Summary of maternal and child health care 1 (1) Maternal health care:
Total number of pregnant women and live births in the township in.
1, the hospital delivery rate was%, which was (decreased or increased) percentage points compared with the same period of last year (the hospital delivery rate was% in xx). According to the index requirements (%) issued by the superior, the index requirements were completed.
2, prenatal examination, prenatal examination rate%, compared with the same period of last year (down or up) percentage points (x x annual prenatal examination rate%);
3. The system management rate of pregnant and lying-in women is%, which is (down or up) percentage points compared with the same period of last year (the management rate of pregnant and lying-in women in xx years is%).
4. High-risk pregnant women were screened out in * * *, and the screening rate was%, which was down (or up) by percentage points compared with the same period of last year (the screening rate of high-risk pregnant women was% in XX).
5. The hospital delivery rate of high-risk pregnant women is%, which is (down or up) percentage points compared with the same period of last year (XX hospital delivery rate of high-risk pregnant women is%).
6. If the new method is adopted for delivery, the delivery rate of the new method is%, an increase of% compared with the same period of last year (the delivery rate of the new method in 20xx is%).
7, maternal hemoglobin detection, moderate and severe anemia patients, the prevalence rate of%.
(2) Child health care:
* Children under 7 years old, children under 5 years old and children under 3 years old.
1, physical examination of children under 7 years old, and the coverage rate of children's health care is%;
2, 3 years system administrator, system management rate%; The management rate of frail infants is 100%.
Children under 3.7 years old were tested for hemoglobin, and the prevalence rate of moderate and severe anemia was%;
4. Children under 5 years old are moderately and severely malnourished, and the prevalence rate of malnutrition is%;
5. Infant died, with a mortality rate of ‰, down from the previous year (infant mortality rate of 20xx ‰); According to the index requirements (‰) issued by the superior, it is controlled within the index requirements.
The mortality rate of children under 6.5 years old is ‰, which is 20xx lower than that of the previous year.
7, neonatal tetanus cases, neonatal tetanus incidence of ‰.
Summary of maternal and child health care 2 (1) Development of hospital work
1. Maternal and child health clinic in hospital: setting (personnel and equipment) and work development (women's health care, children's health care, screening of high-risk pregnant women, management of weak children, etc. ).
2. Working in the hospital maternity ward: hospital delivery, flat delivery, dystocia, cesarean section, high-risk referral, four operations (ring, ring removal, male ligation, female ligation), induced labor.
3. Consolidate (or establish) baby-friendly hospitals: skin contact, early breastfeeding and early sucking, breast-feeding knowledge education, breast-feeding skills guidance, breast-feeding support organizations, etc.
4. Birth medical certificate management: birth medical certificate issuance rate, invalid certificate rate and certificate management.
(2) Management, training, supervision, project implementation and health education of maternal and child health care in towns and villages.
1, maternal and child health care management.
(1), work implementation and arrangement; (2), regular meetings, training (training through meetings); (3), into the village to supervise and guide, rectification; (4) Health education (publicity activities, billboards, lectures, distribution of health publicity materials and number of beneficiaries, etc.).
2. Development and completion of project work
(1), basic public health project work: ① maternal health management (standardized inspection during pregnancy, postpartum visit, high-risk screening, etc.). ); (2) Children's health management (standardized physical examination, management of weak children, etc.). ).
(2) Work of "reduction and elimination" project: ① Establishment of leading institutions, supporting institutions (green channels) and technical steering groups; ② First-aid situation of maternal referral; ③ personnel training; (4) Training and assessment of "health restoration" and "three basics".
(3) The work of rural pregnant women's hospital delivery subsidy project: the implementation of hospital delivery subsidy, price limit charge, the number of beneficiaries and the amount of subsidy.
(4) Free folic acid supplementation to prevent neural tube defects: distribution number, follow-up, drug use, knowledge awareness rate, compliance rate, etc.
