Urban maternal and child health care, disease control work into the community work program

In order to improve the function of community health service institutions, improve the work level, and effectively provide efficient and high-quality medical and health services to residents in the jurisdiction, this plan is specially formulated.

I. Disease control and maternal and child health care

Disease control into community content

1. Community infectious disease management: infectious disease registration, infectious disease report, tuberculosis referral and management;

2. Community project immunization: establish and improve the records of the jurisdiction to keep the cold chain running normally;

3. The community carries out prevention and treatment of chronic diseases;

4. The community conducts health education.

Maternal and Child Health Care into Community Content

1. Women's Health: Grasp the basic situation of women in the area and classify and file them, establish a perinatal health manual and operate normally, assist or do prenatal diagnosis. Postpartum visits and visits to newborns, public breastfeeding guidance and prevention and treatment of common diseases and frequently-occurring diseases of women;

2, child health: master the basic situation of children of the age of the district and classify and file, do a good job in infant and child system management and "four two one" physical examination, do a good job in children's four disease prevention and related knowledge publicity and health education activities.

Second, job responsibilities

Municipal and district disease prevention and control agencies.

1. The municipal and district disease prevention and control institutions are responsible for community planning immunization, infectious disease management, chronic disease prevention and health education, unified use of vaccination cards, child vaccination certificates, and epidemic situation report cards, in accordance with the “Regulations on Immunization Technology Management Regulations”. ", there are plans to organize vaccination work with high quality.

2. According to the needs of the work, the training will be carried out in grades. The Municipal Center for Disease Control will be trained at the district level and community health service centers, and the district level will be responsible for the community health service stations in the district. When necessary, the Municipal Center for Disease Control should organize community health service centers and stations to conduct training. The urban disease prevention and control agency trains each professional no less than 2 times a year, no less than 2 days each time.

3. The urban two-level disease prevention and control institutions shall carry out supervision and inspection and business guidance to the community health service institutions on a regular basis in accordance with the business practices of infectious disease management, program immunization, etc., and the municipal level shall guide the district and community health service centers. When guiding to the community health service station, the district level should guide to the community health service center and station. The specific contents include: formulating work plans, providing the forms, cards, books, and reports required for the business under the jurisdiction, adhering to the regular meeting system, conducting business guidance in the center and station, conducting investigations on the rate of underreporting of infectious diseases and investigating the vaccination rate. The business work inspection and evaluation will be conducted in half a year and throughout the year.

Municipal maternal and child health care center and district maternal and child health care institutions.

1. The Municipal Maternal and Child Health Hospital and the District Maternal and Child Health Institutions are responsible for the community maternal and child health care work. The city's community health service agencies use the maternal and infant system management manuals in a unified manner, and are managed in accordance with the two systems management and operation plans, and the screening of high-risk maternal women is implemented. Unified management, accepting hospital delivery.

2. According to the needs of the work, the training will be carried out in grades. The Municipal Maternal and Child Health Hospital will be trained at the district level and community health service centers, and the district level will be responsible for the community health service stations in the district. When necessary, the Municipal Maternal and Child Health Hospital shall organize community health service centers and stations to conduct unified training. The Municipal and District Maternal and Child Health Hospitals shall train each professional no less than 2 times a year, not less than 2 days each time.

3. The urban maternal and child health care institutions shall regularly carry out supervision and inspection and business guidance to the community health service institutions in accordance with the requirements of the two systems management. The municipal level should guide the district and community health service centers, and if necessary, guide to the community health service stations, and the district level should guide to the community health service centers and stations. The specific contents include: formulating work plans, providing the tables, cards, books, and reports required for the business under the jurisdiction, adhering to the regular meeting system, conducting business guidance in the central station, and checking and appraising the business work in half a year and throughout the year.

Community Health Center

1. Master the overall health status of the residents of the community, the prevalence of the disease and the main risk factors affecting the health of the residents; discover, register and report the epidemic situation of infectious diseases to the district disease control agencies; supervise the referral and chemotherapy of TB patients; carry out the prevention and treatment of chronic diseases Carry out health education work in the form of lectures to residents; establish standardized vaccination clinics and implement a daily vaccination clinic system.

2. Master the basic conditions of maternity and children in the area, establish a perinatal health manual for pregnant women in the area, urge them to go to the obstetrics clinic for prenatal examinations regularly, and urge the mothers to conduct 42-day examinations, screen high-risk pregnant women, and implement project management to promote Hospital delivery, postpartum visits.

3. Carry out infant and child system management, implement the “4 21” physical examination, carry out project management for the selected high-risk children, obese children and weak children, do a good job in prevention and treatment of children's four diseases; earnestly do a good job in post-natal visits and newborns in the area Visiting, actively promoting breastfeeding and providing technical guidance on breastfeeding.

