Summary of maternal and child work in 20 17 years 1 20xx years, under the correct leadership of county health and family planning bureau, disease prevention and control center and maternal and child health hospital, XXXXXXX public health department strictly implemented the "20 1 165438 national basic public health service standard" and the spirit of various documents of superior business departments, and strictly grasped basic public health.
I. Implementation of 1 1 National Basic Public Health Service Project
(A) the work of residents' health records
According to the deployment requirements of the superior business department, our hospital strengthens organizational leadership, implements work responsibilities, increases publicity, and actively improves residents' awareness of filing. Our hospital adopts the filing method of home visits and outpatient filing as a supplement to ensure the authenticity of files. By the end of 20xx65438+February, there were more than 3,900 new residents' health records in 2/kloc-0 villages in the jurisdiction, and the total number of paper files of family health records established by residents in the jurisdiction was 452 13, with a filing rate of 94. 55%; Newly recorded electronic files 1829, totaling 3889 1 person-time, and the filing rate of electronic files was 86. 0 1%; 2 1 village went to the health center village by village to modify the contents of paper files (including ID number, blood type, contact number, education level, height, weight and other information), which has been basically completed; According to the revised paper file, the electronic file is modified, and the information update of 2 1 village electronic file is in progress.
(2) Health education
1, health centers set up two publicity columns in 20xx, and 2 1 village clinics set up 2 1 publicity columns. There are 23 publicity columns in the whole town. 20 1x, the health center changed the publicity column 12 times, and the clinic changed it 126 times, totaling 65,436 times.
2.20xx years, the public health department produced more than 20 kinds of health education publicity materials such as common diseases, chronic diseases, prevention and treatment of infectious diseases, and residents' health files, and distributed 29,007 publicity materials throughout the year.
3. By the end of 20xx20x65438+February, the public health department of our hospital had given lectures on health knowledge such as prevention and treatment of hypertension and diabetic psychosis 12 times, with 230 participants, health education publicity and consultation 12 times and health education staff 21kloc-0/8 times. Village clinics carry out/kloc-0 health knowledge publicity and consultation every month, and carry out/kloc-0 health education lectures every two months. By the end of 20xx, village clinics had given lectures 126 times, publicized and consulted 252 times, and received health education for 7 106 people.
In 4.20xx, the supervision of health education in village clinics will be strengthened, and members of public health departments will go to village clinics to carry out health education inspections every month. Through unremitting efforts, make my town residents' health awareness and personal
Good living habits, home environment and sanitary environment have been improved.
(3) Vaccination service
From the beginning of 20xx 65438+ 10 to the end of 20xx 65438+2, 328 children were born in the administrative village of 1 1 in our town, and 328 people established cards and certificates, with a certificate establishment rate of100%; * * * 859 people were vaccinated with hepatitis B vaccine, including sugar pill 1762 people, pertussis 187 1 person, leprosy 488 people, measles 528 people, group A+group C112.
20xx During the centralized detection and reseeding of measles vaccine in our county from 10 to 3 1 spring, a total of 1604 people were found, and 38 children missed the vaccination, including 28 children who were initially immunized 10 and reseeding. This activity has been successfully completed.
On April 25th, 20xx, according to the requirements of the superior documents, the National Children's Vaccination Day was arranged in a unified way, and a publicity campaign was carried out for a period of 1 week, mainly to publicize the significance of expanding the national immunization program and standardizing vaccination clinics for children's vaccination, and to publicize it through radio, publication of publicity materials, various meetings and other forms, so as to win the concern and support of the broad masses of the whole society for immunization programs.
20xx September 1 In the inspection of vaccination certificates for kindergarten children and children newly enrolled in autumn, 7 teachers in charge of each school were trained, and 7 primary schools and 6 kindergartens in this area were inspected 143 1 person, of which 44 people made up the certificates, and 9 1 person missed the seeds, including 6 doses of sugar pills and 50 doses of DTP.
20xx 65438+ 10 month, at the request of the Health and Family Planning Bureau, measles vaccine seed leakage activities were carried out, and 5 notices, 2 banners and 50 slogans were distributed to villages. In this activity, 2348 people were thoroughly investigated, 55 people missed the first dose of measles vaccine, and 54 people were actually vaccinated. After the second administration, 25 seeds were missed and 25 seeds were planted.
Management of children aged 0-6.