(5) Neonatal disease screening: the number of cases collected by blood smear, the number of suspected positive cases, and the management of confirmed positive and positive cases.
(6) Prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B: detection of AIDS, syphilis and hepatitis B during pregnancy and puerperium, report, treatment and follow-up management of positive cases.
Maternal and child health care work summary 3 1, strengthen management and standardize business.
(1) According to the inspection and supervision opinions of leaders and project experts at all levels such as the Ministry of Health and the Provincial Health Department at the beginning of the year, and the relevant requirements of the special work meeting of the county-wide consumption reduction project, strengthen the standardized management of various maternal and child health care work in the county. On the basis of routine maternal and child health care business management, in strict accordance with the requirements of various norms and systems of maternal and child health care work, combined with the actual situation of our county, strengthen the management of maternal and child health care work in the county. (3) According to the experience gained from the investigation, drawing lessons from other people's advanced practices and combining with the actual work, the statistical tables, cards and books of maternal and child health information in the county were re-compiled, and the basic data of maternal and child health in the county were managed every month, further strengthening and standardizing the archives of maternal and child health information.
2. Implement measures to increase project technical guidance and training. (2) Assist township hospitals to train and help village clinics at regular intervals every month, and provide on-site face-to-face training on maternal health care, high-risk maternal screening and high-risk management, child health care, health consultation and health examination for rural maternal and child health care workers and rural doctors, which has improved the maternal and child health care service capabilities of rural doctors and rural health workers to varying degrees. Throughout the year, village clinics were given guidance and assistance11person-times, and village doctors and farm health workers were given guidance 1255 person-times. Through guidance and training, the professional technical service ability of township maternal and child health care personnel and the guidance ability of village maternal and child health care work have been further promoted and improved. 4.20xx completion of various indicators of maternal and child health care in the county: (2) Maternal health care: In 20xx, a total of 1672 pregnant women and 1073 pregnant women received prenatal examination, and the coverage rate of maternal health care was 64. 17%, which was 8.565438 higher than that of the same period last year. The system managed 327 people, and the system management rate was 19.56%, which was 4.97 percentage points higher than the same period of last year (the management rate of pregnant women in 20xx 14.59%). (4) Hospital delivery rate: In 20xx, there were 65,438 pregnant women and 65,438 live births in the county. Compared with the same period of last year, it increased by 20.52 percentage points (the delivery rate in hospital in 20xx was 29.54%), which met the index requirements (40%) issued by the superior. (6) Child health care: in 20xx years, children aged 06 10664, 7,558 children under 5 years old and 4,853 children under 3 years old. In the whole year, 7262 children under 7 years old received physical examination, and the coverage rate of children's health care was 68.1%; There are 966 system administrators, and the system management rate is 19.438+0%. 2 19 high-risk frail infants were screened out, and the management rate of frail infants was 100%. (8) Mortality rate of children under 5 years old: In 20xx, 43 children under 5 years old died in the county, with a mortality rate of 25.72‰. It decreased by 9.89 ‰ compared with the previous year (the mortality rate of children under 5 years old in 20xx was 35.6 1‰).
(9) Monitoring of neonatal tetanus: there was no neonatal tetanus in the whole year, and the incidence of neonatal tetanus was 0 ‰; No birth defects. (11) Investigation on the omission of birth deaths in 20xx: According to the correlation between the two death monitoring schemes, this year, an investigation was conducted on the omission of birth deaths in 1/3 townships and 1/3 villages in the county, and three townships were randomly selected in Ye Zhi, Baijixun and Deng Wei. According to the investigation, 569 people were actually born, and 35 people were omitted (5 in Ye Zhi town, 0/9 in Bai Jixun/KLOC, 0/0/person in Deng Wei town), with the omission rate of 6. 15%. The reported death toll was 17, but the actual death toll was 18 after the investigation was omitted, and the omission rate was 5.56%. Two cases of maternal death were reported, two cases actually died after investigation, and no maternal death was reported. From the above survey, we can see that there are still many shortcomings in the rural maternal and child health care work in this county, especially in the aspects of maternity, birth and death, and there are still many loopholes and even blank spots. How to strengthen village-level maternal and child health care services, strengthen pregnancy tracking, and minimize or reduce missed reports are the focus of our work next year.
