Summary of maternal and child health work in 2019

Under the leadership of the county party committee and the county government and under the guidance of the higher-level business departments and under the guidance of the women's federation, education, family planning and other relevant departments, the women's and children's health care work in Fugou County was successfully completed through the joint efforts of health care personnel at all levels. Various work tasks. In order to carry forward the results and find the shortcomings, the work situation in the past year is summarized as follows:

1. Maternal and child health service institutions and people

Fugou County has jurisdiction over 16 townships, towns, and towns, and 411 administrative villages with a total population of 744,315. The County Health Bureau administers 16 townships, towns, and health centers, and 411 village health centers. There are 147,645 married women of childbearing age in the county, 52,582 children under 7 years old, 35,364 children under 5 years old, 2,2010 children under 3 years old, and 6411 people born in the same year.

Second, earnestly do a good job in perinatal health care, improve the maternal system management rate, and reduce maternal mortality

Perinatal health care is an important part of maternal and child health care. The party and the government have always attached great importance to it, especially the implementation of the new rural cooperative medical care system, which greatly improved the new birth rate and hospital delivery rate, and the life safety of pregnant women and newborn babies. Great protection. Maternal and child health care personnel at all levels have vigorously carried out the management of maternal system, and the county maternal and child health hospital has added perinatal health clinics, high-risk pregnancy clinics and maternity schools. There were 6411 live births, 6404 women, 5,503 maternal system management, 85.84% maternal system management rate, 5669 postpartum visits, 88.43% postpartum visits, 6173 hospitalizations, and 96.29% hospital delivery rates. The new method delivered 6351 people, the new birth rate reached 99.06%; 3 maternal deaths, maternal mortality rate 46.79/100,000.

Third, do a good job in child health care, improve the systemic management rate of children, and reduce the mortality rate of children under 5 years old.

Child health care is another important content of maternal and child health care. Children are the hope of the motherland and the future of the nation is highly valued by party committees and governments at all levels. In the same year, the number of children under 7 years old was 46,941, and the child health management rate was 89.27%. The system for children under 3 years old was 19,350, and the system management rate for children under 3 years old was 87.92%. Nutritional evaluation of children under 5 years old, 29565 people were found, the results showed that the prevalence of moderate to severe malnutrition was 1.15%, indicating that the nutritional status of children needs to be improved. On the eve of Children's Day of the Children's and Children's Health Hospital of the County, with the support of the County Education Commission, under the active cooperation of the kindergarten staff, a comprehensive and systematic physical examination of the 7 kindergarten children belonging to the town was conducted. A total of 2109 medical examinations were conducted. There were 630 defects in the disease, and the detection rate was 29.87%. 176 people with mild anemia detected, 120 with rickets, 350 with dental caries, 9 with inguinal hernia, and 3 carriers with hepatitis B surface antigen. Under the premise of protecting children's privacy, they put forward corresponding opinions on treatment and treatment, and won the parents' Praise. Through the implementation of health care measures, 79 children died under the age of 5 in the county, and the mortality rate of children under 5 years old was 12.32‰; the infant mortality rate was 58 and the infant mortality rate was 9.05‰.

Fourth, actively carry out the work of women's disease census and general work, improve women's overall health status, and protect labor resources

Women are important labor resources and the main force of economic construction. The state has always given corresponding protection policies. In the county and township health care and family planning departments, a total of 79,443 women were investigated for the general examination of women's diseases. The inspection rate was 161.42%, 35,808 gynecological diseases were detected, and the gynecological disease rate was 45.07%. With the strong support of the County Women's Federation, the County Maternal and Child Health Hospital adheres to the annual urban women's disease investigation and treatment work. From March to May, there were 98 census units and 870 censuses. Due to the census project, there are breast examination, gynecological examination, b-ultrasound examination, colposcopy, hysteroscopy and vaginal exfoliative cytology. The prevalence rate of women is 80.00%, and 3 cases of cervical cancer are detected. high standards. After the corresponding standardized treatment, the overall health status of women has been significantly improved.

V. Continue to do a good job in planning and giving birth to technical guidance, and stop the occurrence of death from family planning surgery

Planning for fertility technical guidance is still an important part of maternal and child health care. As the county's program birth control technical guidance unit, the County Maternal and Child Health Hospital has always paid attention to the standardized training of the township planning and childbearing work, and achieved remarkable results. In that year, the total number of birth control operations was 4884, the birth control device accounted for 49.30%, the tubal ligation accounted for 2.83%, the artificial abortion rate accounted for 10.24%, the medical abortion accounted for 20.07%, and the induced labor accounted for 2.52%. No case of induced labor death occurred.

6. Do a good job in monitoring maternal and child health and provide a scientific basis for implementing intervention measures in the province.