By the end of 20xx65438+February, our town had managed 4,337 children under 6 years old, 3,406 children under 5 years old, 3 children under 3 years old 1807, 3 children under 5 years old died, 520 children were newly managed, and 4 children were covered by health care, with a coverage rate of 96%. The number of children systematically managed is 2733, and the systematic management rate is 63%. High-risk infants 125, physical examination 2378. At 6, 8, 12, 18, 24 and 36 months, each child was given TCM health guidance. By the end of 20xx 12, * * * had given guidance to 8 16 children aged 0-3 and 23 children aged 4-6.
(5) Maternal health management
By the end of 20xx65438+February, there were 894 new pregnant women in our town this year, including 684 pregnant women with 2 10, and 849 pregnant women and 3396 pregnant women were followed up before delivery, with a follow-up rate of 95%. There were 657 postpartum visits, and the visit rate was 100%.
It's 96. 1%; 42 days after delivery, 657 people were examined, and the examination rate was 96. 1%; High-risk pregnant women 2 19, project management 2 19, management rate 100%. 5442 bottles of folic acid were distributed, and the coverage rate of folic acid was over 90%.
20xx May-10 Completed the screening of rural women for cervical cancer, * * * checked 599 people, and mobilized 80 people to the county maternal and child health hospital for breast cancer screening.
We will continue to do a good job in monitoring maternal deaths, deaths of children under five years old and birth defects, strengthen information quality control, carefully collect information on maternal and child health care, and report monthly and annual reports on maternal and child health care on time to effectively ensure that information and data are comprehensive, objective, accurate and reliable, and provide a basis for government decision-making.
(6) Health management services for the elderly
1, combined with the established residents' health records, register and manage the elderly aged 65 and above in our town, and conduct 1 free health risk factor investigation, general physical examination and fasting blood glucose test for all registered elderly people, and provide health guidance such as self-care, injury prevention and self-help. By the end of 20xx65438+February, there were 5070 elderly people over 65 in our town, and 4894 elderly people were managed, with a management rate of 96. 53%, 1906 physical examination of the elderly in that year, with a physical examination rate of 37. 59%, physical examination accounted for 38% of management. 94%。
2. Carry out health intervention for the elderly. The elderly who have been diagnosed with hypertension and type 2 diabetes are included in the corresponding chronic disease patients for management; Follow up the elderly residents who have risk factors and are not included in the management of other diseases regularly, and inform them to receive the next free health examination one year later, including blood pressure, blood sugar, blood routine, urine routine, liver function, renal function, B-ultrasound and electrocardiogram.
3. Home visits. Every Monday to Friday, we will arrange home visits to villages, fill in the record form of traditional Chinese medicine service for the elderly, and tell them to have a physical examination next year. Patients with hypertension and diabetes will go to the village clinic to measure their blood pressure and blood sugar free of charge and receive 1 visit every three months.
By the end of 20xx65438+February, our hospital had registered 4894 elderly people aged 65 and above. And enter it into the resident electronic health record system as required.
(7) Health management of patients with hypertension
65438+
2. Register and manage the diagnosed hypertension patients, provide 4 face-to-face follow-up visits every year, and enter them into the resident electronic health record system as required. Every follow-up, ask about the patient's condition, measure blood pressure, check up, and give health guidance according to medication, diet, exercise and psychology.
3. Carry out 1 free health check-ups every year for hypertensive patients under management, including general physical examination, blood pressure, blood sugar, etc.
By the end of 20xx65438+February, our hospital had registered, managed and provided follow-up for 603 hypertensive patients1person. It has been entered into the resident electronic health record system as required.
(8) Health management of patients with type 2 diabetes.
1. Patients were found through physical examination, blood sugar screening for high-risk groups, and inquiries during the establishment of residents' health records, and registered in the register of diabetic patients.
2. Register and manage the diagnosed patients with type 2 diabetes, and provide face-to-face follow-up at least four times a year. During each follow-up, we should ask about the condition, measure fasting blood sugar and blood pressure, and provide health guidance such as medication, diet, exercise and psychology.
3. Free physical examination (including general physical examination, fasting blood glucose test and blood pressure measurement) is conducted for registered patients with type 2 diabetes every year 1 time.
By the end of 20xx65438+February, the diabetic patients 1356 registered, managed and provided with follow-up in our hospital have been entered into the residents' electronic health record system as required.
