Review of 20** years' work
The past 20** years have been a fruitful year for all kinds of work in our hospital. The two committees of our hospital led Qi Xin, a cadre and worker of the whole hospital, to work together, conscientiously implement the "two basics and one law" and the spirit of the provincial, municipal and county health work conference, closely focus on the work of the hospital center, adhere to the medical care as the center, rely on the clinic, earnestly perform the functions of maternal and child health work, and Qi Xin worked together and dared to explore to meet the health needs of women and children in the county. A lot of work has been done to improve the health level of women and children and the quality of the birth population, which has provided a strong guarantee for the healthy and orderly development of maternal and child health care and hospitals in our county, and the social and economic benefits have been significantly improved. The park has completed all the tasks set at the beginning of the year. The specific work is summarized as follows:
1. Significant achievements have been made in maternal and child health care.
1. The systematic management of pregnant women and children has achieved new results. In the whole year, the systematic management rate of pregnant women and the filing rate of health records increased to 965,438 0.24%, the systematic management rate of children increased to 87.25%, the delivery rate in hospital was 99.98%, and the maternal mortality rate was zero, achieving a historic breakthrough, with the mortality rate of children under five years old being 7.78‰.
2. The first aid system for pregnant women and children is sound. Strictly implement the responsibility system for first diagnosis and the three-level referral system, set up the county people's hospital as the maternal emergency center, set up the county-level obstetric emergency leading group and technical guidance expert group, and be fully responsible for maternal emergency guidance and emergency organization and liaison. In 20** years, remarkable achievements have been made in the first aid work for pregnant women. A total of 23 critically ill and high-risk pregnant women were rescued, and the rescue success rate was 1.000%, achieving zero maternal death. Throughout the year, 2 critically ill pregnant women at county level were reexamined, and 5 critically ill women were reexamined. Invite municipal participation, and summarize and promote the experience of obstetric first aid in time. The overall first aid level of county-level obstetricians has been significantly enhanced. Standardize the three-level referral of children, smooth the green channel of first aid, increase the training of neonatal asphyxia resuscitation, and innovate the training mode, which effectively controlled the death of newborns. 86 critically ill children were rescued in the whole year, and the success rate was 98%. The ability of first aid, transportation and management of children was obviously improved. In 200 1 year, two neonatal deaths were reexamined, and 4 cases were reexamined, so as to further improve the emergency medical system for children and improve the reexamination mechanism.
3. The management of high-risk pregnant women is rigorous and orderly. In strict accordance with the requirements of "Measures for Systematic Management of Pregnant Women in XX County" and "Measures for Classified Management of Pregnant Women in XX County", we will carry out quarterly supervision of maternal and child health care and actively carry out village-level maternal health care contracting services. The signing rate was 9 1. 12%, the quality of maternal health records was significantly improved, the data was updated in a timely, complete and standardized manner, and the distribution rate of maternal health manuals was 97.68%. There were 8504 pregnant women in the whole year (1822 people went out), and 6642 high-risk pregnant women were reported. Follow-up cases of high-risk pregnant women were established, supervised by special personnel and reported step by step. The management of high-risk pregnant women in the county is strict and orderly, and timely detection, timely reporting, timely referral and timely treatment are truly achieved.
4. The three-level maternal and child health care network is sound, and the efficiency of maternal and child health care at the grassroots level has been significantly improved. There are 8 people engaged in group health care in our hospital, 23 full-time maternal and child health care workers in each township and 435 village health care workers, and each county-level hospital and three private hospitals has 1 information officer. The above-mentioned personnel signed a letter of responsibility at the beginning of the year, and the work was carried out in a way of combining tasks and responsibilities. The women and children's team members are young and enthusiastic about their work. The information exchange and resource sharing between counties and townships have been realized, and the monitoring, collection, collation, statistics, analysis and reporting of women's and children's health-related information have been done well, ensuring the truthfulness, reliability, accuracy and timeliness of women's and children's information reporting, and providing a scientific basis for health administrative departments to make decisions on women's and children's health.
In the 20** annual assessment of comprehensive target management of maternal and child health in XX city, our hospital has made remarkable achievements, ranking first in the whole region and highly recognized by the competent departments of cities and counties.
Two. Major maternal and child public health projects have been steadily advanced.
1. Strictly implement the basic service package for hospital delivery of pregnant women in rural areas, and conscientiously do a good job in hospital delivery subsidies. In accordance with the provisions of the basic service package, complete all the items of the basic service package, conscientiously implement the lump-sum standard for hospital delivery of single diseases, adopt "one-stop" cost settlement, increase publicity and mobilization, and do a good job in supplementary work. Annual subsidy 13329 people, making up the difference of 7409 people. The subsidy rate was 1 16.93%, and the subsidy amount was 4,054,980 yuan, helping 32 destitute people. The amount of aid 10359 1.5 yuan, and the subsidy work was put in place in time.
2. Continue to carry out the free "two cancers" survey of rural women to reduce the incidence and mortality of "two cancers". In June, our hospital began to conduct "two cancers" screening for married rural women aged 20-64 in six towns including Tang Yan and Hukou. Cervical cancer 19697, with 8022 patients, with a prevalence rate of 40.73%. Among them, there were 33 precancerous lesions, 5 cervical cancers and 7500 benign lesions. 20 13 people screened for breast cancer, and 3 cases were diagnosed as breast cancer and 527 cases as benign lesions. All patients were given corresponding guidance and treatment, and case follow-up was established. The continuous development of the census has realized the early detection, early diagnosis and early treatment of common and frequently-occurring diseases among women, and greatly improved the self-care awareness and health level of rural women.
3. The system for preventing mother-to-child transmission of AIDS, syphilis and hepatitis B is sound, and the project is progressing smoothly. It is mainly to strengthen the monitoring during pregnancy and improve the detection rate during pregnancy. The detection rates of AIDS, syphilis and hepatitis B during pregnancy were 97.74% respectively. 94.42 percent and 95.42 percent; Among them, AIDS 1 person was diagnosed, and pregnancy was terminated in early pregnancy; 12 people were diagnosed with syphilis; 1297 people were diagnosed with hepatitis B. All the positive subjects were followed up, and the online direct report was complete and timely.
4. Grasp the three-level preventive measures to effectively control birth defects. First, the quality of premarital examination has been steadily improved, and the premarital examination rate has reached 86.30%. The second is to strengthen the health education of folic acid before and during the early pregnancy, standardize the management, storage and gradual distribution of folic acid, and effectively prevent neural tube defects. The annual free folic acid supplementation rate was 99.64%, and the compliance rate was 70. 14%. The third is to further strengthen the construction of screening room and training of screening knowledge, supervise blood sampling inspection and do a good job in link management. The annual screening rate was 70.73%, which was significantly higher than last year. Fourth, seriously carry out screening of neonatal diseases to effectively prevent children from falling behind in intellectual and physical development. Blood collection personnel hold relevant certificates and assign special personnel to manage positive children. The quality of blood samples is improving year by year. The annual new screening rate was 99.04% (institutions), and 7 children were diagnosed, including 6 cases of hypothyroidism, 7 cases of phenylketonuria 1, and 7 cases of treatment. Fifth, do a good job in newborn hearing screening to realize early detection, early diagnosis and early intervention of children's hearing impairment. The annual neonatal hearing screening rate (institution) was 98.7 1%, the screening process was standardized, and the personnel were employed according to their qualifications, and they received special supervision at the municipal level twice and supervision at the county level three times. The problems were rectified in time, which effectively ensured the quality of hearing screening.