2014 maternal and child health work summary

Summary of maternal and child health work

Although maternal and child health work has achieved certain results, it also has many shortcomings. In the future, we will strengthen business learning, continuously improve the quality of obstetrics, continue to improve and consolidate the results of the baby-friendly hospital, and strive to push the maternal and child health work of our hospital to a new level.

a) Adhere to political and ideological education and strengthen the construction of medical ethics

2) Strengthen business learning and improve the quality of obstetrics

3. Implementing the Maternal and Infant Health Care Law to protect the rights and interests of women and children according to law

d) Actively carry out two systems management of women and children

Under the leadership and support of the Municipal Health Bureau and the higher authorities, the maternal and child health work of our hospital has been centered on “one law of the two laws” in the past year. We have worked hard to grasp the two systems management of women and children, further consolidate the results of the baby-friendly hospital and achieved good results. It is summarized as follows:

a) Adhere to political and ideological education and strengthen the construction of medical ethics

Earnestly implement the Deng-Xiao-Ping theory, the three important ideas, the spirit of the 16th Party Congress, take the opportunity of the hospital management year activities, strengthen the construction of medical ethics, and strive to improve the ideological and moral quality of employees, all patient-centered, improve The quality of medical services, standardize the behavior of medical services, safeguard the interests of the people, and build a harmonious relationship between doctors and patients.

2) Strengthen business learning and improve the quality of obstetrics

Improving the quality of obstetric work is an important way to ensure medical safety and reduce maternal and neonatal mortality. Strengthen professional and technical personnel training, strengthen business learning, improve various business systems, strengthen various surgical procedures for obstetrics, and organize business weekly. Study twice, monthly medical staff write business learning abstract cards no less than 4 submissions to the quality control office evaluation.

3. Implementing the Maternal and Infant Health Care Law to protect the rights and interests of women and children in accordance with the law:

We have taken a variety of forms to study the Maternal and Infant Health Care Act and the Maternal and Infant Health Care Management Regulations in various forms, and conduct assessments. The passing rate of assessment is 100%. And in the obstetric clinic and the baby-friendly area to set up maternal and child protection - legal and regulatory knowledge propaganda column.

d) Actively carry out two systems management of women and children

1) Strengthen the system management of pregnancy and maternity. This year, we have 460 women, 460 system management, system management rate of 100%, postpartum visits of 460 people, and 100% visitivity. Strengthen the management of high-risk pregnancies. This year, there were 62 high-risk pregnant women, all of whom were managed, monitored and tracked, and implemented a one-time post-natal and post-fee system. In order to improve the pass rate of the maternal system management and health manual, the completion of the health manual is included in the quality inspection, and the errors and omissions are strictly controlled.

2) Continue to carry out screening for neonatal diseases, increase publicity, and strive for patient understanding and support. The screening rate of neonatal diseases has reached more than 90%. Seriously do a good job in the visit of newborns. There are 463 live births in our hospital in the past year, 463 visits, and 100% visit rate.

3) Actively promote the breastfeeding knowledge. Patience education for pregnant women, teaching pregnancy, puerperal health knowledge and breastfeeding knowledge, and testing pregnant women. A total of 460 people were taught, the mission rate was 100%, and the test pass rate was 100%.

4) For pregnant women who come to our hospital for maternity examination, we will issue pregnancy health knowledge, breastfeeding knowledge brochures, health promotion columns in outpatient waiting areas and wards, and publicize maternal and child health knowledge, and change once every quarter. This year, four sessions will be held. There is a breastfeeding hotline in the hospital, a breastfeeding consultation clinic in the clinic, and a correct answer to the breastfeeding knowledge.

5) Establish a sound original registration and reporting system for women and children. Seriously do a good job in statistics on maternal and child health information, and complete the reporting of national and provincial reports on time, so that they are complete, accurate and timely.

6) Continuously improve the work of the baby-friendly hospital. Medical staff throughout the hospital often promote the benefits of breastfeeding for pregnant women, and provide breastfeeding help and guidance, and successfully implement the ten measures to promote breastfeeding in our hospital. The specific practices are as follows: 3 hours of recurrent training for the staff of the whole hospital, 3 hours of intensive re-training for key staff, and 18 hours of pre-job training for newly recruited staff, and regular assessments to ensure the results of the baby-friendly hospital Perfected and consolidated.

7) Take the patient as the center, implement the full-course responsibility system, and effectively implement the “one-on-one” delivery service to create a warm and home-like environment for the mother.

