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Personal annual work summary of maternal and child health care 1
This year, under the correct leadership of the local government and higher authorities, and under the leadership of the hospital, the maternal and child health care work in our hospital has fully implemented the Scientific Outlook on Development, with the aim of doing practical things for the people, relying closely on the maternal and child health care law, adhering to the principle of "taking health care as the center, ensuring reproductive health as the aim, facing the grassroots and facing the group", making great efforts to improve the hospital delivery rate and the people's awareness of self-care, and striving to reduce the mortality rate of pregnant women, infants and children under five.
First, the main achievements:
The delivery rate in hospital is 99.4%, and the incidence of maternal death is 0. The incidence of neonatal tetanus is 0; The prenatal examination rate of pregnant women was 9 1%, the detection rate of high-risk pregnant women was 20%, and the hospital delivery rate of high-risk pregnant women was 1 0,000%. The number of children under 7 years old is 947, and the health coverage rate is 9 1 and 7%. Seven village (community) clinics have standardized maternal and child service areas and health education bulletin boards for maternal and child work, and the management of birth medical certificates is standardized.
Second, the main approach:
(1) At work:
1, we take the implementation of seven major projects (pregnancy exemption, birth defects, sterilization, cervical cancer screening, free prenatal examination for pregnant women, health examination for infants aged 0-36, prevention of hepatitis B, syphilis and AIDS) as an opportunity, and take safeguarding the health rights and interests of women and children as our core work. In order to complete the supervision of seven villages throughout the year, master the status of maternal and child health work in the town, and provide village clinics in time. It has improved the service ability and quality of maternal and infant health care technology, reduced maternal and infant mortality and won the trust of society.
2, give full play to the role of the village maternal and child health care group, do a good job of data archiving. Ensure the authenticity, accuracy and completeness of information on women and children at the town and village levels.
(2) Standardize maternal and infant health care services based on the Law on Maternal and Infant Health Care: Our hospital has conducted a comprehensive survey of cervical cancer among rural women aged 35-59, and so far, it has investigated 7 villages 1 0,21person and patients1person. There are 64 people suffering from various gynecological diseases, accounting for 10% of the examined population. This cervical cancer survey has been well received by the masses. Through this close contact with ordinary people, our medical staff further felt the responsibility and burden on their shoulders as maternal and child health care personnel.
(3) Standardize the systematic management of pregnant women and improve the quality of health care services; Establish a health card (manual) for pregnant women. Maternal and child health care personnel at the town and village levels will conduct a thorough investigation of pregnant women within their jurisdiction, and conduct systematic inspection, monitoring and health care guidance according to the inspection items specified in the early, middle, late and puerperal periods, so as to find high-risk situations in time and ensure maternal safety. At the same time, screening and management are carried out in strict accordance with the scoring standard of high-risk pregnancy. Standardized management mode makes no maternal death this year, effectively ensuring the safety of pregnant women. The total number of pregnant women 130, live births 132 and prenatal check-ups 122, with a compliance rate of 93%. 122 postpartum visit; There were 546 deliveries in hospital, with a delivery rate of 99.4%. There were 3 high-risk parturients, and the detection rate was 20%. High-risk hospital delivery occurred in 3 cases, the incidence rate was 100%. There were 0 cases of maternal death, which effectively controlled the maternal mortality rate.
(4) Standardize the systematic management of children and improve the quality of children's health care services; Children's health care was established in strict accordance with the requirements of health management services for children aged 0-6, and a systematic health examination was carried out. There are 947 children under 7 years old 1033 in the town, and the health management rate is 92.4%. There are 407 children under 3 years old who receive systematic management. Nutritional evaluation of children under 5 years old has been carried out, and the actual number is 7 17.
(5) Strengthen the management of maternal and child projects:
1. In the organization and implementation of the project of free hospital delivery for pregnant women in rural areas, we should achieve: standardized management, sound organization, strong guidance and supervision, standardized operation, responsibility to people, wide publicity coverage and household names. At the same time, actively do a good job in the implementation scope of assistance for poor workers and constantly expand the scope of assistance. The hospital delivery rate has been greatly improved, and the avoidable maternal death has been effectively reduced.