(9) Managing patients with severe mental illness
In 20xx, the total number of patients with severe mental illness in our town was 174, including 148 in charge, 2 in charge, 24 in death, 4 in lost follow-up, and 148 in standardized management. In July this year, the whole town began to carry out special investigation activities for patients with serious mental disorders such as seeking trouble, and 60 patients with severe semen were newly found to be under management. This year, 148 patients with severe mental illness were followed up for 4 times, and the standardized management rate reached 100%. The information has been entered into the public health regional platform, the online reporting system for chronic diseases and the national management system for severe mental illness; At the same time of each follow-up, give rehabilitation guidance and do a good job in online reporting. Provide/kloc-0 free physical examinations (general physical examination, blood pressure, blood sugar, weight, blood routine (including white blood cell classification), transaminase and electrocardiogram) for patients with severe mental illness every year.
(ten) infectious diseases and public health emergencies reporting and handling services.
1. By the end of 20xx65438+February, 33 cases of infectious diseases were registered and reported in our town, with a reporting rate of 100%, and 33 cases were reported in time, with a timely reporting rate of 100%.
2. By the end of 20xx65438+February, there were no public health emergencies in our town.
(eleven) Chinese medicine health service management.
In strict accordance with the arrangements made by the Health Planning Commission for the construction of the Chinese medicine demonstration area, our town health center organizes the Chinese medicine health management service, so that the Chinese medicine health management service can better serve the broad masses of the people in the jurisdiction. Town hospital
Carry out health education 1 time every month, and focus on Chinese medicine knowledge. Carry out TCM health management service for every elderly person over 65 years old, fill in the Record Form of TCM Health Management Service for the Elderly, identify their physique, and give TCM guidance according to their different constitutions. By the end of 20xx65438+February, children aged 0-3 years had been instructed in Chinese medicine for 8 times, children aged 4-6 years for 23 times, pregnant women for 24 times, parturient for 393 times, elderly people over 65 years old for 2645 times, and patients with hypertension and diabetes for132 times.
Second, the difficulties in the work of basic public health service projects
Although the basic public health service project in 20xx has achieved certain results, there are also the following difficulties:
(A) the lack of capital investment in basic public health services and the shortage of staff and office equipment in public health departments have restricted the development of basic public health services.
(2) The lack of talents and general practitioners has affected the progress of basic public health services.
(3) There is a gap in residents' understanding of basic health services, so it is difficult to file files at home and actively cooperate with follow-up.
Third, the next work plan
(1) Strengthen publicity, earnestly carry out basic public health service projects, and gradually change the outdated concepts of community residents through publicity-attraction-re-publicity, and encourage them to voluntarily participate in community health services.
(two) to strengthen the construction of professional and technical team, improve the level of basic public health services.
(C) supporting a reasonable incentive mechanism to improve the enthusiasm of employees.
(four) the implementation of service standards, strengthen the construction of rules and regulations, and promote the sustained and healthy development of basic public health services.
Under the supervision and guidance of county health and family planning bureau, CDC and higher authorities, XXXXXXX Public Health Department will work harder, be more active, keep pace with the times, organize constantly, and strive to do all the work better with innovative thinking.
20 17 summary of maternal and child work 1 adhere to the guidance of Theory of Three Represents theory, closely focus on the central work and medical quality management in hospitals, strengthen connotation construction, run hospitals according to law, practice according to law, improve rules and regulations, establish a long-term mechanism for hospital management, and do a good job in ideological construction, organizational construction, work style construction and spiritual civilization construction of employees; Successfully completed the scheduled work plan, with frequent highlights, achieving a double harvest of social and economic benefits. The work in the past six months is reported as follows:
1. In order to better carry out the activities of studying and practicing Scientific Outlook on Development, the Maternal and Child Health Hospital has refined the activity carrier according to the requirements of the flag committee's activities of studying and practicing Scientific Outlook on Development, combined with the staged characteristics of my own development, and the content is "Grasping medical quality, ensuring medical safety, caring for people's livelihood and promoting harmony", which is a summary of the work of women and children for half a year.
"Grasping medical quality" means strengthening the social responsibility of "saving lives by treating diseases" and "teaching and educating people", taking quality as the lifeline of the survival and development of medical and health institutions, providing first-class medical services for the people and creating first-class management benefits.
