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2015 maternal and child health work summary


Summary of maternal and child health work

One year passed quickly. During the year, under the careful guidance of the hospital leadership team and the public health department, the tasks were carefully completed and the ideological consciousness was further improved. The work situation is summarized as follows:

First, in terms of political ideology, adhere to the party's line, principles, and policies, and earnestly study Marxism-Leninism. Mao Zedong Thought. Guided by the important thinking of "xxxx", adhere to the scientific concept of development, earnestly carry out the "creating the first to compete for excellence" activities, and actively participate in each Event. Respect for leadership, unity and comrades, work hard and work hard, during the work period, actively focus on maternal and child health work guidelines, implement health care as the center, health and clinical integration. Facing the group, facing the grassroots level, taking the project and hospitalization as an opportunity, comprehensively implement the "one law and two programs" to vigorously carry out the quality of obstetrics as the core, focus on high-risk pregnancy management, obstetric quality, hospital delivery, neonatal tetanus, AIDS mother Prevention and treatment of infant transmission and the creation of mother and child safety.

Second, standardize the management of maternal system and improve the quality of health care services. Our hospital has established a maternal health manual, a rural doctor's work manual, and the pregnant women in the area under their jurisdiction are examined according to the requirements prescribed in the early, middle, late and puerperium periods. The project carries out systematic inspection, monitoring and health guidance, timely detection of high-risk conditions to ensure the safety of mother and child, and strict screening and management according to the high-risk pregnancy scoring standard. There is no maternal death in this hospital this year, 88 newborns born, hospital delivery 84 People, hospital delivery rate was 96%, system management was 80, system management rate was 91%, high-risk hospital delivery was 11 people, 84 postpartum visits, postpartum visit rate was 96%, no neonatal tetanus, effectively reduced Maternal mortality.

Third, standardize the management of children's systems, improve the quality of children's health services, and implement the 4.2.1 physical examination system according to the requirements of higher authorities. The focus is on strengthening the system management of children aged 0-3. There are 647 children under 7 years old in our township, and the number of management is 619. People, the management rate is 96%, the number of children under three is 283, the number of management is 263, the management rate is 93%, and the children under the age of five have undergone nutritional evaluation. The number of people inspected is 320, and there is no infant mortality rate throughout the year. The mortality rate for children under five is 0.

Fourth, strengthen the work management of women and children projects. This year, my hometown 'reduction' project has achieved gratifying results, 1, project management norms, sound organization, 2 leadership guidance and supervision is strong, often implement the implementation of strong, the unit carefully organizes responsibility to people, with the goal of assessment, 3 The publicity coverage is wide, the poverty relief program is in place, and it is a household name, which greatly increases the hospital delivery rate and effectively reduces maternal deaths.

V. Intensify health education work, improve people's self-care awareness, and do a good job in maternal and child health care. In the future work, the maternal and child health care knowledge “Mother and Child Health Care Law” should be truly popularized among the people, so that they can know the law. Dongfa, law-abiding, and thus improve self-care awareness. Consciously involved in health care, on the other hand, 400 copies of propaganda materials were distributed, and 520 bottles of folic acid tablets were distributed, which greatly promoted the implementation of maternal and child health work.

Sixth, the existing problems Although the ward environment and improvement of our hospital, but did not set up a special obstetrics and gynecology clinic did not start the obstetrics-related business, so that maternal and child health and clinical business can not be closely combined, thus unable to meet the needs of the general public. The village-level maternal and child health workers are relatively weak and have many male comrades. They do not exercise the duties of health workers. The idea of ​​backwardness of the people still exists. The work of supplementing folic acid is large. Many maternity families do not understand, do not support, do not cooperate, and also exist. Our promotion is not in place, leading to problems in our work.

VII. Work ideas for next year Strengthen maternal health management to improve business level, strengthen service awareness, clarify the scope of services, conscientiously do a good job in maternal screening and children's bottoming work in the jurisdiction, understand the pregnancy status of women of childbearing age, and do a high-risk screening, Increase prevention and control of birth defects, popularize the knowledge of prevention of birth defects, and increase the folic acid rate of pregnant women by more than 80%. Actively carry out obstetrics business, expand the scope of services, and combine health care with clinical practice, and strive to do a good job in maternal and child public health service projects within its jurisdiction, which will be a new step for maternal and child health.

