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Summary of Maternal and Child Health Monitoring Work in County Maternal and Child Health Hospital in 2019


Under the leadership of the County Health Bureau, the monitoring of maternal and child health in XX has successfully completed the tasks under the joint efforts of the county's medical and health care units and the joint efforts of women and children at all levels in the county. According to the spirit of the national, provincial and municipal “Medical and Child Health Monitoring” work, in order to maintain consistency with national monitoring, this year's “Medical and Child Health Monitoring” has implemented the “3+1” model. In the past year, we have done the following work.
One. The leaders attached great importance to the measures. The county party committee and the county government gave great support to the monitoring of maternal and child health. The county health bureau paid great attention to the monitoring of maternal and child health, and formulated the “xx County Maternal and Child Health Monitoring Program”. Detailed monitoring was determined in the program. Objects; formulated a unified data collection method and operation program; formulated quality control methods and checked rewards and punishments; the county health bureau supervised personnel went to the grassroots level to supervise and help each year: the county maternal and child health care center often worked hard on this work. Regular and irregular inspections in rural areas. Supervision and guidance, to ensure the smooth progress of maternal and child health monitoring. For more than 10 years, maternal and child health monitoring has been highly praised by national, provincial and municipal inspectors.
Second, do a good job in training and improve quality This year is the third year of the “3+1” model for maternal and child health monitoring. After the maternal and child health monitoring work runs smoothly, it is the key to grasping the maternal and child health monitoring training this year. First of all, we He made detailed analysis and sufficient preparations for the problems in the past work. He has developed a thorough training plan, and the comrades who participated in the provincial teacher training class carefully prepared and prepared lessons carefully. In mid-October, the county and village were engaged in maternal and child health work. During the three-day training, they gave detailed and serious explanations on the maternal death monitoring program and review, the monitoring plan for children under 5 years old, and the monitoring data reporting methods and related forms. After that, a written examination was held, and Shen Zhifeng, the president of the Health Center, summarized the training. The training received great attention and strong support from the county health bureau. Comrade Zeng Qingling, deputy director of the Health Bureau, attended the meeting and made an important speech. The significance of the maternal and child health monitoring work and the importance of the training course, it is necessary to establish a high degree of responsibility for the comrades participating in the training. Heart, we must use a rigorous work attitude, do a good job of monitoring, ensure the authenticity and effectiveness of the data, eliminate false reports, report, reduce misreports, and report. Through learning exchanges, we further unify our thinking and improve our The understanding of maternal and child health monitoring has enhanced the sense of responsibility and mission, understood and mastered the maternal and child health monitoring methods, and received satisfactory results and achieved the intended purpose. Training to improve the maternal and child health information system and promote the use of maternal and child health information The rate has improved the quality of maternal and child health monitoring, and promoted the county's maternal and child health work to be institutionalized, standardized, scientific management track, and promote the development of maternal and child health in our county has played a positive role.
Third, the quality control is in place, the data is accurate according to the training requirements, and the monitoring towns and villages collect the monitoring information reported by the village level, and then go deep into the villages to conduct data quality control in early November, laying the foundation for ensuring the authenticity of data reporting. In late December, on the basis of monitoring the quality control of townships and towns, the County Maternal and Child Health Hospital randomly selected five administrative villages in five townships for a five-day quality control and monitoring guidance, fully guaranteeing the report. The accuracy of the data. In XX years, the number of live births reported by the county xx counties was 2,048, and after the quality control, it was 2,069, and the false negative rate was 1%. The death rate of children under 5 years old was reported to 57, and the mortality rate was 27.83‰. Two people were reported missing, and the false negative rate was 0.9‰. Infant deaths were reported to 37 and the infant mortality rate was 14.51‰. Two people were reported missing, and the false negative rate was 0.9‰. Neonatal deaths were reported to 19 people. The mortality rate is 9.3‰. Two people were reported missing, and the false negative rate was 0.9‰. The hospital delivery rate has increased from 53.87% in XX to 75.1% in XX; 4 maternal deaths and 195.3 per 100,000. There were no reports of maternal deaths in the county.
Four existing problems and suggestions
The management rate of the two systems in the two townships is low, and the monitoring work needs to be improved. Maternal and child health care workers in towns and villages cannot accurately and accurately grasp the births of children in their townships. There may be reports of live births and deaths. It is recommended that all health care units strengthen the establishment and improvement of the management of the two systems to improve the monitoring of women and children. provide assurance.
2 Quality control should be constantly carried out: Individual medical institutions pay attention to the end of monitoring work, registration is not comprehensive, and there is no way to follow up the high-risk children who may die in hospitals. It is also possible to report the phenomenon. It is recommended that all medical units Improve registration, and make maternity names. Locations are authentic and reliable, so as to reduce the occurrence of false reports.
3 The lack of monitoring funds is not conducive to the monitoring work: the lack of funds for women and children in grassroots medical units is expected, and it is hoped to increase monitoring funds. In particular, the monitoring work is difficult. The grassroots personnel have low remuneration, which affects the smooth progress of the work.
4 The monitoring personnel change frequently and the quality is not high: due to the frequent replacement of the pilots, the newly-inspected monitoring personnel do not understand the monitoring work and do not actively learn. It affects the monitoring work.
5 The construction of obstetrics in township hospitals needs to be strengthened: With the popularization of rural cooperative medical care and the advancement of farmers' concept of fertility, more and more people are giving birth to township hospitals. However, some of the township hospitals have weak obstetric technical skills and obstetric facilities. Original. Lagging behind, most township hospitals do not have a warm hospital environment, may increase the risk factors for newborns.
6. Pay attention to the health management work of urban people: With the acceleration of the pace of urban construction, the health management of urban people will undoubtedly form a huge pressure. The county urban residents committee is incompletely established, which affects the normative reporting of urban birth death. It is recommended that the relevant departments set up a three-level health care network for urban residents as soon as possible, and increase personnel, equipment, and funds to enable the urban population to receive corresponding health care services.

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