In the past year, although the maternal and child health work in our hospital has achieved certain results, it also has many shortcomings. In the future, we will strengthen business learning, continuously improve the quality of obstetrics, continue to improve and consolidate the results of the baby-friendly hospital, and strive to push the maternal and child health work of our hospital to a new level.

Summary of maternal and child health work

This year's maternal and child health work in our county is an unusual year. According to the Ministry of Health, the Provincial Health Department, and the project experts at the beginning of the year, we have supervised and inspected the implementation of the “reduction” project and the maternal and child health work in the county. For a long time, the maternal mortality rate has remained high, and the maternal and child health service work has been difficult to improve. The guiding opinions have been put forward, and the county people’s government has attached great importance to it, in order to further strengthen the organization and management of the “reduction” project. The leaders of the county's maternal and child health work have effectively implemented the various measures of the project, promoted the service capacity of the county's maternal and child health work, and introduced some policies and management measures. In the past year, under the leadership of the county party committee and county government and under the great attention and support of the higher authorities, we have started to regulate the routine business management of maternal and child health care, and strictly follow the management of routine maternal and child health care business. The requirements of the maternal and child health work norms and systems, combined with the actual situation of our county, strengthen the county's maternal and child health care business management. Focusing on the “reduction” project, we will strengthen the county's maternal system management and child system management, improve the hospital delivery rate, popularize the new method of delivery, adhere to the health-centered, and ensure reproductive health, and implement a combination of health care and clinical practice. Grassroots, group-oriented, prevention-oriented maternal and child health work guidelines, efforts to complete the task indicators issued by the province, state, and county, comprehensively promote the development of maternal and child health care throughout the county, and now summarize the work of the year as follows:

First, the basic situation

There are 10 health centers in seven townships and seven towns in the county, 70 administrative village clinics, and 70 village doctors. Each health center has a defense department, each with a leader and a women and children, responsible for women and children in their respective jurisdictions. Health care work.

The County Maternal and Child Health Hospital is the technical guidance center for maternal and child health care in the county, with 31 employees, including 27 business personnel and 4 financial logistics personnel. There are 9 intermediate titles and 21 junior titles. There are no retirees during the year. The number of employees at the end of the year is 31. The hospital has functional departments such as child care department, maternity insurance department, statistics department, grassroots guidance department, marriage health department, medical technology department, pharmacy department, financial logistics, hospital office, etc. The whole hospital has an annual attendance rate of 100%, and the county is stationed in the township. 5 experts. In the past year, the county's maternal and child specialists have been basically stable. Work together and work hard to carry out maternal and child health care.

Second, the development of maternal and child health care in the county

1. Strengthen management and standardize business

According to the leaders of the Ministry of Health and the Provincial Health Department at the beginning of the year, the project experts have inspected and supervised the work of the “reduction” project and the maternal and child health work of the county and the relevant requirements of the county’s “reduction” project work conference. The county's maternal and child health work standard management, on the basis of doing a good routine maternal and child health care business management, in strict accordance with the requirements of maternal and child health work norms and systems, combined with the actual situation of our county, strengthen the county's maternal and child health business management.

Strengthen the guidance for maternal and child health care in townships and villages, and the responsibility is to people. The county health center has drawn nearly 20 pediatric staff to work in 7 towns and 3 towns to strengthen business guidance. From May 2009 onwards, according to the regular and fixed work arrangements of the township health centers, the doctors in the hospital are very nervous in the hospital, and they insist on helping the village-level maternal and child health care services every month. During the year, a total of 111 people were assisted and guided to work in the countryside for a total of 784 days. The county and township maternal and child health workers completed 1,073 prenatal examinations for maternal and 7262 person-time health checks. The promotion of village-level maternal and child health services has been promoted to a large extent.

Based on the experience learned from the study, and drawing on the advanced practices of others, combined with the actual work, the county's maternal and child health information statistics, cards, and books were re-edited, and the county's maternal and child health basic data was managed monthly, and maternal and child health data was further strengthened and standardized. file.

