In recent years, with the attention of the county party committee and government, the rural public health management system and service network have been improved day by day, the disease prevention and control work has been continuously strengthened, the level of maternal and child health care has been significantly improved, the patriotic health campaign has been carried out in depth, health supervision and law enforcement have been gradually strengthened, and basic medical services have been improved. The whole rural public health work has achieved good results.
(A) in-depth implementation of the farmers' health project, rural medical and health service system initially formed.
Our county insists on focusing on rural health, community health and public health, deeply implements the "Farmers' Health Project", pays attention to standardization, network building, stall laying and foundation laying, and optimizes rural medical and health services. First, the rural public health work has achieved initial results. At the beginning of 2007, according to the specific situation of our county and integrating the existing rural medical and health resources, 9 community health service centers and 38 community health service stations were established in the county, and 303 residents were identified. Community health service centers have played a connecting role, and community health services have been carried out in an all-round way. Community health service stations have basically been able to undertake the tasks of three categories 12. Up to now, 95.3% of the responsible doctors in our county have entered the village, and * * * has carried out health examinations for 235,700 farmers, with a physical examination rate of over 72%; Farmers' health records were established, and the filing rate was over 80%, among which 2 1035 patients with chronic diseases such as hypertension, diabetes, tumor and coronary heart disease were sorted out, with an average annual home visit of more than 4 times, with a home visit rate of 95.3%. Second, the new rural cooperative medical system runs smoothly. The new rural cooperative medical system in our county has greatly improved farmers' participation enthusiasm through policy adjustment and joint efforts of various departments, and the participation rate has increased from 72.9% in 2005 to 85.4% in 2007. This year, from 1 to 10, the county * * * expenses were reimbursed12.5 million yuan, of which 150 inpatients 10300 outpatients enjoyed the treatment of the new rural cooperative medical system. After the provincial conference on urban and rural community health work and rural cooperative medical care work, the fund-raising standard of our county has been raised to 70 yuan per person this year, and the per capita fund-raising will reach 100 yuan at the end of the 11th Five-Year Plan. At the same time, the informatization construction is expected to be completed before the end of the year. The five-year development plan of the new rural cooperative medical system in xx county (2006-20 10) is being drafted. The Interim Measures for the New Rural Cooperative Medical System in xx County has been adopted by the county magistrate's office meeting, and will be implemented on June 65438+ 10/next year. Third, farmers' health checkups are carried out in an orderly manner. Under the unified leadership of the county's new rural cooperative medical management committee, township governments organized publicity campaigns, and the physical examination targets were farmers, children aged 0-7 and primary and secondary school students in the county who held the "health examination vouchers" issued in 2006. All designated units make physical examination plans, deploy key doctors, fill in physical examination forms in a standardized way, make physical examination conclusions in time, and feed them back to farmers. From 438+00 on June 5th, 2005 to September, 2007, more than 230,000 farmers' health checks have been completed. Among them, there are 63,643 children aged 0-7, primary and secondary school students, and adults 174 148, accounting for 82.38% of the farmers participating in the new rural cooperative medical system and 59.86% of the total farmers in the county.
(two) adhere to both prevention and treatment, prevention and health care work has been strengthened.
In recent years, around the construction of rural public health system, our county has continuously strengthened the prevention and control of infectious diseases and public health emergencies, and deepened the prevention and control of cholera, tuberculosis, sexually transmitted diseases, AIDS and intestinal infectious diseases in summer. In view of the cholera epidemic situation in some counties and cities in our province, in order to improve the ability of cholera prevention and control in our county, the Health Department has formulated the Emergency Exercise Plan for Cholera Prevention and Control in xx County in 2007, and successfully carried out the actual cholera emergency exercise, further improving the emergency response, coordination and rapid treatment ability of public health institutions and medical institutions in the county. The vaccination clinics in seven township hospitals in the county have reached the standard of municipal standardized clinics, and the planned immunization of children is standardized and orderly, and the vaccination rate of "four vaccines" has always remained above 95%. On1October 29th, 2007, 165438+, with a building area of 3,898.7 square meters and a total budget of 8.25 million yuan, the new building of county CDC was officially completed and relocated, which greatly improved the health management and service conditions of our county, and will play a more favorable role in improving our county's ability to respond to public health emergencies and improve the level of disease prevention and control, marking our county's public health.
(three) focus on special rectification, health supervision and law enforcement has achieved remarkable results.
