Summary of maternal and child health monitoring work of County Health Bureau 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. Leaders attach importance to measures

The county party committee and the county government gave great support to the monitoring of maternal and child health. The county health bureau gave great attention to the monitoring of maternal and child health, and formulated the “xx County Maternal and Child Health Monitoring Program”. The detailed monitoring targets were determined in the plan; The data collection method and operation program; the quality control method and the inspection and punishment method were formulated; the county health bureau supervised the staff to go to the grassroots level to supervise and help each year: the county maternal and child health care center often worked tirelessly on this work, and regularly and irregularly The village has carried out inspections, supervision and guidance, and ensured the smooth progress of maternal and child health monitoring. For more than a decade, 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 training of maternal and child health monitoring this year. First of all, we have problems in the past work. He made detailed analysis and sufficient preparation work. He developed a careful training plan, and the comrades who participated in the provincial teacher training class carefully prepared and prepared lessons. In mid-October, the county and villages engaged in maternal and child health work for a three-day training. In the training class, they gave detailed and serious explanations on the maternal mortality monitoring program and review, the monitoring plan for children under 5 years old, and the monitoring data reporting methods and related forms. After the training, a written examination was held. Shen Zhifeng, Dean of the Health Care Institute, summed up 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 delivered an important speech. Deputy Director of the Department of Health emphasized the importance of maternal and child health monitoring. The significance and importance of this training class require that comrades participating in the training must establish a high degree of responsibility and use rigorous work. Degree, conscientiously do a good job in monitoring, ensure the authenticity and effectiveness of the data, eliminate false reports, report false reports, reduce misstatements, and report. Through learning exchanges, everyone further unifies thoughts and raises awareness of maternal and child health monitoring. Strengthened the sense of responsibility and mission, understood and mastered the maternal and child health monitoring methods, received satisfactory results, and achieved the intended purpose. Training to improve the maternal and child health information work system, promote the utilization of maternal and child health information, and improve maternal and child health monitoring The quality of the county has promoted the county's maternal and child health work to be institutionalized, standardized, and scientific management track, and promoted the development of maternal and child health in the county to play a positive role.

Third, the quality control is in place, the data is accurate

According to the training requirements, after monitoring the village-level monitoring information, the monitoring towns and villages will conduct data quality control in each village in early November to lay the foundation for ensuring the authenticity of data reporting; in late December, in each 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, which fully guaranteed the accuracy of the reported data. XX year xx The county's grassroots reported 2,048 live births, 2,069 after quality control, and a false negative rate of 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.