2. Implement measures, increase technical guidance and training for project business

Summary of maternal and child health work

This year's maternal and child health work in our county is an unusual year. According to the Ministry of Health, the Provincial Health Department, and the project experts at the beginning of the year, we have supervised and inspected the implementation of the “reduction” project and the maternal and child health work in the county. For a long time, the maternal mortality rate has remained high, and the maternal and child health service work has been difficult to improve. The guiding opinions have been put forward, and the county people’s government has attached great importance to it, in order to further strengthen the organization and management of the “reduction” project. The leaders of the county's maternal and child health work have effectively implemented the various measures of the project, promoted the service capacity of the county's maternal and child health work, and introduced some policies and management measures. In the past year, under the leadership of the county party committee and county government and under the great attention and support of the higher authorities, we have started to regulate the routine business management of maternal and child health care, and strictly follow the management of routine maternal and child health care business. The requirements of the maternal and child health work norms and systems, combined with the actual situation of our county, strengthen the county's maternal and child health care business management. Focusing on the “reduction” project, we will strengthen the county's maternal system management and child system management, improve the hospital delivery rate, popularize the new method of delivery, adhere to the health-centered, and ensure reproductive health, and implement a combination of health care and clinical practice. Grassroots, group-oriented, prevention-oriented maternal and child health work guidelines, efforts to complete the task indicators issued by the province, state, and county, comprehensively promote the development of maternal and child health care throughout the county, and now summarize the work of the year as follows:

First, the basic situation

There are 10 health centers in seven townships and seven towns in the county, 70 administrative village clinics, and 70 village doctors. Each health center has a defense department, each with a leader and a women and children, responsible for women and children in their respective jurisdictions. Health care work.

The County Maternal and Child Health Hospital is the technical guidance center for maternal and child health care in the county, with 31 employees, including 27 business personnel and 4 financial logistics personnel. There are 9 intermediate titles and 21 junior titles. There are no retirees during the year. The number of employees at the end of the year is 31. The hospital has functional departments such as child care department, maternity insurance department, statistics department, grassroots guidance department, marriage health department, medical technology department, pharmacy department, financial logistics, hospital office, etc. The whole hospital has an annual attendance rate of 100%, and the county is stationed in the township. 5 experts. In the past year, the county's maternal and child specialists have been basically stable. Work together and work hard to carry out maternal and child health care.

Second, the development of maternal and child health care in the county

1. Strengthen management and standardize business

According to the leaders of the Ministry of Health and the Provincial Health Department at the beginning of the year, the project experts have inspected and supervised the work of the “reduction” project and the maternal and child health work of the county and the relevant requirements of the county’s “reduction” project work conference. The county's maternal and child health work standard management, on the basis of doing a good routine maternal and child health care business management, in strict accordance with the requirements of maternal and child health work norms and systems, combined with the actual situation of our county, strengthen the county's maternal and child health business management.

Strengthen the guidance for maternal and child health care in townships and villages, and the responsibility is to people. The county health center has drawn nearly 20 pediatric staff to work in 7 towns and 3 towns to strengthen business guidance. From May 2009 onwards, according to the regular and fixed work arrangements of the township health centers, the doctors in the hospital are very nervous in the hospital, and they insist on helping the village-level maternal and child health care services every month. During the year, a total of 111 people were assisted and guided to work in the countryside for a total of 784 days. The county and township maternal and child health workers completed 1,073 prenatal examinations for maternal and 7262 person-time health checks. The promotion of village-level maternal and child health services has been promoted to a large extent.

Based on the experience learned from the study, and drawing on the advanced practices of others, combined with the actual work, the county's maternal and child health information statistics, cards, and books were re-edited, and the county's maternal and child health basic data was managed monthly, and maternal and child health data was further strengthened and standardized. file.

2. Implement measures, increase technical guidance and training for project business

In the township as a unit, the rural doctors and farm health workers will be concentrated to carry out the county, township and village maternal and child health management practices, the “depletion” project operation program and the new maternal and child health information monthly report for comprehensive training; In the 15th session of the training class, 2094 person-times of village doctors and farm health workers were trained. Through continuous deepening training, the understanding and understanding of maternal and child health care work by village doctors and farm health workers were improved to varying degrees. The tasks and responsibilities of the village-level maternal and child health care were clarified; the township health center was helped to clarify and rationalize the guidance and supervision management mechanism for the maternal and child health care work in the village. Basically straighten out the working norms and operating procedures of the three-level network of maternal and child health in counties, townships and villages.

Monthly assistance to the township hospitals to regularly and intensively enter the village clinic training and assistance work, to carry out the ground-to-face, hand-to-hand maternal health care, high-risk maternal screening and high-risk management, child health care, health consultation, and rural villagers and village doctors. Maternal and child health care training such as health checkups has enabled maternal and child health care services of village doctors and farm health workers to be improved to varying degrees. In the whole year, the village clinic was assisted and assisted by 111 person-times, and 1255 person-times of village doctors and farm health workers were instructed. Through the guidance and training, the business technical service capacity of the rural maternal and child health workers and the guidance ability for the village maternal and child health care work were further promoted and improved.