2. The birth defect project focuses on increasing publicity, training village-level women and children workers, and mobilizing the whole people to prevent birth defects. More than 200 bottles of folic acid were taken orally throughout the year, and the intervention rate was 53.2%.
(6) Intensify health education and raise people's awareness of self-care: pay attention to the publicity of maternal and child health care, organically combine the knowledge of maternal and child health care with the Law on Maternal and Child Health Care in the publicity process, and really spread it to the broad masses through publicity in a way that the masses like, so that they can know, understand and abide by the law, thus improving their awareness of self-care and consciously participating in health care. On the other hand, the consultation and education work on maternal health care, women's reproductive health, birth defect intervention, infant feeding and other contents is widely carried out in the maternal and child service area of the village clinic. More than 500 publicity materials such as birth defects, immunization during pregnancy and health care knowledge during pregnancy were printed, more than 20 banners were hung, and more than 2 kinds of publicity periodicals/kloc-0 were published. Through effective health education activities, the coverage rate of health education reached more than 85%, which greatly promoted the implementation of the whole maternal and child health work.
Third, the main problems:
1. Although the standardized maternal and child clinic construction in our hospital has been completed and the obstetric hardware construction has basically reached the standard, it has not passed the evaluation and acceptance, and the obstetric related business has not been carried out, which makes it impossible to closely combine maternal and child health care with clinical business and meet the needs of the broad masses.
2. The village-level network is relatively weak, and most epidemic prevention workers are also maternal and child health workers, and most of them are gay, which is not convenient for them to perform their duties as health workers. The backward ideas of the masses still exist, and it is difficult to supplement folic acid. Many pregnant women and their families don't understand, support and cooperate. Due to the poor publicity and unclear foundation of our staff, the incidence of birth defects still exists.
Four, next year's work ideas:
1. Strengthen the health care management of pregnant women among floating population. In 20__ _ _ _ _, taking the opportunity of strengthening the construction of standardized village clinics in _ _ _ _ _ _ communities, we attached great importance to the quality construction of women and children, improved the professional level, strengthened the service awareness, defined the service scope, conscientiously did a good job in the screening of floating pregnant women and the filing of children's diagnosis in this area, kept abreast of the pregnancy situation of floating women of childbearing age, did a good job in high-risk screening, and provided them with the same health care services as local pregnant women.
2, further expand publicity, make full use of various forms of popularization, popularize knowledge of birth defects prevention, increase the prevention and control of birth defects, and strive to achieve a screening rate of neonatal diseases of more than 40%, and a standardized folic acid supplementation rate of pregnant women of more than 55%.
3. Actively promote hospital obstetric services, expand the scope of services, closely combine health care with clinic, strengthen professional and technical guidance, improve service level, and strive to do a good job in the management of maternal and child health care services in this region, so as to contribute to regional economic development, social harmony and family happiness.
Summary of individual annual work of maternal and child health care II
First, maternal and child health care management
(a) Women's health
1. Strengthen the systematic management of pregnant and lying-in women and continuously improve the service level. There are 302 parturients1person, 3050 live births and 2700 system managers in the county, with a system management rate of 88.52%. Prenatal examination was 302 1 time, and the rate of prenatal examination was 99.05%. Postpartum visit was 27 1 1 time, and the rate of postpartum visit was 88.89%. In-hospital delivery was 302 1 case, and the in-hospital delivery rate was 1.000%. There were 455 high-risk parturients, and the detection rate was 65438 05.06%. The systematic management and hospital delivery rate of high-risk pregnant women is100%; There were 6 perinatal deaths, and the perinatal mortality rate was 65438 0.97 ‰. 1 maternal death; No neonatal tetanus occurred.
2. Carry out a general survey of women's diseases to improve women's health. According to the requirements of women's health care, the implementation plan was formulated to carry out the general survey and treatment of gynecological diseases for married women aged 64-64. A total of 25,824 people were examined and 8,596 people were found with various diseases, with an incidence rate of 33.29%. All of them were given corresponding health care guidance and treatment.
