County Maternal and Child Health Work Plan in 2019

First, the guiding ideology
In 2019, the county's maternal and child health work continued to implement the maternal and child health work guidelines, adhered to the combination of health care and clinical practice, fully fulfilled the public health public health functions, strengthened grassroots supervision, paid attention to the shortcomings of the project, and expanded maternal and child health care technical services. We will consolidate the results of the baby-friendly hospitals, strengthen the management of child care institutions, launch women's health initiatives, actively carry out the establishment of second-class excellent health care centers, and fully accomplish the tasks of maternal and child health.
Second, the main life indicators maternal mortality control within 25/100,000 infant mortality control within 13 全 the county under five years old child mortality control within 15 全 the county's neonatal tetanus incidence rate within 1 三 three Main service indicators
1. Maternal system management rate: more than 85% in rural areas and over 95% in urban areas
2, children's system management rate of 60%
3, maternal hospital delivery rate of more than 95%; high-risk maternal screening rate of 100%; high-risk maternal management rate of 100%
4, cesarean section rate county-level health care institutions control within 40%, township control within 25%
5, prevention of AIDS mother-to-child transmission hiv detection rate of 95%, of which hiv early pregnancy detection rate of 80%
6. Screening for neonatal diseases was carried out throughout the county, with a screening rate of 90%.
7. The census rate of women's diseases is 60%, and the rate of general rule is 90%.
8, rural maternal hospital delivery subsidy rate reached 100%
Fourth, the main work measures to strengthen leadership, strengthen grassroots supervision, and strengthen the role of rural health network.
First, maternal and child health care is an important part of great health work. It has public welfare, incorporates maternal and child health work into important work content, clarifies responsibilities, implements tasks to people, and implements target management and quantitative management. The second is to further strengthen and improve the health care network. Each level of town should stabilize 1-2 people to work full-time in maternal and child health care. The treatment should not be less than the level of similar professionals at the same level. It is not allowed to issue economic tasks. For individual towns and towns with small population and small service scope, it is necessary to write to the Health Bureau. The report, after approval, health personnel can be appropriate part-time, but the health care work should be the main; village village health workers must pay attention to health care work, eliminate the blank village. Third, the hospital should evaluate the village clinics on a quarterly basis and serve as the basis for fulfilling the subsidies of the village clinics. Fourth, the county implements a village-level reporting system. The county health center shall formulate the village-level report form on the basis of investigation and research, and the township reference shall be used to standardize the village report. Fifth, the county health center must have fixed supervisors and implement accountability management. The management of the joint responsibility system for 20 towns and villages is implemented. The supervision level is 100%, the administrative villages are over 10%, the key townships are not less than 4 times per quarter, and the general townships are not less than 2 times a year. Supervised no less than 4 times a year. The sixth is to strengthen the quality of supervision feedback. The county health center shall formulate supervision and quality assessment management regulations, incorporate health care quality control standards, and implement the work report and assessment of the joint-resident responsibility system on a quarterly basis. The township health center leaders and defense personnel shall accordingly carry out the responsibility system for the villages in the jurisdiction. Divide and establish the responsibility system assessment criteria. For the health care personnel who are not well-supervised, they should make timely adjustments. For the townships and towns where the supervision is not in place and the action is slow within the time limit, the county health center shall report to the county health bureau and report the criticism at the quarterly regular meeting.
Strengthen the quality management of the project, and further increase the rate of hospitalization and childbirth subsidies in rural areas.
First, strengthen the work system of family planning, combined with the county's 2019 compliance with the policy birth list, newly married people, mobile pregnant women "five one" management, women of childbearing age roster, etc. to do pregnant screening, improve the screening rate of pregnant women, two It is necessary to strengthen the system of maternal system management according to the “Management Rules for Maternal Health System”, early detection, early examination, early diagnosis and early management, with emphasis on high-risk screening rate of 100% and early pregnancy examination rate of 95%. The pre-examination of more than 5 times reached 95%, and the post-natal visits reached 95% more than once. The third is to prevent family delivery. The fourth is the maternal health care manual as the carrier, the combination of health care and clinical formation, regular follow-up inspection, regular follow-up, timely provision of effective services and guidance for high-risk maternal women, the fifth is to strictly implement the grading delivery system, prohibiting high-risk interception, For the cause of maternal death, the annual evaluation first implements a one-vote veto system. Sixth, the county and township midwifery technical service institutions must strictly implement the spirit of the “Notice of the County Health Bureau on Strictly Implementing the Implementation Opinions on the Free Implementation of Rural Maternal Hospital Delivery and Free Production”, and the seventh is to increase the standardization of obstetric construction, and the county health center strengthens the township. The normative guidance on the quality of construction of the obstetrics department, strengthen the "three basics" assessment, standardize the service process, and strive to create a warm, convenient, safe and effective service for the majority of maternal hospital delivery. Eighth is to strengthen maternal emergency emergency work, further play the role of maternal emergency center, strengthen the responsibility of the emergency first aid leadership team, county and township midwifery technical service personnel to strengthen the "three basics and three strict" under the guidance of the emergency first aid leadership group Study, earnestly take study notes, and constantly improve the ability of business work. The maternal emergency center must be equipped with personnel. The equipment is always in a functional state. The number of first-aid medicines is complete, no expired, drivers and vehicles are on call, ensuring that The first-aid task is completed within the prescribed time. Nine is to strengthen the training of production and pediatric personnel, and improve the overall service function of the county, township and pediatrics. The county health center shall formulate the training plan for the county and township and pediatric personnel, and plan to arrange production and pediatric personnel to go to the higher-level medical and health units for further study. Please ask the higher-level medical and health unit production and pediatric experts to give lectures in our county and conduct closed training. Ten is to increase the poverty and poverty of pregnant women in the towns and villages with borders and information occlusion.