3. Increase the “reduction” project and the “New Rural Cooperative” policy propaganda and maternal and child health knowledge health education. The maternal and child health workers in counties, townships and villages, while conducting maternal health care and prenatal examinations, fully promote the “depletion” project and the “Nong Nonghe” in the maternity and the family and their families. Preferential policies, limited-price hospital delivery, poverty relief, benefits of hospital delivery. In the whole year, a total of 19 batches of training and promotion of “reduction” projects and “NRCMS” policy propaganda and maternal and child health knowledge were conducted, and a total of 1925 people were trained; how many 2268 pregnant women were given “reduction” projects and “new farmers” "Policy publicity; the county has issued a total of 30,248 copies of the "reduction" project and the "new rural cooperative" policy maternal and child health knowledge health education, about 60,000 people have received health education. At the county health work conference and the maternal and child health work regular meeting, the government in charge of leadership, the health bureau leadership, and the county maternal and child health hospital related departments further arranged the work of “reducing the project” and re-implemented the operation program of the “reduction” project. Training.

4. In 2019, the completion of maternal and child health work indicators in the county:

Maternal mortality: In 2019, the county had a total of 1,672 pregnant women, 1,672 live births, 2 maternal deaths, and a maternal mortality rate of 119.62/100,000. Compared with the previous year, it decreased by 159.71 100,000 points; according to the requirements of the indicators issued by the superior, the control is within the required indicators.

Maternal health care: In 2019, there were 1672 pregnant women, and a total of 1073 prenatal checkups were performed. The maternal health coverage rate was 64.17%, an increase of 8.51 percentage points compared with the same period of the previous year; 327 system management, system management The rate was 19.56%, an increase of 4.97 percentage points compared with the same period of the previous year.

High-risk maternal screening and high-risk hospital delivery: In 2019, a total of 116 high-risk pregnant women were screened, with a screening rate of 6.94%, an increase of 2.48 percentage points compared with the same period of the previous year. There are 116 high-risk management and the high-risk management rate is 100%. High-risk maternity hospitalized 96 people. The rate of hospital delivery for high-risk women was 82.76%, a decrease of 14.12 percentage points compared with the same period of the previous year.

Hospital delivery rate: In 2019, there were 1672 total maternal births in the county, and there were 1672 live births, including 837 hospital deliveries, and the hospital delivery rate was 50.03%, an increase of 20.52 percentage points compared with the same period of last year. The required indicators are required to complete the indicator requirements.

New law delivery: There were 107 people in 2019, and the new birth rate was 64.47%, an increase of 27.95 percentage points compared with the same period of last year.

Child health: In 2019, there were 10,664 children aged 06, 7558 children under 5 years old, and 4,853 children under 3 years old. During the year, there were 7262 health checkups for children under 7 years old, and the child health coverage rate was 68.1%; System Management 966 People, the system management rate was 19.91%; screening 219 high-risk and frail children, the management rate of frail children was 100%.

Infant mortality rate: In 2019, there were 37 infant deaths in the county, and the mortality rate was 22.13‰; it was 6.5 thousand points lower than the previous year; according to the requirements of the higher-level indicators, the control was within the requirements of the index.

Mortality rate for children under 5 years old: In 2019, there were 43 deaths among children under 5 years old in the county, and the mortality rate was 25.72‰. Compared with the previous year, it dropped by 9.89 thousand points.

Neonatal tetanus monitoring: no neonatal tetanus occurred during the year, the incidence of neonatal tetanus was 0‰; no birth defects.

The number of breastfeeding surveys was 1,329, and that of breastfeeding was 1,319. The breastfeeding rate was 99.25%, an increase of 0.16 percentage points to 99.09% compared with the same period of last year.

The 2019 annual birth death report: According to the two death monitoring, one-third of the county's township and one-third of the villages were surveyed for missing births this year. The county surveyed Yezhi and Baiji. In the three townships of Weixun and Weideng, a total of 10 villages in one third of the three township administrative villages were randomly selected. Three townships reported a total of 534 live births. After the investigation, there were actually 569 births. 35 people, the rate of underreporting was 6.15%; the number of reported deaths was 17; after the investigation, 18 people actually died, and 1 person was reported, the rate of underreporting was 5.56%; 2 cases of maternal deaths were reported, and the report was underreported. After the actual death of 2 people, no maternal deaths were reported. It can be seen from the above-mentioned underreporting investigation that there are still many shortcomings in rural maternal and child health care work in the county, especially in terms of maternal, birth, death, etc., there are still many loopholes and even blank spots. How to strengthen the village level Maternal and child health services, strengthening pregnancy tracking, and minimizing underreporting are the key points that should be strengthened in our work for the next year.

