Investigation report on rural medical and health situation in this county-. Investigation Team of the 22nd Meeting of the Standing Committee of the County People's Congress In order to improve the level of rural medical and health services in our county and meet the basic medical and health needs of farmers, the Standing Committee of the County People's Congress recently set up an investigation team to investigate the rural medical and health situation in the county.
After listening to the report on rural medical and health work in this county, the research team concentrated on hospitals and community medical and health service stations in Beidahu Town, Xiyang Town and Deng Chun Township, and conducted research on the level of primary health care enjoyed by farmers in the county, their basic medical needs and the construction of rural medical security system by holding symposiums and visiting farmers on the spot. Now report the investigation to the meeting of county people's congress directors: 1. Basic situation of rural medical and health care in the county. Our county has 15 townships (districts) and 139 administrative villages with a total population of 40 people. 440,000, of which the agricultural population is 3 1.
1.4 million, the per capita net income of farmers is 2503 yuan, and the per capita health consumption expenditure is about 1.65 yuan. At present, there are 22 non-profit medical and health institutions in our county, including 1 1 county-level medical and health institutions and1township hospitals.
* * * There are 58 social medical institutions and 244 urban and rural community health service stations. There are 1830 health technicians in the county, and the ratio of health technicians to service population is 1:220, which is higher than the national average.
The medical and health institutions in the county have a building area of 30,869 square meters, with 708 beds actually opened, and the ratio of beds to serving population is 1:57 1. Over the past few years, our county has been committed to improving the health quality of rural residents and taking it as one of the goals of building a well-off society in an all-round way. A rural health service system and a preventive health service system adapted to the new situation of health care have been established, and a strong three-level medical and health care network at county, township and village levels has been formed, which has played a positive role in safeguarding people's health and promoting the county's economic development and social progress.
1, improving the construction of medical and health infrastructure. First, strengthen the housing construction of medical and health institutions.
In recent years, the county health administrative department has invested150,000 yuan, rebuilt or newly built county CDC, county maternal and child health hospital, county hospital, county second hospital, county hospital branch, central hospitals such as Beidahu Town, Wanchang Town and Shuanghe Town, and business rooms of general hospitals such as Dagangzi Township, Guanting Township, Yilaxi Town and Sanjiazi Township, with a total construction area of 20,000 square meters. Second, medical equipment has been added and updated.
In recent years, county and township medical and health institutions have purchased a total of 70 sets of large-scale medical equipment/kloc-0, with a total investment of more than 2.5 million yuan/kloc-0. Among them, the county hospital invested 9 million yuan in four years and purchased 34 large-scale medical equipment such as spiral CT machine, automatic biochemical analyzer, color Doppler ultrasound, automatic blood cell counter and microwave therapeutic instrument.
All township hospitals are equipped with X-ray machines, B-ultrasound machines, cardiac motors and biochemical inspection equipment with a capacity of over 100mA, which provides scientific basis for clinical detection and diagnosis. 2. A well-functioning rural health service system has been established.
In order to meet the rural medical and health needs and further improve the rural health service system, in 200 1 year, the county * * * issued the Implementation Plan of Rural Community Health Service in Yongji County. Under the guidance of planning, our county has reformed the management system of township health institutions in accordance with the model of "two-level network and one-level office", set up community health service centers in township health centers to manage the daily management of rural community health service stations in this area, and reformed the original village health institutions into community medical and health service stations.
After four years of construction, at present, there are 244 rural community health service stations in the county (including 8 urban community health service stations), with a coverage rate of 100% and a qualified rate of 80%. Over the years, the rural community medical and health service station in our county has combined paid service with voluntary service, integrating medical treatment, prevention, health care, rehabilitation, health promotion, health education and planned immunization in the community, providing farmers with active, convenient, fast, high-quality and cheap services.
3. The prevention and treatment of infectious diseases and chronic diseases have been strengthened. In order to strengthen the management of planned immunization, in 2003, our county incorporated hepatitis B vaccination into the children's planned immunization program, and the county finance invested 40,000 yuan each year to vaccinate newborns for free.
At the same time, the county health department went deep into six township investigation points to investigate the current situation of human parasitic diseases such as paragonimiasis, clonorchiasis and trichinosis, and investigated 4500 people, which provided a basis for the prevention and control of other diseases. In order to effectively prevent and control tuberculosis, the county tuberculosis control institute implemented the World Bank loan/British grant tuberculosis control project in July 2003, and treated tuberculosis patients found in our county with DOTS, strengthened the training of tuberculosis doctors and BCG vaccinators on tuberculosis prevention and control knowledge, and monitored tuberculin in 30,000 primary and secondary school students in the county.
At present, the incidence of infectious diseases in our county is 254. 23/65438+ 10,000 people, at the middle level in the whole region, and the vaccination rate of "four vaccines" has remained above 98%.
In order to prevent and treat AIDS, the whole region held a working conference on the comprehensive AIDS prevention and control demonstration zone in our county in the first half of this year, and introduced the construction of the comprehensive AIDS prevention and control demonstration community and the experience of AIDS prevention and control in our county. At the beginning of the year, our county completed the construction of the AIDS screening laboratory of the county CDC. In May, our county held a training course for AIDS prevention and treatment teachers, and trained more than 60 people, including the presidents of township hospitals, medical section chiefs, prevention and protection section chiefs and some community health service stations.
At the same time, the results of prevention and control of endemic diseases in our county have been consolidated. Focusing on controlling iodine deficiency disorders, in the first half of this year, our county completed 60 samples of pregnant women's urine and pregnant women's household salt, and monitored 64 samples of household salt and inverted salt in 27 food wholesale departments in the county. 288 samples were tested, and the qualified rate was 100%.
At present, the prevention and treatment of Kaschin-Beck disease, Keshan disease, brucellosis and iodine deficiency disease in our county have reached the national control standard. Through computer programmed management, the total number of women of childbearing age in the county, diseases affecting women's health and their sequence were mastered in detail. Master the number of newlyweds, pregnant women, high-risk pregnancies and maternal deaths.
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