(12), preventing mother-to-child transmission of AIDS.
In order to do a good job in the prevention of mother-to-child transmission of AIDS in Weixi county in 20xx, according to the relevant requirements of the province and state (implementation plan for prevention of mother-to-child transmission of AIDS), an implementation plan for prevention of mother-to-child transmission of AIDS in Weixi county in 20xx was formulated, with the deputy head in charge as the team leader and the leaders of AIDS-related member units as members. According to the requirements of the "Implementation Plan", all localities have closely focused on all pregnant women and pre-marital health care groups and carried out the following work according to local conditions:
① Health education work
Carry out extensive publicity and consultation activities in various forms. With the help of Women's Day on March 8, Children's Day on June 1, AIDS Day and other festivals, various publicity activities were carried out around the prevention of mother-to-child transmission of AIDS. Vigorously publicize the knowledge of preventing mother-to-child transmission of AIDS, distribute all kinds of brochures, pictorial, leaflets and other materials, and distribute them to pre-marital health care groups and pregnant women through county and township midwifery service units to convey the knowledge and information of mother-to-child transmission of AIDS to pregnant women.
② Providing voluntary counseling and testing services.
County Maternal and Child Health Hospital provides free consultation on prevention of mother-to-child transmission of AIDS for both men and women before marriage, and transmits information on prevention of mother-to-child transmission of AIDS; Conduct risk behavior assessment; Introduce and suggest HIV antibody testing. Under the principle of full notification and confidentiality, provide testing services after filling in the informed consent form for HIV antibody testing. Those whose test results are negative or positive should be consulted after the test and given effective contraceptive guidance.
Mainly in county hospitals, provide all pregnant women with counseling before HIV antibody testing, including information about the harm of mother-to-child transmission of AIDS and the prevention of mother-to-child transmission of AIDS; Help assess dangerous behaviors; Explain the significance, advantages and disadvantages of testing and the preventive measures when waiting for the results; Introduce and suggest HIV antibody testing. Under the principle of full notification and confidentiality, fill in the "Informed Consent for HIV antibody testing" and conduct HIV antibody testing for free.
Summary of maternal and child health care in the past 420 years, with the great attention and support of the municipal party committee and the municipal government, the city's maternal and child health care focused on the work priorities set by the provincial and municipal health administrative departments, adhered to the work policy of taking health care as the center, taking reproductive health as the purpose, combining health care with clinic, facing groups, facing the grassroots, and focusing on prevention, earnestly implemented the maternal and child health care law, and actively implemented women's health actions and maternal and child health projects, and made progress in all work. The relevant information is hereby notified as follows.
I. Completion of main work indicators
1-June, the city * * * found 2492 pregnant women, 2492 health care management, maternal health care coverage rate100%; There were 1402 parturients, 1402 hospital deliveries, 100% hospital deliveries, 14 1 live births,141live births. 529 high-risk pregnant women were screened, the high-risk screening rate was 265,438 0.23%, 522 high-risk pregnant women gave birth and 522 were hospitalized, and the high-risk hospital delivery rate was 65,438 0.000%. Pregnant women 1.402 were tested for prenatal AIDS, and the detection rate was 1.000%. There were no maternal deaths.
Children under seven years old 18409, health care management 16754, and children's health care coverage rate of 91%; There are 7488 children under three years old, and the systematic management rate of children under three years old is 90.95438+0%. Nine children under five died, and the mortality rate of children under five was 6.38; There were 4 infant deaths, with an infant mortality rate of 2.83; Two newborns died, and the neonatal mortality rate was1.42; No neonatal tetanus.
Second, the main achievements
(1) Significant progress has been made in the three major public health projects.