(2) Child health care
1, strictly implement the "4.2. 1" physical examination system, and focus on strengthening the systematic management of children aged 0-3, the prevention and treatment of children's "four diseases" and the physical examination of preschool children. There are 237 children under 712 in the county, including children under 5 17367, children under 3 10943 and 3050 live births. There were 2,739 newborns visited, the visiting rate was 89.8%, 23,707 children under 7 years old were managed by health care system, the systematic management rate was 99.98%, and 9,720 children under 3 years old were managed by system, the systematic management rate was 88.82%, hemoglobin 10760, moderate and severe anemia 129, and the prevalence rate was 65,438. The nutrition of children under 5 years old was evaluated. The number of people surveyed was 13665, the number of moderate and severe malnutrition was 4 14, and the prevalence rate was 3.03%. After systematic physical examination, 49 1 frail infants were screened out, and all of them were specially managed. The neonatal death rate was 10, and the neonatal mortality rate was 3.28‰. Infant mortality 13, infant mortality rate 4.26‰, children under 5 years old 17, children under 5 years old 5.57‰. There were 2,794 breast-fed and 2,694 breast-fed. The breastfeeding rate was 96.42%.
2. Strictly implement the Measures for Hygienic Management of Nurseries and Kindergartens in Hebei Province, implement unified management of kindergartens under its jurisdiction, conscientiously implement the system of admission of staff with health certificates and children with health certificates, and adhere to the annual health examination of children and kindergarten teachers in the park. A total of 4597 children were examined in the whole year, and various diseases were found 1028, with a disease detection rate of 22.36%. Kindergarten teachers have health check-ups for 24 1 person, and qualified certificates are issued for 24 1 person. According to the requirements of pre-kindergarten health assessment, a steering group was set up to train kindergarten leaders and health care teachers on children's health care knowledge and epidemiological knowledge for many times. At the same time, we paid close attention to the implementation of various systems, conducted comparative inspections on kindergartens in our jurisdiction one by one, and thoroughly searched for weak links to prevent unsafe incidents such as infectious diseases and food poisoning.
3. Management of birth medical certificate
Conscientiously implement the spirit of the management meeting of the Municipal Bureau of Birth Medical Certificate, hold a special meeting to standardize the issuance management of the Birth Medical Certificate, formulate and issue the corresponding issuance management system in time, clarify the responsibilities and designate special personnel to manage it, and conduct three special inspections on the management and issuance of the Birth Medical Certificate. In the whole year, 32 14 copies were issued, 26 copies were reissued, 1 1 copies were reissued, and 19 copies were printed or filled in incorrectly, and the invalid certificate was recovered in time.
Second, major public * * * health maternal and child projects
Seriously implement major public health and maternal and child projects, timely adjust and formulate project implementation plans and supervision and evaluation plans, regularly supervise and evaluate project implementation scenarios and quality, standardize fund management and use, and ensure earmarking.
1, rural obstetric hospital delivery subsidy project
By the end of 1 1, * * had subsidized 687,700 yuan for 20__ pregnant women, and implemented the county financial reimbursement system, with complete procedures and strict implementation of the project implementation plan.
2, rural married women of childbearing age folic acid to prevent neural tube defects project.
* * * Free distribution of 2181/bottle of folic acid to 3,680 women.
3, AIDS, syphilis and hepatitis B mother-to-child blocking project
Widely publicized in the county, 126 newborns were injected with hepatitis B immunoglobulin for free. On March 24 and May 8 this year, newborns born to pregnant women infected with HIV in our county were given blocking drugs in time under the guidance of the Municipal Maternal and Child Health Hospital, and case management was carried out.
4. "Reduction and elimination" project
Conscientiously carry out health education and publicity activities, make full use of radio and television, blackboard window, distribute leaflets, post publicity slogans and other forms of publicity. * * * Printed all kinds of publicity materials 10, distributed 8 leaflets100, hung 4 banners and posted more than 500 posters10, and the coverage rate of health education reached over 85%. The use of experts in the county, the county technical guidance group to the countryside to guide and hold training courses. Take the mentoring system to train obstetric technicians.
