party style and clean government building in the health system, and comprehensively do a good job in comprehensive management, family planning, safe production, stable letters and visits, civilized creation, and file management.
(thirteen) quality and quantity to complete the tasks assigned by the county party committee and county government.