Summary of maternal and child health work

25 people from the township health centers and community health service centers engaged in maternal and child health professional training participated in the training. The main content of the training is the management of health records of urban and rural residents in the National Basic Public Health Service Code, 0-36 Monthly child health management, maternal health management, maternal and child health information management, and major public health services, improving women's and children's health level projects and other related business knowledge training. The training will last for two months. During the training period, concentrated professional knowledge training and trainees will be transferred to relevant departments for group teaching.

On October 18th and 19th, a two-day “Tianjiao Health Technician's Two Cancers Training Course” was held. 92 township health centers maternal and child health workers participated in the training and organized the examinations.

Second, actively carry out health checkups for children in the park.

The child health checkup in the nursery school is an important part of the maternal and child health care work. After the coordination of the health care center, the County Education Bureau and the Maternal and Child Health Hospital jointly held the health care of the county nursery school in the county maternal and child health hospital meeting room on February 1. Working meeting. Those attending the meeting included the Education Bureau, the Maternal and Child Health Hospital, the National Primary School of the Dingcheng Town, and the person in charge or the person in charge of the kindergartens. The meeting emphasized that all kindergartens should actively cooperate with the County Maternal and Child Health Hospital to do a good job of staff, health checkups, health guidance and health education for children in the park and kindergartens, establish a child medical examination system and an annual physical examination system, and strengthen the physical and mental health. Management of malnourished children. In order to protect the health of children in the park, the nursery school may not use the staff without the "Health Certificate" and recruit new students who have failed the medical examination or have not undergone physical examination, and keep the health file properly for future reference. After the meeting, the Children's Medical Examination Group was established in our hospital. From May 4th, a 20-day period was used to conduct a physical examination of the children in the kindergartens of Dingcheng Film. This time, 3012 children from all 22 kindergartens in Dingcheng City underwent a physical examination to ensure the full coverage of Dingcheng tablets kindergartens and children in the park. The physical examination team combined with the physical examination in the park, vigorously promoted the knowledge of prevention and treatment of hand, foot and mouth disease, and distributed 4000 copies of hand, foot and mouth disease publicity materials. In addition, our hospital carried out physical examinations for children in the Dingcheng Film Care Park, and required the township defense stations to carry out the physical examination of children in the township nursery school. By the end of May, a total of 1352 children were examined.

Summary of maternal and child health work

In XX, the maternal and child health work of our county continued to be guided by the spirit of the party's xx spirit, earnestly implemented the scientific development concept, and thoroughly implemented the "Mother and Child Health Care Law of the People's Republic of China", "China Women's Development Program", "Chinese Children's Development Program", "National Health Education and Health Promotion Work Planning Outline", "State Council's Guiding Opinions on Developing Urban Community Health Services." Adhere to health care as the center, to ensure reproductive health, health and clinical integration, group-oriented, grassroots and prevention-oriented maternal and child health work guidelines, focus on achieving the "two-level" goals and primary health care indicators, pay close attention to work Foundation, strengthen the training of suitable technology for maternal and child health personnel, strengthen the standardized construction of obstetrics, pediatrics construction and health clinics in township health centers, improve the maternal and child health care capacity of counties, townships and villages, and conscientiously organize the implementation of “reduction projects”, maternal mortality, Infant and child mortality rates are effectively controlled. The task indicators issued by the higher authorities have been successfully completed, and the completion of the maternal and child health care work in the county in XX is now summarized.

First, strengthen the study and propaganda of laws and regulations, and promote maternal and child health care work according to law

Further study and implement the Law of the People's Republic of China on Maternal and Infant Health Care, the Regulations on Maternal and Infant Health in the Province, the Outline of the Development Plan for Women and Children, the National New Medical Reform Policy, and other health laws and regulations, expand publicity, and create a good legal environment. Enhance the legal awareness of maternal and child health personnel and provide services according to law. Carry out voluntary marriage inspection consultation, expand the coverage of pre-marital medical examination work, strict standards, standardize services, ensure that there are laws to follow, law enforcement must be strict, and improve the quality of the birth population. The county's maternal and child health work will gradually enter the management track of standardization and legalization.