Carry out maternal and child health care technical services in accordance with the law. First, health care management of child care institutions In 2019, the county still implements the “health care certificate system”. The county health supervision bureau and the county health care center should increase the implementation of the “Guidelines for Health Care Management of Child Care Institutions”. Standardize the management of health care in kindergartens. Second, the management of birth medical certificates shall be strictly in accordance with the management regulations for birth medical certificates. From January 1, 2019, the medical certificates for birth shall be computer-printed. The unit birth medical certificate, the third is to strengthen the third-level prevention and reduce the occurrence of birth defects. All medical and health units with qualifications for midwifery technology should carry out screening for neonatal diseases, implement a monthly reporting system, and combine the management of the “two major” systems to increase the investigation of birth defects, and to report to them. Strengthen the management of children's health care system, child system management should carry out child system management in accordance with the "Children's Health System Management Implementation Rules", each medical and health unit must be equipped with a part-time child care doctor, equipped with necessary equipment such as baby scales, weight scales, and soft feet. The children's health care system management shall be carried out regularly in the form of children's cold chain operation in combination with children; the children in the colony shall conduct regular physical examinations on a regular basis, and promptly recommend parental treatment for screening for diseases, and provide feeding guidance. The fifth is to carry out women's menopausal health care and expand the field of health care services. The County Health Center actively plans to build a menopausal health clinic, conduct menopausal health services, and explore the management of menopausal health services.

Launch women's health action work. According to the Implementation Plan of the Women's Health Action Plan of Fangxian County, the government's leading level, departmental cooperation, and the whole society participate in the work to improve women's health and the quality of the birth population. First, strengthen leadership and improve organization. The government will take the lead, and the health, women's federation, finance, civil affairs, radio and television, family planning and other departments will form a work leading group. The county hospitals, county hospitals, and county health centers will set up technical guidance teams with strong ability and strong sense of responsibility. To implement the free census of women's diseases in rural areas. The second is to strengthen publicity and encourage the participation of women. The use of newspapers, television, posters, brochures, slogans, meetings and other forms to vigorously promote the practical significance of women's disease free census, improve the health awareness of women. Third, the county health center should conscientiously organize the faculty, strengthen the study of the "Hubei Province Women's Disease General Survey and Regulations", and train the Women's Health Action Technology Team. The fourth is to arrange the census time reasonably and determine the census process. The unit carries out a free general survey of women's diseases. For the treatment of patients with gynecological diseases, the company shall reimburse according to the new rural cooperative medical insurance or urban workers' medical insurance regulations, and effectively complete the free census of women's diseases.
Strengthen the management of mobile maternal management by project management. In 2019, piloting the three townships of Hualong, Jundian and Mengu, adopting project management methods, implementing health, family planning, civil affairs, and public security, and improving maternal detection through the roster of women of childbearing age, meeting the list of policy births, and newly-married people. The rate, strengthen maternal system management, explore the county's mobile maternal management methods, and further promote the maternal system management work to strengthen the management of maternal and child health statistics information. The statistics of maternal and child health should strengthen the authenticity, accuracy and logic of the quality of the report, collect, report and analyze in time, and use the quantifiability of the information to actively serve as a good candidate for the leadership. Maternal and child health information work mainly needs to grasp the information communication and feedback of pregnant women screening, live birth miss report, hiv test early pregnancy test, new screening and so on.
Consolidate the results of the baby-friendly hospital and further promote breastfeeding. The core of the baby-friendly hospital is to ensure the realization of breastfeeding and increase the rate of breastfeeding. To this end, the County Health Bureau has set up a special class to review the approved baby-friendly hospitals in the county and further promote the implementation of the ten measures of breastfeeding.
Strengthen leadership, improve health care capabilities, and ensure that the second-level excellent health care institutions pass the review. The core of creating a graded hospital is to standardize management and improve health care capabilities. The county health center should sum up the experience of creating the previous year, improve the management system, implement the rules and regulations, grasp the quality of the links, combine with the health care work, and combine with the clinical work, and strive to pass the review smoothly.
Strengthen publicity and increase the awareness rate of key maternal and child health care core knowledge such as policies for reducing consumption, screening for newborn diseases, natural products, and the benefits of conducting hearing screening. The county health center shall formulate a sound health education work plan, unify the content of health education, print the contents of health education into a book and a page, and distribute it to the target population through the township and village health personnel, strengthen supervision, and not distribute to the target population. Wasted units and individuals will be severely punished. At the same time, they should continue to use television, newspapers, slogans, and face-to-face propaganda to increase publicity. In the process of publicity, blind spots and dead ends should be avoided.
Prevention of AIDS mother-to-child transmission hiv detection gateway to further advance one is to continue to consolidate the re-adjustment of the implementation of the hiv detection chapter of the standard operation, the second is to fill in the "Fangxian maternal liver HIV test registration form", "obstetric hospital delivery survey Table and county disease control center "hiv test results feedback form" and other case data, check the hospitalization of maternal birth hiv test, especially early pregnancy test, the third is the midwifery technical practice agencies to
The hiv test work is included in the maternal management category. Under the principle of informed consent, free consultation and testing are carried out during pregnancy, and the hiv test is checked during the birth. The fourth is that the county health center should do the statistics and redemption work of the hiv test fee. Fund management.