In recent years, the county has organized and carried out rural health supervision and law enforcement work focusing on special rectification. Through a series of health law enforcement actions, some health violations that harm farmers' interests were investigated and dealt with in time, which effectively rectified and standardized the food hygiene, public health and rural medical market order and ensured farmers' health. In the "two sessions", the Golden Week, the provincial disabled persons' Federation's cultural performance, the college entrance examination and other major events and festivals, we specially made plans, carefully arranged our strength, conscientiously implemented various inspection and guidance measures, and successfully completed the health and safety work. By the end of this year 10, * * had dispatched 232 health law enforcement personnel, conducted 486 comprehensive supervision and inspections on 2 18 catering units and 7 1 dining halls in the county, banned 38 restaurants, punished 80 cases on the spot, put on record for investigation 13 cases, and fined/kloc. There are 20/kloc-0 catering units in the county, with a holding rate of 92.5%; 26 1 catering units and canteens have established raw material purchase vouchers, accounting for 90%; The pork sold and used in 289 catering units and canteens came from designated slaughtering enterprises, accounting for100%; Implement quantitative classification management of food hygiene 100%. At the same time, according to the requirements of "Implementation Opinions on the Construction of Urban and Rural Health Supervision System in xx County", it is planned to set up four health supervision branches in xx, Shuhong, Xinjian and directly under the standard of setting up an agency for every 2-4 townships or10.2 million population. At present, xx Health Supervision Branch has been formally established to further promote the extension of health supervision to rural areas.
(4) With the project of maternal and child health as the starting point, maternal and child health care has been deepened.
Actively implement the "Women's and Children's Health Project" and "Women's Health Promotion Project", vigorously carry out women's disease survey, perinatal care, pre-marital medical examination, neonatal disease screening, hearing screening and "three monitoring" work, effectively improving the health level of women and children and the quality of newborns in the county. In the physical examination of the new rural cooperative medical system, a free survey of rural women's diseases was carried out, reaching the inspection rate of 80% required by the provincial offices. The systematic management rate of pregnant women is 92.35%, the screening rate of high-risk pregnant women at county level is 86%, the diagnosis and treatment rate of gynecological diseases is 2. 12%, the pre-marital health consultation rate is 85%, the prenatal screening rate is 19%, the neonatal disease screening rate is 9 1%, and the neonatal hearing screening rate is 60%.
(V) Taking the creation of provincial civilized county towns as the carrier, the rural living environment has been improved to some extent.
Further consolidate the achievements of "creating health", carry out in-depth activities to create health towns, health villages, health households and advanced health units, and promote the patriotic health to develop in depth; Comprehensively consolidate the results of cockroach killing, and successfully passed the re-inspection of the "Advanced Urban Area for Cockroach Killing" run by Ivy in June this year at 5438+ 10; In accordance with the requirements of building a new socialist countryside, carry out the "health promotion action for hundreds of millions of farmers"; We will continue to deepen the work of improving water and toilets in rural areas, improve the benefit rate of tap water in rural areas, the popularization rate of sanitary toilets, and the harmless treatment rate of feces, and strive to improve the rural living environment and improve the overall health level of farmers.
Second, the rural public health problems and difficulties
(A) the lack of financial input has restricted the development of rural health.
First, infrastructure construction is weak. Due to the lack of necessary investment, township hospitals generally have problems such as shortage of medical equipment, poor equipment and aging, which is still far from the health needs of farmers. Second, the burden of health centers is heavy, and the wages of rural health workers are low. Due to poor equipment, poor medical level, poor general benefits of hospitals and low income of employees.
(2) Rural health technicians are relatively scarce and the structure is unreasonable.
On the whole, there are some problems in the health technical team in our county, such as insufficient total quantity, low quality and unstable team. From the perspective of personnel structure, township hospitals are mainly health technicians who graduated from technical secondary schools, and there is a shortage of health technicians above junior college. Their professional quality is generally low, which is restricted by many factors: on the one hand, there are few opportunities for on-the-job personnel to further their business and it is difficult to improve their medical level; On the other hand, rural health centers have weak infrastructure, poor conditions and low treatment. Not only do they lack preferential conditions to attract talents, but even the normal wages of employees cannot be guaranteed. It is difficult to retain high-quality talents, and some professionals such as surgery, gynecology, radiology, laboratory and B-ultrasound are even more scarce.
(3) Rural health conditions are generally poor, and people's awareness of health and disease prevention is not strong.
Because the overall economic level of our county is not high and the village collective economy is weak, the infrastructure investment for improving the village environment and ensuring people's life safety is very limited. By the end of 2006, although the penetration rate of tap water in the county has reached 8 1.62%, most water supply points have not been routinely disinfected; Although the penetration rate of sanitary toilets has reached 80.2%, most of them do not have three-format septic tanks, and the rate of harmless treatment of feces is low. In addition, influenced by economic conditions, cultural level and traditional concepts, the people have a weak sense of hygiene, little knowledge of preventive measures for common infectious diseases and mass food poisoning, bad living habits, common phenomena such as drinking raw water, eating pickled food and raw cooked food, serious concept of "eating unclean and getting sick", and low rate of timely medical treatment. The existence of various problems, once the source of infection appears, can easily lead to disease outbreaks and epidemics.