During the year, the experts stationed in the county and the county technical guidance group gave technical guidance for 4 times, and held the "three basics" assessment of obstetric technicians, maternal and child health care personnel and rural doctors in the county 1 time, with a qualified rate of 100%. The project cost in 20 years is 29,000 yuan, of which 29,000 yuan has been used. Among them, personnel training funds are 6,543,800 yuan, and social mobilization funds are 6,543,800 yuan; The funds for experts stationed in the county are 0.4 million yuan.
Third, prevention and treatment of birth defects.
1. Actively publicize the purpose and significance of prenatal screening, and constantly improve the awareness rate and coverage rate of prenatal screening. A total of 258 people were screened for prenatal screening in the whole year, and high-risk population 19 people were screened out, all of which were dealt with accordingly.
2. Further strengthen the management of neonatal disease screening, and set the working goal that the screening rate will reach over 95% within 20 years. County hospitals, county traditional Chinese medicine hospitals and other major midwifery units have also made corresponding progress, taking effective measures respectively and seriously carrying out screening work. 3666 newborns were screened, and the screening rate was 100%.
Four, maternal and child health information management
Further strengthen the management of maternal and child health information statistical reports, determine the information reporting and management personnel, and adopt the combination of on-site guidance and business training to improve the professional level of reporting personnel. Issue special documents to standardize the management of information reporting, establish a statistical reporting system, improve all work records, put an end to omission, misreporting and omission, and strengthen quality control to ensure that all maternal and child health information work is reported in time and the data is accurate.
Problems in verb (abbreviation of verb) and future work plan
(a) problems
The shortage of business premises and basic equipment in county maternal and child health hospitals and the shortage of maternal and child health technicians in township hospitals have restricted the development of maternal and child health in our county to some extent.
(II) Work plan for the next step
Gradually plan the infrastructure construction of maternal and child health hospitals, incorporate the staffing of maternal and child health technicians in township hospitals into the overall planning of health system personnel recruitment, conduct comprehensive research, rationally allocate existing health technicians, strengthen grassroots professional and technical guidance, and improve the service skills of grassroots maternal and child health care personnel.
Summary of individual annual work of maternal and child health care 3
This year, under the correct leadership of the local government and the higher authorities, and under the leadership of the hospital, the maternal and child health care work in our hospital is based on the principle of doing practical things for the people, closely relying on the maternal and child health care law, persisting in taking health care as the center and ensuring reproductive health as the purpose, facing the grassroots and groups, grasping the improvement of people's self-protection awareness, striving to reduce the mortality rate of pregnant women and children under 5 years old and eliminate neonatal tetanus, and making progress in all work. Now, the work situation throughout the year is as follows.
I. The situation of pregnant women and children aged 0-6 years in my town area is as follows:
1, strengthen maternal management. Maternity in our hospital 10, urban maternity 166, registered maternity 155. The delivery rate in hospital was 100%, and the rate of seeing a doctor was 89%. There are 50 high-risk pregnant women and parturients, all of whom are supervised, monitored and followed. There were 660 deliveries in high-risk hospitals.
2.0-6 years old children management: live births, newborn visits, the visit rate was 89%, 2 children under 5 died, the mortality rate was%, 2 infants died, the mortality rate was 12.05%, 2 newborns died, the mortality rate was 12.0%, and children under 7 died 1200. 78 children under 5 years old1person, 744 children under 5 years old, 435 children under 3 years old and 352 children under 3 years old were systematically managed. The systematic management rate under 3 years old was 865,438+0%, stillbirth was 0, neonatal tetanus was 0, and 7 low birth weight infants were born.
Second, continue to consolidate baby-friendly hospitals and promote breastfeeding to pregnant women, their families and even the whole people.
This year, there are 84 breast milk investigators, breast-feeding people and exclusive breast milk. The breastfeeding rate is 89% and the exclusive breastfeeding rate is 64%.
Third, vaccination:
According to the national children's immunization plan, newborn babies are vaccinated with hepatitis B vaccine and BCG vaccine in time.
Four, to carry out cervical cancer and breast cancer screening for women aged 30-60:
With the active cooperation of the Women's Federation of the town government and the female directors of the village committees, 2 19 cases of cervical cancer and TCT sampling were successfully completed, 230 cases of breast cancer were screened by color Doppler ultrasound, and women who needed further examination were actively mobilized to go to the district hospitals for further examination, including 0 cases of cervical cancer and 0 cases of breast cancer. Cooperate with district hospitals to do early detection, early treatment and early prevention of common and frequently-occurring diseases of women to ensure women's health.