Since 1996, our county has been a monitoring point for maternal deaths, deaths of children under 5 years of age, and birth defects. Maternal death monitoring was implemented in the county. The monitoring of deaths of children under 5 years old was carried out in Cuiqiao Township, and birth defect monitoring was carried out in county hospitals and health centers. Over the years, the county hospital gynaecology and obstetrics, pediatrics, health care hospital health care department, Cuiqiao health center defense station, always maintain a rigorous work attitude, serious work style, down-to-earth, dedication, and send valuable to each other every quarter Scientific research materials, for the province to develop practical strategies for maternal and child health work, to make their due contributions.

VII. Implementing the International Cooperation Project on Reproductive Health/Planning and Fertility, Promoting the Work of Maternal and Child Health in Our County to Keep Up with the Times

China-UNFPA's sixth-cycle reproductive health/planning fertility project has greatly improved the county's maternal and child health care service capacity since its implementation in our county. People-oriented, the concept of taking people's overall development as the center and taking people's needs as the starting point has been deeply rooted in the hearts of the people. Project information science management, youth health care clinic and program birth planning service training, as well as mutual visits and study in the project counties, opened our eyes and grasped the pulse of the development of maternal and child health. The establishment and normal operation of the adolescent health clinic, maternity school, perinatal care, and family planning service clinics have enabled the county's maternal and child health work to keep pace with the development of the times. The maternal and child health work has a new look, quality and standardized services and various The development of health education activities has benefited women, children, men and adolescents in our county.

8. Implement birth and birth defect monitoring projects, master case information, and train a group of professional and technical teams to further improve the quality of maternal and child health information

In 2019, the comprehensive prevention and treatment project for cancer in the Huaihe River Basin of the State Council was launched. The birth and birth defects monitoring project was implemented. The direct health care units of the townships and counties directly received information on birth, death and defects in a timely manner. The Health Department of the Health Center was responsible for the final review. Since the implementation in late June 2019, as of November 22, 6870 cases have been reported and 17 birth defects have been obtained. Not only have the case information been grasped in time, the content of maternal and child health services has been broadened, and a group of professional and technical teams have been trained to further improve The quality of maternal and child health information.

IX. Do a good job in project information management and annual report training, laying a good foundation for doing a good job and year-round work.

Fugou County is the sixth UNEP fund reproductive health/planning birth project, the Huaihe River Basin birth and birth defect monitoring project, and the Henan Province Maternal and Child Health Monitoring Project. Since September, the state, the Huaihe River Basin, the province, and the city have successively held Information management and annual report training, in order to achieve resource sharing, comprehensive utilization of relevant information, we integrate

The project information and annual report content were held from September 27 to 29, 2019. Training was provided to 40 township health centers, county health care units, private birth hospitals , anti-insurance stationmasters, women and children full-time, network direct reports and quarterly reports. It laid a good foundation for the project and the year-round work.

X. Strengthen the construction of maternal and child health care, standardize the service behavior of medical staff, and improve the service capacity of maternal and child health care and clinical medical staff

The working principle of maternal and child health is centered on health care, with the aim of ensuring people's reproductive health, health care and clinical integration, facing the group and facing the grassroots. The County Maternal and Child Health Hospital is a state-level supervisory opportunity for the Reproductive Health/Planning and Fertility Project. Based on the establishment of a maternity school, a perinatal health clinic, a youth health clinic, a family planning service clinic, and an outpatient operating room in XX, 2019 New neonatal intensive care unit was added, and corresponding inspection and auxiliary inspection equipment were equipped to expand the scope of services and improve service facilities such as air conditioners and water dispensers to meet the growing health care needs of the people. Create light box billboards, post various publicity signs, publicity brochures and publicity frames to create a family service atmosphere and build a harmonious relationship between doctors and patients. Taking advantage of the annual acceptance of medical quality management in the hospital, strengthening the quality of medical care, controlling infection, and emergency management, the medical records are written to reflect the good communication relationship between doctors and patients, highlighting the choice of humanistic care and quality service concept, greatly enhancing the clinical integration of the hospital. Service capacity, annual business income of 4 million yuan, and achieved good social benefits.

XI. Difficulties and suggestions in maternal and child health work

1. The treatment of maternal and child health workers in counties and townships is too low, and the team is difficult to stabilize, which affects the quality of work.

The treatment of maternal and child health workers in counties and townships is lower than the income of clinical medical staff. Since the launch of the new rural cooperative medical system, the distance has been widened, which will inevitably affect the enthusiasm of maternal and child health workers. It will be transferred to the clinic through professional counterparts and practicing needs. The health care team is difficult to stabilize and training knowledge. Unable to do, affecting the quality of work. The salary of a separate list of security personnel shall be paid by the Health Bureau.

2. The public has insufficient understanding of the voluntary marriage inspection work, and should increase the intensity of the mission. It is best for the government to pay for the pre-marital medical examination.

3. The county maternal and child health care center started late and was in the predicament of survival for a long time. The health care work such as perinatal care and child health has not been able to develop very well. In order to meet the development needs of maternal and child health care in the new era, we hope that governments at all levels And the health administrative department gave strong policy support and financial tilt.