Second, strengthen the capacity building of maternal and child health care

Continue to adhere to the construction of rural maternal and child health service networks at the county, township and village levels, strengthen appropriate technical training for third-grade maternal and child health personnel, update knowledge, and improve the level. The Maternal and Child Health Hospital further strengthens internal capacity building, effectively exerts the “leading” role of the three-level network for maternal and child health, relies on the community, makes full use of the community health service network, and carries out basic maternal and child health services. Provide safe, effective, convenient and economical maternal and child health services to community residents and migrants. Continue to strengthen the capacity building of maternity hospitals. Adhere to the public health attributes of maternal and child health, establish a maternal and child health work evaluation system, and promote the in-depth development of maternal and child health work.

Third, strengthen government affairs, open government affairs, and further strengthen internal management

In XX, our hospital further strengthened and perfected the responsibility system for the president. The division of the department head was responsible for the division of labor, and each department had its duties and the responsibility was clear. In order to effectively strengthen the grassroots organization of the party in the health industry, the Party branch of the hospital formulated the "XX County Work Plan for the Maternal and Child Health Hospital of the County" and the "Jie County" according to the requirements of the Party Committee of the Health Bureau on the construction of the grassroots organization of the Party in the medical and health industry. The XX-year Party Building Work Plan of the Maternal and Child Health Hospital was carefully implemented according to the plan, so that the administrative work and the party building work could be carried out in a planned and step-by-step manner. In combination with the development of various tasks, the rules and regulations and rewards and punishments in the hospital have been further improved, and the management of hospital affairs, task indicators, work quality, labor discipline, industry style, party branch work, finance, and logistics have been strengthened. Strengthen government affairs and open affairs of the hospital affairs, hold a monthly director meeting, a president's office meeting, a pharmacy management committee work meeting and a staff meeting, and regularly announce major medical issues, financial revenue and expenditure, procurement of drugs and equipment, Management, use, vehicle use, grassroots, clinical department work and personnel use, set up government affairs, hospital affairs public column, the above public items and employee attendance, vacation, department monthly assessment will be posted on the public notice column before the 10th of each month. Established and improved the registration account of the “** County Maternal and Child Health Hospital Administration and Public Affairs Office”. The departmental level implements the management of hierarchical target responsibility, perfects the democratic decision-making system, and implements the collective discussion of the board of directors and the weekly meeting to decide on major issues and staged work. According to the principle of hierarchical responsibility, the department heads are responsible for their respective work regularly or not. Regular inspections will be carried out and problems will be resolved in a timely manner to ensure the smooth progress of all work.

Fourth, further strengthen the construction of industry style

In order to strengthen the construction of the health system industry, improve the medical ethics of maternal and child health workers, enhance the awareness of serving the people, and promote the development of maternal and child health in our county, according to the arrangement of the county health bureau, the hospital has established "* * County Maternal and Child Health Hospital's Leading Group for the Construction of the Work Style, with the dean as the leader of the team, focusing on the construction of the industry's work style. In accordance with the characteristics of the industry's work style and the actual work, according to the requirements of the "Implementation Opinions on the Construction of the XX Years of the Maternal and Child Health Hospital of the County of **", the "Pure Health Care System for Party Members of Maternal and Child Health Hospitals" and "People's Supervision Opinions and Opinions" were formulated. The Box Unpacking Inspection System and the Code of Professional Ethics for Maternal and Child Health Personnel have established a staff and professional ethics file for one person and one volume. The hospital has disclosed “ten service commitments”, “cross-civilized terms and service taboos” to the society. Medical staff regulations for clean and honest medical practice, use self-study, hospital affairs, science and weekly meetings, trade unions, strengthen medical ethics education, correct service attitude, continuously improve service levels, and establish a good and civilized industry style. In the work of democratic appraisal and work, monthly work meetings were held to collect opinions of patients, family members and employees, and patient questionnaires and employee questionnaires were issued. As a result, the patients' overall satisfaction with the seven hospitals was over 97%. The satisfaction of the hospital leadership reached 100%. Through reconciliation and construction, the problems that existed in our unit and the strong reaction of employees have been effectively solved. The industry style of the unit has improved significantly. The masses of workers have enhanced their consciousness of rectifying the work and established a dedication and dedication to serve the people wholeheartedly. Thought has enhanced the cohesiveness of the unit, and the Maternal and Child Health Hospital has established a good image among the people.