To prevent mother-to-child transmission of AIDS

In the 2019 prevention and treatment of AIDS mother-to-child transmission in Weixi County, according to the relevant requirements of the province and the state, the company established the leader of the AIDS-related member unit in charge of the prevention and treatment of AIDS mothers and infants in 2019. The “Working Implementation Plan” was disseminated, and the following work was carried out according to the requirements of the “Implementation Plan”, which closely targeted all target groups such as pregnant women, maternity and pre-marital health care groups:

1 health education work

Extensive publicity and consultation activities in a variety of formats. In conjunction with the "March 8" Women's Day, Children's Day on June 1st, and AIDS Day, we will carry out various publicity activities around the prevention of mother-to-child transmission of AIDS. Vigorously promote the "prevention of AIDS mother-to-child transmission" knowledge, issue various brochures, pictorials, leaflets and other information, through the county, township midwifery service units to the pre-marital health care group and pregnant women, to pass the AIDS mother and baby to pregnant women Dissemination of knowledge and information.

2 Provide voluntary counseling and testing services

The County Maternal and Child Health Hospital provides free counselling for mothers and children to prevent AIDS from pre-marital health care, disseminates information on prevention of mother-to-child transmission of AIDS, conducts risk behavior assessments, and introduces and recommends HIV antibody testing. Under the principle of full notification and confidentiality, the AIDS Virus Antibody Testing Informed Consent Form is completed and the testing service is provided. If the test result is negative or positive, it is necessary to consult after the test to carry out effective contraceptive guidance.

The prefecture hospital provides pre-existing consultation on HIV antibody testing for all pregnant women. The consultation includes the harm of mother-to-child transmission of AIDS, prevention of mother-to-child transmission of AIDS, help to assess risk behaviors, explain the significance and pros and cons of the test and wait for results. Preventive measures; introduce and recommend HIV antibody testing. Under the principle of full notification and confidentiality, fill out the "Informed Consent Form for HIV Antibody Testing" to conduct HIV antibody testing free of charge.

Provide post-test counseling for positive maternal AIDS virus test results; provide information on prevention of AIDS mother-to-child transmission, help them analyze infection status, and choose informed pregnancy outcomes by themselves and their families, and fill out the “Informed Consent to Choose Pregnancy Outcomes” 》. And provide services for positive maternal women who decide to terminate their pregnancy and give effective contraceptive guidance. For those who choose to continue their pregnancy, strengthen pregnancy care and mobilize their hospital delivery.

Consultation and testing for spouses of pregnant women with HIV infection.

In 2019, a total of 313 human antibodies were detected during pregnancy, 510 were detected by HIV antibody, 3 were positive pregnant women, 2 were consulted after the test, and the pregnancy was voluntarily terminated. The other case was referred from the county CDC to the county health center.

In 2019, a total of 191 reagents and medicines for the prevention and treatment of AIDS mother-to-child transmission were distributed to the superiors, and 191 pieces of pesticides for the prevention of AIDS mother-to-child transmission and 191 kinds of medicines were distributed to all township hospitals.

Third, the current problems and difficulties

(1) The leadership management of the “reduction and elimination” project at all levels of the party committee and government needs to be further strengthened. In particular, the township party committee government is the direct leadership management department of the village-level health work. It should combine the work of “reducing and eliminating” projects in the jurisdiction with all the policies of “prospering farmers and benefiting the people” to jointly manage and strengthen publicity. We will launch maternal delivery in the whole town to ensure maternal and child safety and strive to reduce the two mortality rates.

(2) The net level of the third-level maternal and child health care network is extremely weak. Due to the lack of village-level maternal and child health care women's village doctors, it is difficult to carry out maternal health services in rural areas, even without development. This is the maternal mortality rate in our county. One of the most important reasons why it has always been high and difficult to control.

(3) The propaganda and mobilization efforts of the county, township and village for maternal hospital delivery are not deep enough. Individual towns and villages still have blind spots and blank spots for maternal propaganda. It is an important reason for the omission of maternal miscarriage and hospitalization.