4. Report relevant reports to the District Disease Control and Maternal and Child Health Center in a timely manner.

5. Guide and supervise community health service stations to carry out preventive health care work.

Community health service station

1. Master the overall health status, disease prevalence and major risk factors affecting residents' health; find registration and report infectious disease epidemics to community health service centers; carry out chronic disease prevention and treatment; carry out daily consultation and distribution to residents The publicity materials are the main forms of health education work; according to the planning of the health administrative department, the vaccination station is established, and the vaccination is carried out on a monthly basis; if the vaccination task is not undertaken, it is responsible for the management of the vaccinated objects in the community and the health education for immune prevention. The Community Health Service Center completes child immunization.

2. Master the basic situation of maternal, infant and child in the community;

Assist community health service centers in the management of maternal, infant and child systems. Establish a roster of children under the age of 7 in the jurisdiction, establish a child care manual for children under 3 years of age, and urge them to conduct a "42" medical examination. Registering and registering pregnant women, supervising the construction of early pregnancy, prenatal examination, and guiding breastfeeding. Do a good job in education activities such as child nutrition, prevention of childhood diseases, and child safety protection. Do a good job in publicizing activities on prevention and treatment of common diseases in women.

Third, the operating program

1. Disease prevention and control, infectious disease management, and the program of immunization inoculation remains unchanged;

2. The child's system management is based on the management operation program that has the right to issue the "Birth Medical Certificate" and build the card;

3. Maternal system management—The establishment and operation of the “environmental protection book” are adjusted as follows:

First, the Municipal Maternal and Child Health Hospital, the Dongfeng Company Maternal and Child Health Center, and the two districts Maternal and Child Health Centers are responsible for the management and operation of the insurance book. The Municipal Maternal and Child Health Hospital is responsible for the Municipal Taihe Hospital, the Municipal People's Hospital, and the Municipal Traditional Chinese Medicine Hospital; the Dongfeng Company Maternal and Child Health Center is responsible for this system; the two district maternal and child health centers are responsible for the community health service centers within their respective jurisdictions.

Second, the funds are managed separately by the above four companies and settled separately.

Third, the various reports are reported to operate, unchanged according to previous regulations.

Fourth, working methods and steps

In the first half of May, the three districts and Dongfeng Company proposed to set up immunization points. The Municipal Health Bureau adjusted the immunization institutions according to the opinions and determined the community health service institutions that set up immunization clinics.

In the middle and late May, the Municipal Center for Disease Control and the Municipal Maternal and Child Health Hospital trained two groups of professionals in community health service institutions. At the same time, community health service agencies carry out the construction of immunization institutions, and the Municipal Health Bureau conducts qualifications for admission according to training and construction.

In May, the Municipal Center for Disease Control and the Municipal Maternal and Child Health Hospital developed various work systems and specifications, determined work procedures, and distributed them to community health service agencies. At the same time, conduct business guidance.

In May, community health service agencies did a good job in mapping and publicizing the basic situation of their respective jurisdictions. At the same time, in accordance with the requirements of urban disease control agencies, regulate infectious disease management procedures and requirements, formulate health education content, formally carry out infectious disease management and health education, and strengthen supervision by municipal and district disease prevention and control institutions.

In June, community health service agencies began to establish a cover book, officially launched two systems management, urban maternal and child health care institutions to strengthen supervision, coordination of the business relationship between the local hospital and community health service institutions.

In July, the community health service agencies carried out the first round of vaccination, and the municipal and district disease prevention and control institutions strengthened supervision and coordinated their business relations with the local hospitals.

At the end of XX, the inspection and evaluation were carried out, and the awards were summarized. In XX, further adjustments were made to strengthen and improve. In XX years, standardized management was carried out to ensure that the vast majority of vaccination tasks and all maternal, infant and child system management work were undertaken by community health service agencies, and a good management mechanism was established to maintain a high level of work.

V. Safeguard measures

1. The Municipal Health Bureau will include the requirements for maternal and child health care and disease control in the assessment of the annual comprehensive objectives of the three district health bureaus, and the contents of the annual comprehensive target assessment of the municipal medical and health units, and the completion of inspection work at the end of the year. Implement a community health service institution rating system, incorporate maternal and child health care and disease control work into one of the main contents of the community health service agency level assessment, conduct special inspections every year, and reward and punish community health service agencies according to the inspection situation.

2. The Municipal and District CDCs and Maternal and Child Health Hospitals conduct rotation training for all preventive health care personnel to improve the quality of community health service personnel and ensure their competence. Check the grassroots level once a month, the guidance level is not less than 30%, and promptly report back to the Municipal Health Bureau. At the same time, formulate incentives and punishments, rationally distribute benefits, and encourage grassroots units to complete their tasks.

3. The Sanjie District Health Bureau and the Dongfeng Company Health Department will intensify inspection and supervision, implement the responsibilities of the responsible persons of the community health service agencies, rationalize the business management relationship between the community health service centers and stations, and ensure the effectiveness of the work.

4. The Municipal Health Bureau grants certain financial subsidies according to the community health service agency's responsibility for disease control and maternal and child health care tasks and work completion.