Maternal and child health care work points

In 2019, the work of maternal and child health will focus on deepening the reform of the medical and health system. In accordance with the requirements of “systems must be complete, systems must be smooth, mechanisms must be alive, and capabilities must be strong”, efforts should be made to intensify reform and innovation, vigorously develop maternal and child health care, and promote women’s and Children's health.

I. Formulating the work plan for maternal and child health care during the 12th Five-Year Plan

Taking the opportunity of deepening the reform of the medical and health system, we will focus on the targets of the 11th Five-Year Children Development Plan and the 11th Five-Year Women Development Plan of Zhejiang Province, and analyze, summarize and summarize the maternal and child health indicators of the 11th Five-Year Plan. Completion, combined with the status quo of maternal and child health work in our province, formulate the “Twelfth Five-Year Plan” for maternal and child health care; actively cooperate with relevant departments to formulate the “Twelfth Five-Year Children Development Plan of Zhejiang Province” and “Twelfth Five-Year Women Development Plan of Zhejiang Province”, further Strengthen the capacity building of maternal and child health services, strive to improve the level of maternal and child health care, and promote the improvement of women's and children's health quality and the health of the whole people.

Second, strengthen the supervision and management of maternal and child health law enforcement

Strengthen the publicity and education of laws, regulations and rules related to maternal and child health, so that the public and maternal and child health workers can know the law, understand the law, abide by the law, protect the health rights of women and children according to law, and promote the health of women and children; The Law Implementation Measures and other relevant laws and regulations stipulate further regulate the use and management of the "Birth Medical Certificate". It is strictly forbidden to levy the "Birth Medical Certificate" cost to prevent unreasonable charges. Strengthen the training of maternal and child health knowledge and improve the access of special technical service institutions and personnel for maternal and child health. Collaborate with the health supervision department to increase the crackdown on the illegal technical services for the mother-infant health and the non-medical needs of using technical means to conduct gender identification of the fetus, and severely investigate and punish those who violate the rules. Strict implementation of relevant national regulations to ensure the equal rights of people with hepatitis B surface antigens to enter kindergartens and nurseries.

Third, accelerate the capacity building of maternal and child health services

We will implement the spirit of the Ministry of Health's "Guiding Opinions on Further Strengthening Maternal and Child Health Work" and accelerate the construction of maternal and child health care networks. Strictly follow the requirements of the Ministry of Health's "Management Measures for Maternal and Child Health Institutions", implement the establishment of maternal and child health care institutions at all levels, improve the maternal and child health management system, and improve the maternal and child health input and operation mechanism. Actively promote the implementation of the Rural Health Service System Construction and Development Plan, and improve the county, township and village maternal and child health care network with the county maternal and child health care institution as the leader, the urban and rural community health service center as the hub, and the village health contact person as the network. road.

We will carry out the evaluation of the maternal and child health care institutions, do a good job in the establishment of provincial-level standardized women's health care and child health clinics, and promote the standardization of outpatient consultation for women's health care and child health at the municipal level, and strengthen the standardization of maternal and child health care institutions. Consolidate the bottom of the maternal and child health service system. Strengthen the city-level critical maternal rescue center and the county-level critical maternal rescue center and sub-center construction, improve the critical maternal referral and rescue plan, further improve the timeliness and effectiveness of critical maternal rescue, and reduce maternal mortality.

Fourth, fully complete the national major public health maternal and child health care project

We will conscientiously implement the Notice on Printing and Distributing the Implementation Plan for the "Two Cancers" Inspection Project for Rural Women in Zhejiang Province, focus on the rural women's breast cancer and cervical cancer screening programs, summarize the pilot experience, and hold an exchange of experiences. Strengthen the training of grassroots maternal and child health personnel , and effectively improve the ability and level of breast cancer and cervical cancer screening for women and children health care institutions. Strengthen the management and supervision of the "two cancers" inspection to ensure the rational use of funds.