V. Seriously organize and implement the “reduction” project work

In XX, the provincial and state finances continued to increase the investment in poverty relief funds, coupled with the development of new rural cooperative medical work and public health service vouchers. The county project work has achieved remarkable results, maternal mortality and neonatal tetanus incidence. There has been a significant decline, and other supporting indicators have been correspondingly improved. In order to consolidate and expand the achievements of the “reduction” project, this year, we still regard the project work as the key work of maternal and child health work. Strengthen project management, improve project execution capability, strictly control the scope of project funds, implement poverty alleviation work for pregnant women, strictly implement the policy of hospitalization and delivery limit, do a good job in emergency maternal rescue, and conscientiously implement the referral responsibility system at all levels. The first consultation system. Raise awareness, strengthen the training of maternal and child health workers in counties, townships and villages, strengthen service quality, improve service attitudes, increase the awareness rate of emergency telephones, ensure the smooth flow of green channels, and enable timely rescue of critically ill mothers and children. At the last level, efforts are made to reduce maternal deaths. From October 1st, XXth to June 10th, XX, the county screened 612 poor pregnant women, including 430 poor pregnant women and 182 pregnant women. 243,276.89 yuan. Among them, 197 people were rescued, the amount of rescue was 109,484.02 yuan, 413 people were poor, and the amount of assistance was 133,792.87 yuan. From June 10th, XX, our county implemented a new policy of reducing consumption, and the county’s rural maternity hospital delivery fee reduction subsidy was fully covered, from June 10, XX to September 30, XX. A total of 892 pregnant women were subsidized, with a subsidy of 194933.31 yuan, including 11 low-income employees, with a subsidy of 7210.79 yuan; from October 1st to XX30th of XX, the county rescued 1502 pregnant women, and the amount of assistance was 438210.2 yuan.

6. Adopt effective interventions to prevent mother-to-child transmission of AIDS

With the deepening of anti-AIDS work, prevention of mother-to-child transmission of AIDS has become a routine task. In XX, we strictly carried out the work in accordance with the requirements of the “Implementation Plan for Prevention of Mother-to-Child Transmission of AIDS in Chuxiong Prefecture”, and continued to strengthen publicity and consultation on prevention of mother-to-child transmission of AIDS. The county health center strengthened the “mother and baby” of the monitored HIV-positive pregnant women. Blocking, providing blocking drugs and follow-up, and carefully completing the HIV antibody testing task in pre-marital health care populations. At the same time, the monitoring data collected on a monthly basis is reported to the State Maternal and Child Health Hospital. Continue to do a good job in marriage registration for free and voluntary testing of AIDS among young men and women, screening for maternal AIDS.

1. Incorporate pmtct work into routine maternal and child health care work

Under the leadership of the County Health Bureau, the County Maternal and Child Health Hospital has integrated the prevention of mother-to-child transmission of AIDS into routine maternal and child health care, giving full play to the role of the three-level maternal and child health care network, and establishing a comprehensive service model that is consistent with the county's prevention of AIDS mother-to-child transmission. It has carried out various tasks in a standardized manner, and has undertaken comprehensive interventions such as maternal and child blockade technical services during pregnancy, childbirth and postpartum, and completed the technical guidance and personnel training tasks for the prevention and treatment of AIDS mother-to-child transmission. According to the principle of territorial management, the marriage registration population and pregnant women infected with HIV infection in the county have been informed, follow-up management work and mobilized positive pregnant women who have been confirmed to report early detection of cd4 cells, and timely maternal and child blocking measures have been taken; Follow-up management of children born to pregnant women with AIDS infection was completed according to the specifications. The HIV-infected persons found in the marriage test, the AIDS-infected women who chose to terminate the pregnancy and after childbirth, and the HIV-infected children who have been confirmed for 18 months have been referred to the County Center for Disease Control and Prevention for management. Arranged a special person to complete the information management work to prevent mother-to-child transmission of AIDS, accurately collect, organize, analyze and use information materials, and provide a scientific basis for prevention of AIDS mother-to-child transmission decision-making. Completed the planning, management and leadership of preventive AIDS mother-to-child transmission testing reagents, drugs, protective articles and other related materials, coordinated the rational use in the county, to avoid waste. Guided the medical institutions with obstetrics in the county to carry out health education for prevention of mother-to-child transmission of AIDS, reproductive health services, testing and consultation services provided by medical staff, free consultation and testing for pre-marital health care providers and pregnant women, and The specification requirements are marked on the Perinatal Care Handbook, which enables early detection, early detection, early intervention, and screening of positive serum samples for screening. No cases have been submitted to pregnant women or family members for examination.

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