1, rural pregnant and lying-in women's hospital delivery subsidies have been put in place, and the funds are running safely. With the joint efforts of medical and health institutions in the city, 7 19 eligible rural pregnant women in June and June in the city received hospital delivery subsidies, of which the delivery medical institutions directly subsidized 2 1.57 million yuan and the new rural cooperative medical system subsidized 1.43 million yuan, with a total subsidy of 359,500 yuan.
2. The rate of rural women taking folic acid supplements has increased significantly. In 20** years, we broadened the distribution channels of folic acid: First, while maintaining premarital health, premarital doctors educated the target population on relevant knowledge and distributed folic acid free of charge; Second, health workers from cities, towns and villages regularly visit the Internet. By the end of June, 762 people were distributed to the target population, and the folic acid consumption rate was 54.35%, and they were followed up as required.
3. Breast cancer screening project for rural women: On June 24th, this year's breast cancer screening project was launched in Gaobazhou Town, and it is currently in progress (20xx person-times were completed by July 7th, and 2 cases of suspected breast cancer were found, which need to be confirmed).
(2) Basic public health services for women and children have been comprehensively promoted.
In 20** years, basic public health projects were fully launched in our city, and township hospitals in the city carried out 9 basic public health service projects according to the requirements of superiors. In mid-April, the Municipal Health Bureau organized a special class to conduct a special inspection and evaluation of the Basic Public Health Service Project in Hubei Province (Trial). The inspection team gave feedback to the evaluation team on the spot and gave technical guidance.
(3) Women's health actions have basically achieved full coverage.
In March, the Municipal Women's Federation and the Municipal People's Social Security Bureau jointly carried out health check-up activities for caring for female workers in the Municipal Maternal and Child Health Hospital. For a month, 3,955 female workers from more than 300 enterprises and institutions in the city enjoyed the free cancer screening service paid by the Municipal Medical Insurance Bureau. So far, the Women's Health Action in our city (20**-20**) has basically achieved full coverage from rural areas to cities and towns, from rural women, urban residents to female employees in enterprises and institutions. There were 133925 people in the whole city, and the actual census was 1665 15 people, with a census rate of 124.3%. The number of gynecological diseases was 854 15, and the prevalence rate of gynecological diseases was 5 1.3%. Among them, 26 cases of cervical cancer were found, and the incidence of cervical cancer was 3.04/ 10,000. There were 8 cases of breast cancer, and the incidence of breast cancer was 0.94/ 10,000.
(four) actively carry out child-friendly health education and free clinic services.
With the green ribbon of youth as the platform, the Municipal Maternal and Child Health Hospital walked into the campus and introduced adolescent health education courses to more than 1000 teachers and students in the Municipal Vocational Education Center and Songmuping Town Middle School respectively. In an easy-to-understand language and lively form, adolescent health education was carried out from the perspective of maternal and child health care, so that teachers and students could learn more about adolescent psychology and reproductive health knowledge and help teenagers improve their abilities of self-awareness, self-protection and self-restraint. At the same time, in conjunction with Shengli Community, we launched a free clinic for caring for left-behind children, providing free health check-ups, growth and development monitoring, vision screening and other services for more than 200 left-behind children.
(five) to carry out maternal and child health care technical services according to law.
1, premarital health care is more standardized. During the period of 1-6 months, 2,049 couples were registered for marriage, with free premarital check-ups 1793 couples, and the premarital check-up rate was 87. 15%, up 3 percentage points year-on-year, among which the premarital check-up rate was 98.66%, up 2 percentage points year-on-year; The number of patients was 155, and the disease detection rate was 4.3%, including 5 cases of infectious diseases, accounting for 3.23% of the total number of patients; 6 cases of sexually transmitted diseases, accounting for 3.87% of the total number of diseases; Reproductive system diseases 10 cases, accounting for 6.45% of the total number of patients; Six people put forward medical advice on delaying marriage, publicized the guidance knowledge of marriage health care, pre-pregnancy health care and prenatal health care to all those who came to the hospital for pre-marital medical examination, and distributed the Handbook of Maternal Health Care in Hubei Province free of charge. Through premarital examination, publicize the knowledge of folic acid supplementation to prevent neural tube defects, distribute folic acid tablets free of charge, and improve the awareness rate of folic acid supplementation knowledge and folic acid taking rate of target population.