Actively carry out the project to supplement folic acid to prevent neural tube defects. We will conscientiously implement the Notice on Printing and Distributing the Implementation Plan for the Management of Folic Acid to Prevent Neural Tube Defects in Rural Women in Zhejiang Province. On the basis of 2019, folic acid was added free of charge to rural women who were preparing to become pregnant in the province. The target population increased the knowledge of folic acid knowledge to 60%, the folic acid intake rate reached 60%, and the folic acid intake compliance rate reached 30%.

Full implementation of the rural maternal hospital delivery grant program. Actively carry out the rural maternal hospital delivery subsidy program to improve the maternal delivery rate in rural areas and reduce maternal mortality. In 2019, the province's hospital delivery rate reached 99%, and the critical maternal hospital delivery rate reached 100%.

V. Promoting the comprehensive prevention and treatment of birth defects

Improve the network of birth defect prevention services and implement three levels of prevention and control measures. Actively promote free marriage and childbirth health consultation and other work, improve people's awareness and knowledge of prevention and treatment of birth defects, and continuously improve the rate of pre-marital medical examination. Strengthening reproductive health services, exploring marriage registration and pre-marital medical examinations to implement a one-stop service to facilitate people to conduct pre-marital medical examinations. Strengthen the guidance and supervision of pre-marital medical examinations to ensure the quality of inspections and ensure the earmarking of funds.

Strengthen the rational nutrition and dietary guidance during pregnancy and childbirth, gradually integrate maternal nutrition into maternal and child health care, and improve the connotation of health care work. Establish and improve prenatal screening and diagnosis networks to improve the rate of birth defects during pregnancy. Pay attention to the training of prenatal diagnosis personnel and accelerate the construction of special technical service system for prenatal diagnosis.

In-depth implementation of the "Newborn Disease Screening Management Measures", improve the newborn disease screening system, improve the screening coverage of 27 genetic diseases, and further standardize and do a good job in screening, diagnosing and treating neonatal diseases. Conduct research and training, strengthen professional team building and personnel training, and gradually improve the ability of screening, diagnosis and treatment of neonatal diseases. Exploring the diagnosis and treatment of children diagnosed with neonatal diseases.

6. Improve the overall level of maternal and child health care

Focus on strengthening maternal and child health projects, women's health projects, county human resources construction, strengthen training, speed up the improvement of the quality of grassroots health technicians, and strive to improve public health service capabilities; continue to do a good job in the national prevention and treatment of AIDS prevention and control demonstration areas, strengthen urban and rural grassroots AIDS mother and child block prevention and control network construction, increase the free treatment of AIDS.

Promote the experience of delivery of poor pregnant women in designated hospitals, and implement government subsidy limit services. Accelerate the upgrading of maternal and child health information management software and strengthen the management of maternal and child health information.

The same topic article on the main points of maternal and child health work : · )

The population and family planning work is a work of a person, and it is related to the basic national policy of the country and has a large workload. In the family planning work, we must implement the people-oriented work concept. Whenever someone in the community gets married, or if a newborn is born, they must come to visit. First, find out the information, easy to manage; second, to contact the feelings, easy to work; three to send a community care committee to care. We will publicize the latest family planning policies, publicize the marriage and breeding, and send them knowledge manuals on reproductive health, scientific parenting, post-natal care, and contraceptive choices. It is believed that visiting and providing warm services is the family planning service that community residents need.

Fourth, pay attention to the floating population

In view of the three characteristics of more street houses, more rented houses, and more floating population, these three should be taken as the community creation work. Adhere to the monthly check-up, and check the verification of the family planning census every quarter. The mobile workers plan to give birth, and they must distribute the family planning publicity materials to the floating population from time to time, and distribute contraceptives free of charge, so that the family planning work is truly accepted by the floating population of childbearing age. Organize 1-2 convenient service activities, conduct family planning policy consultation, distribute promotional materials and condoms, and let mobile workers enjoy the same services as household registration personnel.

In the new year, the community will expand its work ideas and improve the satisfaction of community residents in family planning work. Practice is the ruler of testing theory. It is necessary to provide high-quality services while taking the spiritual and civilized needs of modern community residents as the starting point. Make a good job of family planning and birth.