"Ensuring medical safety" means putting medical safety in the first place, regularly carrying out medical safety education, strengthening the construction of medical ethics and ensuring medical safety.
"Paying attention to people's livelihood and promoting harmony" means adhering to the people-oriented principle and accelerating the pace of building a harmonious medical insurance center. Do a good job in two aspects with humanized management: first, take the patient-oriented problem of "difficulty in seeing a doctor", which is strongly reflected by the people, as the core and focus of the work, build a harmonious relationship between doctors and patients, and give appropriate help to disabled and particularly difficult patients. Solve their medical difficulties. Second, adhere to people-oriented, constantly improve the material and cultural living standards of hospital employees, including retired employees, and build harmonious internal relations, including harmony between the party and government, harmony between cadres and the masses, and harmony between doctors and nurses.
Second, the quality of work for half a year:
This year, the institute strives to improve the image of the outside world, strengthen the quality of the inside world and provide quality services. The business volume of the institute has increased rapidly, reaching a record high.
Outpatient visits in half a year: 2,886 in pediatrics, 2 1.80 in gynecology and 56 in IUD release. Within half a year, 5 12 cases were hospitalized, including 239 cases of delivery and 268 cases of operation, including 65438 cases of cesarean section. Total income for half a year 1, 29276 1. Compared with previous years, 77 yuan has increased.
Third, the new leadership team was established, and the team was United and pragmatic, and all work was steadily implemented.
In May 2009, the new leadership team of our hospital was established. The new leadership team is United and pragmatic, and its members are of one mind and one mind. They worked hard, led the hospital staff to do a lot of work, and completed all the work well.
The new team conscientiously implements the principles and policies of the superior, and implements the decisions and mandatory work of the director and the director's office meeting. Strictly implement the regular meeting system, adhere to democratic centralism, correctly handle major issues, unite and cooperate, and give play to the core role of leading bodies; Be honest and self-disciplined, and strengthen the team's own construction. Implement the principle of grading responsibility system and who is in charge and who is responsible; Optimize the construction of middle-level cadres, hold training courses for middle-level cadres, and improve their management level and execution. Leading bodies should cooperate with each other and give full play to the role of team members.
Four, vigorously carry out maternal and child health care services, and guide the grassroots to carry out maternal and child health care work.
Since the beginning of this year, all maternal and child health care workers in our hospital have carried forward the spirit of unity and dedication, adhered to the implementation of one law and two programs in accordance with the maternal and child work plan of the Banner Health Bureau and the Municipal Maternal and Child Health Hospital, and actively carried out their work, successfully completing various maternal and child health care work under the difficult overall situation.
(a) to perform the duties of maternal and child health care technical training, and to guide the grassroots to carry out maternal and child health care work.
In May this year, our hospital organized a supervision team to supervise and inspect the maternal and child health care work in 23 towns and villages in the whole banner. The contents of the examination include the organization and management of maternal and child health care, the management of two systems of children's ship care, the monitoring of three networks, the mother-to-child transmission of AIDS, the prevention of birth defects of newborns and the management of mother-to-child information. Made a summary of the work. In the past three years, the management rate of pregnant women, the management rate of children under 3 years old and the delivery rate in hospital have increased year by year, reaching 89.5% in 2007 respectively. 73%、9 1。 86%、、98。 62%; The mortality rate of children under 5 years old, infant mortality rate and neonatal mortality rate decreased to: 13 respectively. 8 1‰、、 10。 8 1‰、8。 4 1‰; Maternal mortality is controlled within the scope prescribed by the state.
(two) to carry out community maternal and child health care, explore new ways of community health care.
Facing the new situation, new opportunities and new challenges, the Institute held special meetings for many times, mobilized women and children to make suggestions and suggestions for community maternal and child health care, conducted in-depth investigations in various offices and communities, communicated with relevant personnel, and grasped the first-hand information of community maternal and child health care, such as conducting health education in Yude community, conducting general surveys and treatments for women's breast diseases, and conducting health examinations for children.