2, strictly implement the "birth medical certificate" management system. All of them have realized network management and electronic registration. The First Hospital, the Second Hospital, the Maternal and Child Health Hospital, the Zhicheng Port Hospital and the Honghuatao Health Center have purchased special equipment. Other units with midwifery qualifications are still handling the "Birth Medical Certificate" in the Municipal Maternal and Child Health Hospital. From June to June, the number of midwives in the city was 1, 3 1.7, and the live birth was 65438+. All medical and health care units in the city have not charged fees in violation of regulations, all kinds of registration are filled in as required, and the original materials are regularly bound into volumes and filed for future reference.
3. The voluntary HIV testing rate of pregnant women reached 100%. Mother-to-child blocking of AIDS has been gradually standardized. Obstetrics of medical and health institutions routinely carry out publicity and consultation on mother-to-child blocking of AIDS, and standardize the registration form. Blood samples of pregnant women were collected for AIDS testing 1402 people, and the detection rate was 1%. The pregnant women were diagnosed as HIV positive 1 case, and the pregnancy was terminated.
4. The screening effect of neonatal diseases is very good. Six units providing midwifery technical services, including First Hospital, Second Hospital, Maternal and Child Health Hospital and Zhicheng Port Hospital, have carried out this work. From June to June, the population born in the jurisdiction was 1336, and neonatal diseases were screened 12 12, with a screening rate of 90.72%.
5. Newborn hearing screening is gradually standardized. At present, only the Municipal Maternal and Child Health Hospital has carried out newborn hearing screening. During June-June, newborns were born 1336 (738 were born in the Municipal Maternal and Child Health Hospital), and 683 newborns were screened, with a hearing screening rate of 5 1. 12% (the screening rate of the Municipal Maternal and Child Health Hospital was 92.55%).
(6) Maternal and child health statistics have entered a standardized track.
1, the maternal and child health information platform runs efficiently. Yichang maternal and child health information platform is used by all medical institutions in the city, such as children's health clinics, obstetric clinics, obstetric inpatient departments, etc., and timely inputs the examination information of all children and pregnant women, which is running well at present.
2, adhere to the monthly report, work meeting, business training once a quarter, the basic report gradually implement electronic reports, statistical analysis and summary all implement electronic printing, data archiving and preservation in accordance with the unified regulations, quarterly quality control analysis of the report, timely feedback on existing problems, timely correction, to ensure the quality of the report.
(VII) The management of the two systems has achieved good results.
1. The management quality of maternal health care system has been continuously improved. First, the obstetric outpatient department of medical and health institutions reports the card information of pregnant women every month to ensure that the pregnancy situation of the institution is not missed; Second, the village health workers touch the pregnancy situation and report it to the township hospitals every month to ensure that the pregnancy situation in the jurisdiction is not leaked; Third, the city, township and village medical and health care networks exchange information about pregnant women to ensure that all pregnant women do not miss the tube; Fourth, the management of maternal health care still implements the double-sign system, requiring health care workers to visit each pregnant woman three times at the village level, two times at the township level and more than once at the municipal level 1 time before delivery, and increase the number of visits to high-risk pregnant women; Fifth, strengthen the management of high-risk groups of women of childbearing age to prevent unplanned pregnant women from leaking screens and tubes to the greatest extent; Sixth, strengthen the management of high-risk pregnant women and implement hierarchical management for high-risk pregnant women. Medical and health institutions report the basic information of high-risk pregnant women with more than 30 points on time every month, and critically ill and high-risk pregnant women report to the Municipal Maternal and Child Health Hospital by telephone at any time, and the Municipal Maternal and Child Health Hospital timely feeds back the information to the township hospitals under its jurisdiction for monitoring. Wangjiafan Township, Songmuping Town, Panjiawan Township, Luocheng Town and niejiahe Town have several key high-risk targets. Under the key supervision of health care personnel at the city, township and village levels, the delivery or termination of pregnancy was successfully carried out in hospitals above the municipal level, ensuring the safety of pregnant women.