(4) The health education activities of the community need to be strengthened. At present, the health education in the community is not deep enough, and the publicity is not wide enough; the community should be widely mobilized, multi-sectoral collaboration, community health education and health promotion work should be actively carried out, and community health services should be comprehensively promoted. To carry out, mobilize and guide community residents to establish health education and health promotion planning, develop good health behaviors and methods, improve the self-care and health of community residents, continuously improve the health care awareness of community residents, and gradually improve the community. The ability of residents to utilize health care technology services. In order to promote the comprehensive development of various health services in the community.

(V) It can be seen from the assessment of the maternal and child health work in the county that the results of the assessment have generally increased, but the work indicators required by the higher authorities are still far from each other. It is necessary to make unremitting efforts and continuously strengthen the work, so that the county's maternal and child health work can be greatly developed.

(6) The management of village doctors in the township health center, the responsibility of the village doctors for maternal and child health care needs to be further strengthened. Through the past six months, the guidance and supervision work on the maternal and child health care at the township and village levels has been strengthened, and the village doctors have information on maternal and child health. The standard of the account has been improved, but the problem of missing reports of birth death is still very prominent. This shows that the village doctors have no grasp of the maternal information in the area. The problem is still at the village level. Some village doctors even lose the statistics of maternal and child health information. . Seriously affected the integrity of the county's maternal and child health information statistics work.

(7) All township hospitals need to further raise awareness of the importance of maternal and child health care, clarify the responsibility and responsibility of maternal and child health work at the township level, and strengthen the management of maternal and child health work. Based on the principle of fully serving all the service targets in the jurisdiction, we should conscientiously study how to improve the countermeasures for maternal and child health care technical services in our jurisdiction, and gradually improve the maternal and child health care technical service capacity in the township, in order to effectively protect women and children in their respective jurisdictions. The physical health and life safety of the socially disadvantaged groups provide proactive, responsible and quality services.

The pre-marital medical examination work situation is difficult to open. After the introduction of the new marriage registration regulations, compulsory marriage inspection was cancelled, and the pre-marital population hiv test work was difficult.

V. Next year

(1) Further increase the leadership and management of the county's “reduction” projects and maternal and child health work at the county, township and village levels, increase the implementation of government responsibility targets, and integrate maternal hospital delivery and propaganda activities into the “three rural issues”. In the work of benefiting farmers, the hospital delivery rate is actually improved;

(2) Strengthening the construction of county-level, township and village-level preventive maintenance networks, strengthening training for rural maternal and child health workers, strengthening supervision and management of grassroots units, continuously expanding the content and scope of work, and continuously improving maternal and child health care services at the grassroots level; Health technology services, strengthen the management of the two systems, continue to do a good job in the work of maternal hospital delivery, and strive to increase the rate of hospital delivery and reduce the two mortality rates.

(3) Continue to strengthen the training of women and children at the township and village levels, further strengthen the construction of maternal and child health care networks, establish and improve the network function of maternal and child health care, and improve the service capacity of rural maternal and child health care technologies.

(4) Intensify the publicity of health care knowledge, enhance the public's health awareness, improve the people's self-care awareness and the ability to use health care services, strengthen the work of women's diseases, and strive to reduce the incidence of common and frequently-occurring diseases among women.

(5) Strengthen the law enforcement of the Maternal and Infant Health Care Law, carry out pre-marital health care and prenatal diagnostic technical services, strengthen the work of pmtct, actively carry out three-level preventive measures, improve the pre-marital health check rate, and reduce the incidence of birth defects. To regulate the management and distribution of "Birth Medicine".

(6) Carry out health care management for the kindergartens in the county. There are plans for health checkups for young children, timely detection of diseases, evaluation of treatment effects, strengthening prevention and publicity of children's “four diseases”, and promoting breastfeeding.

(7) Strengthen the management and operation of the county, township and village maternal and child health statistics accounts. Timely, accurate and complete registration and statistics work for each account. Strive for the authenticity, accuracy and scientificity of all maternal and child health statistics. Avoid and eliminate false negatives, missing reports and false reports of various data.

In the past 2019, we worked hard together, worked hard, and shed our hard work, which greatly improved the maternal and child health work in the county. In the coming 2019, challenges and opportunities coexist, difficulties and hopes in. Let us take the important thinking of the "Three Represents" and the spirit of the 17th Party Congress as the driving force. Advance with the times, work hard, be energetic, pioneering and enterprising, and full of enthusiasm to participate in the maternal and child health undertakings for the health and safety of women and children in the county, to provide more and better for the physical and mental health of women and children. Health care technology services.