5. The "Mother's Health Express" project is a large-scale public welfare project vigorously promoted by the China Women's Development Foundation, aiming at providing poor rural women and urban migrant women with health concepts, health knowledge and health services, and improving women's health level. Therefore, I took the opportunity of implementing the "Mother's Health Express" project, and at the same time launched activities to protect women's and children's health rights and improve the quality of the birth population, so that "children first, mother's safety" became the knowledge of the whole society, and maternal and child health was protected by legal means, so that mothers and children could obtain efficient and high-quality health care services and promote the work of women and children in our city to meet the requirements stipulated in the "Eleventh Five-Year Plan". At the same time, taking this activity as an opportunity, we will organically combine with the work of spiritual civilization construction, medical ethics education, civilized quality service and work style construction in the hospital, establish a new trend of industry civilization, "send health concepts, health knowledge and health services" to women and children, and make good use of the "Mother Health Express".
Six, standardize the operation of the "restore" project. While fully implementing the implementation plan of the "reduction and elimination" project, we should conscientiously do a good job in the relief work for poor pregnant women, actively explore and seek truth from facts, repeatedly revise and formulate a set of effective measures for the management of relief funds, and standardize the operating procedures and workflow of the "reduction and elimination" project. Increase assistance to poor pregnant women, and go deep into the homes of poor pregnant women for direct assistance, guidance, free clinic and publicity. In the first half of this year, poverty alleviation reached 37 1 person-time (including 90 poor people), and the amount of assistance was 144870. 00 yuan.
Seven, strengthen the construction of talent team, enhance the competitiveness of the institute.
The development of research institutes is largely a competition for talents. College leaders attach great importance to the construction of talent team. In order to cultivate and reserve high-level talents, our hospital recruits urgently needed professional medical and nursing talents for the whole country to fill the gap of insufficient business personnel in the hospital. This year, the hospital carried out the spirit of the document on the separation of evaluation and employment, and linked employment with business level and work performance to ensure merit-based employment. The college also attaches great importance to the continuing education of employees and the training of college talents. This year, the institute has implemented new measures, and all departments of the original business personnel in the hospital are ready to send them out for further study in batches to learn new knowledge, master new technologies and improve their professional and technical level.
(1) Defining the functional orientation of the maternal and child health care service system. Give full play to the specialties and advantages of health care specialty, carry out new projects and strengthen health care functions. In line with the principle of building a harmonious maternal and child health care, we plan from the aspects of humanized service, maternal needs and the development of maternal and child health care, and carry out family services, extended services and in-depth services around pre-marriage, pre-pregnancy, pregnancy, delivery and postpartum, so as to build the health care center into a home of maternal and child health care with standardized technology, applicable functions, beautiful environment, quiet, convenient, warm and meticulous. Establish children's education center, prenatal education center, pregnant and lying-in women's psychological consultation clinic and pregnant and lying-in women's club within three years. The Ministry of Women's Health Care has carried out work projects in professional departments such as marriage, teenagers, maternity and menopause health care. Carry out general survey and treatment of gynecological diseases to achieve early detection, early diagnosis and early treatment. The Children's Health Department carries out the work projects of professional departments such as monitoring the growth and development of scattered children, prevention and treatment of common and frequently-occurring diseases of children, and health care of children's five senses, and carries out preventive health care services for children in various growth and development periods.
(2) Accelerate the training of talents and comprehensively improve the level of medical technology. Promote foreign cooperation by inviting in, sending out, distance education and audio-visual education. And strengthen the training and cultivation of the existing business personnel of the institute. Within three years, all business personnel should take turns to study. Trainers receive paid training, the institute provides accommodation, and rewards them for developing new technologies and projects after returning to the institute. Pay attention to the cultivation and use of talents, fully mobilize the enthusiasm and creativity of all kinds of talents, and build a medical and health team with high technology, good treatment, good prevention, good scientific research and good teaching through various channels.
(3) Add and update equipment to ensure the development of clinical work. Through various financing, molybdenum palladium molybdenum target, hysteroscope, colposcopy, gynecological therapeutic instrument, neonatal monitor, skin jaundice instrument and hearing tester were added, and ECG monitor, electrocardiogram machine and anesthesia ventilator were replaced.
(four), earnestly do a good job in grassroots women and children's work, and promote the standardization, institutionalization and networking of grassroots women and children's work. On the basis of the current three-level emergency network construction for pregnant women, the functions of rapid response and first aid should be improved.
(5) Strengthen health education and extensively carry out health promotion and health care services. Adhere to a series of measures and systems that benefit the people and the people, seize the opportunity to develop maternal and child health care, accelerate development, and better serve the cause of maternal and child health care.