2. Children's health care is more standardized. The development of basic public health service projects has promoted the children's health care work to be on the right track. The Municipal Maternal and Child Health Hospital has continuously strengthened the management and guidance of children's health care, and township hospitals have adopted various forms to carry out children's health care services. First, while carrying out vaccination, children under 7 years old in the area were examined and followed up; The second is to organize special classes for children's physical examination to go to the countryside for health examination and publicize children's health care knowledge; Third, every year in spring and autumn, children entering the park are examined for health and evaluated for growth and development, so that rural children can get systematic health care services; Fourth, township health centers have strengthened the supervision and management of food hygiene in kindergartens within their jurisdiction, assisted the Municipal Maternal and Child Health Hospital to do a good job in the supervision of kindergarten health care, and were responsible for the health examination of kindergarten cooks within their jurisdiction and the certification and certification of annual food hygiene licenses, thus ensuring the food hygiene and safety of collective children. So far, there have been no public health emergencies such as food safety and disease outbreaks in kindergartens.
(8) Strengthen grassroots training, and steadily improve the quality of maternal and child health care.
Conduct relevant knowledge training for township medical staff in the city every quarter. This year, we have trained the major public health special maternal and child health care projects, the contents and methods of perinatal health care, the implementation plan for preventing mother-to-child transmission of AIDS, syphilis and hepatitis B in Hubei Province, and the nutrition care and guidance for children. Through training, the management of maternal and child health care has been further standardized, the awareness of grassroots medical and health personnel on the importance of maternal and child health care has been improved, and the responsibilities of grassroots maternal and child health care have been strengthened.
Third, there are shortcomings.
(A) weak sense of handling affairs according to law.
1. The management of child care institutions needs to be standardized. Because there is no professional child care doctor in township hospitals, the kindergarten management in township hospitals is not in place, and the management is limited to the physical examination of children. The quality of physical examination is low, and it is impossible to give guiding suggestions to unqualified children. A small number of kindergartens do not have the basic conditions for running a park, but they are still running, and there is a problem of insufficient law enforcement.
2. The quality of obstetrics needs to be improved. First, there is a shortage of obstetric technicians in township hospitals, and only1-2 is available for outpatient and inpatient services; Second, beyond the scope of practice, surgery is still performed without major surgical conditions such as cesarean section and total hysterectomy; Third, the indication of cesarean section is not strict, and the cesarean section rate is high; The fourth is interest-driven, and the referral of pregnant women with high-risk scores of more than 30 points is not timely, which has serious security risks.
(2) Maternal and child health care workers at the grass-roots level have many part-time jobs, their professional qualities are uneven, their sense of responsibility is not strong, and non-professionals are engaged in work, which leads to some work not in place. First, the information statistics work is not ideal, and there are many report errors; Second, it is difficult to manage the maternity system, and maternal visits are a mere formality. Larger towns, such as Zhicheng town, have a large population and a large jurisdiction area, so it is impossible to complete the task of maternal management by only one health worker; Third, children's health care work is weak, there are no full-time children's health care doctors, and children's health care knowledge is lacking, which leads to the inability to improve the quality of children's health care for many years and cannot adapt to the current children's health care work.
(3) Obstetricians and technicians in medical and health institutions and primary medical and health personnel are not skilled in computer operation, which leads to untimely entry of maternal and child health information and irregular reporting. The input of prenatal examination information in some units has not been carried out, which will affect the uploading of maternal and child health information in the city.