Five, conscientiously do a good job in the real name registration of birth.
The birth certificate is managed by a special person, and the birth certificate is issued in time, and relevant information is entered into the real-name birth registration platform in time.
Over the past year, with the joint efforts of maternal and child health workers, basic national public health services have been successfully completed. But there are also many shortcomings. In the future, we will strengthen business study, constantly improve the level of business technology and better serve the broad masses of the people.
Summary of individual annual work of maternal and child health care 4
Over the past year, under the leadership of the County Health Bureau and under the guidance of the County Maternal and Child Health Station, the maternal and child health care work in our hospital has adhered to the working principle of maternal and child health care, adhered to the goal of meeting the health needs of the people, started with standardizing the routine management of maternal and child health care, strictly followed the requirements of the norms and systems of maternal and child health care work, and combined with the actual situation in our township, and strengthened the management of maternal and child health care in towns.
Focusing on the "consumption reduction" project, we will strengthen the systematic management of pregnant women and children in the county, improve the rate of hospital delivery, popularize new delivery methods, adhere to the principle of taking health care as the center and ensuring reproductive health, implement the policy of combining health care with clinic, facing the grassroots, facing the group and focusing on prevention, and strive to complete all the task indicators assigned by cities and counties. Comprehensively promote the development of maternal and child health in the county, and with the efforts of relevant rural staff, comprehensively
First, improve the regular meeting and supervision system and strengthen the management of maternal and child health information.
This year, our hospital has improved the training of maternal and child health meetings and health reduction programs. In strict accordance with the main points of work at the beginning of the year, the regular meeting of maternal and child health care attended by women health care personnel and hospital leaders in each village was held, and business training was also carried out. Throughout the year, * * * held 12 regular meetings and conducted 2 trainings, with a total of 28 participants. Strengthen the supervision of maternal and child health work from county to township, township to village, establish and improve the basic data and supervision records of maternal and child health, standardize the quarterly reporting time of maternal and child health, and further improve the accuracy, timeliness, logic and science of maternal and child health information.
Second, carry out health education in depth
In order to improve the national health awareness and self-care awareness, our hospital has carried out all-round, multi-channel and multi-level health education, focusing on women as the core, family as the place and family members as the main target. On the one hand, by hanging health education publicity columns in health centers and village clinics, health education was carried out in the homes of visiting people in the county.
On the other hand, the health classroom in our hospital is regarded as the position to carry out health education all the year round, and health education with emphasis on prenatal examination and health care is carried out. During outpatient consultation and pregnancy examination, CDs are played for pregnant women and caregivers, and on-site consultation is conducted. Third, take the opportunity of "going to the countryside" to carry out health education and free consultation in the main streets, distribute three kinds of health education materials 1400, hang 2 banners (times), and post more than 20 propaganda slogans and posters. Through effective health education activities, the coverage rate of health education has reached over 85%.
Third, find the right starting point and adhere to "one law and two cardinal guides"
Based on the principle of "one law and two schemes", our hospital carries out women's health care, children's health care and maternal health care, strengthens the construction of "three-level network", forms the linkage of "two-level countryside", takes into account the health service pattern at the bottom of the network, and improves the medical quality.
1, female health care
There are 4452 women over 0/5 years old in my hometown, including 2935 women of childbearing age aged 15-49, with 99 live births 100, 99 people in the birth management system and 99 people in hospital, and the delivery rate in hospital 100%. 99 women gave birth through the new method. In order to strengthen the health care during pregnancy, improve the delivery rate in hospital, screen high-risk pregnant women at an early stage, implement project management, and fundamentally reduce the maternal mortality rate, this year, the township maternal and child health care personnel in our hospital extended their work focus to every pregnant woman's home to provide health care services, further strengthening maternal and child safety.
In order to further control the prevalence of gynecological diseases and improve the health status of rural women in their hometown, our hospital conducted gynecological disease investigation, health education and health care guidance on 1466 married women this year, including 1 19 cases of inflammation and19 cases of treatment. 78 cases of cervicitis and 323 cases of other gynecological diseases were treated.
2. Child health care
There are 692 children aged 0-7 in my hometown, including 0-year-old children 100, 5-year-old children10, and 3-year-old children14, including 4 low-birth-weight infants, the incidence of low-birth-weight infants is 0.4%, and the total number of perinatal deaths is 0, completing 6/kloc-.
3. Reduce work
According to the requirements of the higher authorities, notify each parturient who gives birth outside the county to take relevant documents to the county maternal and child health care station to receive project subsidy funds. Do a good job in the propaganda of consumption reduction projects. 25 people were born outside towns and counties this year. Up to now, 24 people have been reimbursed (including 8 secondary subsidies) with the amount of 1.465 million yuan. One of the patient's family members lost the relevant invoice and there was no way to compensate.
Third, the existing problems
1. Due to its large jurisdiction and inconvenient transportation, it is impossible to conduct postpartum visits in time.
2. Some pregnant women have a weak awareness of health care, do not pay attention to prenatal examination and postpartum visit, and the awareness rate of health education knowledge is low.
Children's health care in the 3.0-year-old group lags behind. Because parents don't understand health care, some children's health care work can't keep up with the requirements.
20 1 year work plan
1 and 20 1X the focus of maternal and child health care work is to adhere to one law and two policies, strive to improve the delivery rate of pregnant women and the management rate of two systems, and reduce the mortality rate of pregnant women and children under five years old.
2, further adhere to and carry forward the team spirit, strengthen the construction of women's and children's specialist and rural women's health care personnel, so that the work of women's and children's health care in our township will leap to a new level.
Summary of individual annual work of maternal and child health care 5
In the past 20 years, with the support of the superior departments and the leaders of our hospital, the maternal and child health care work in our hospital has made certain achievements, which are summarized as follows:
1. The total number of parturients in the town is 494, and there are 494 live births, among which 494 are delivered by new methods, of which the new method delivery rate is 100%, the hospital delivery rate is 100%, 50 high-risk parturients, 50 high-risk managers and the high-risk management rate is 100%. 356 people were helped by poverty.
Second, four regular meetings between hospitals and rural doctors were held throughout the year, and combined with the regular meetings, some common and sudden diseases were trained in first aid, basic treatment and referral. Four sessions were held throughout the year to conduct education and publicity in the form of outpatient consultation.
Third, do a good job in perinatal health care, including prenatal examination and postpartum visit. 494 people set up files and set up cards, with a filing rate of 100%. There are 494 people who have done prenatal examination, including 464 people who have filed documents in the first trimester, 93.9% who have done prenatal examination 100%, and 474 people who have visited postpartum, with a postpartum visit rate of 95.9%.
Fourth, do a good job in pregnancy care, including early pregnancy examination and pregnancy examination. The number of early pregnancy check-ups was 5 18, the early pregnancy check-up rate was 68.2%, the pregnancy check-up rate was 759, the pregnancy check-up rate was 100%, the HMB subsidy number was 443, and the folic acid distribution number was 249.
Five, this year, our hospital carried out free physical examination for children aged 0-6 years old. There were 3,020 children to be examined, and 1747 were actually examined, with a physical examination rate of 57.8%. All the children found in the examination were treated, and all the shortcomings were given health care guidance.
Six, carry out family planning activities, do a good job of prenatal and postnatal care, including 9 cases of IUD release, 3 cases of IUD removal, 26 cases of induced abortion, all without accidents.
Seven, standardize the construction of obstetrics, strengthen the quality management of obstetrics, do a good job in the training of pregnant women and village health workers, strengthen the training of obstetrics and gynecology personnel in our hospital, and continuously improve the number of married women of childbearing age.
Eight, women's health care, grasp the number of married women of childbearing age, combined with outpatient service to carry out women's general treatment. Nine, while making some achievements, there are still many problems, such as the shortage of certified personnel in obstetrics and gynecology, our hospital is located in a remote mountainous area, the traffic is inconvenient, the public awareness needs to be improved, and our equipment needs to be increased. We will strive to improve and solve these problems, strive to raise the delivery in our hospital to a higher level, and do a better job in maternal and child health care in our town.
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