湖南省妇幼保健机构保健工作现状调查

Investigation on health status of maternal and child care institutions in Hunan province

目的:了解湖南省各级妇幼保健机构保健工作现状,为各级卫生行政部门的决策提供科学依据。方法:采用全国妇幼卫生机构管理信息网络报告系统进行网络直报,调查湖南省137所各级妇幼保健机构,包括1所省级机构、14所市州级机构、122所县区级机构,调查内容包括:各级妇幼保健机构基本情况、人力资源情况、保健医疗技术服务情况、群体保健工作开展情况等。采用SPSS 15.0和Excell 2003对数据进行整理和统计分析。结果:①基本情况:调查机构专/兼职从事群体保健工作的卫技人员平均为15人,省级为124人,市州级为17人,县区级为14人。②保健门诊:全省平均每所妇幼保健机构妇女保健门诊6 475人次,儿童保健门诊7 821人次。③保健业务开展情况:湖南省2007年度各级妇幼保健机构妇女保健管理、产前诊断管理和生殖保健与计划生育开展的机构比例分别为98.5%、12.4%和84.7%,辅助生殖开展的机构比例略低,为6.6%;开展儿童生长发育、营养、发展促进和高危儿管理的机构比例在70%以上,其余各项均低于50%;平均开办培训班6次,培训人员429人次,接待进修人员26人次,群体保健管理人员下基层平均646人次。结论:各级政府对妇幼保健机构投入不足,保健机构的人力资源有待优化和加强,群体保健工作须进一步深入,同时提高妇幼保健信息化管理。

Objective： To observe the health status of maternal and child care institutions in Hunan province, provide scientific evidence for decision - making on maternal and child care. Methods： A survey was conducted through national management information web - based reporting system of women and children health facilities, 137 maternal and child health care institutions were investigated, including a provincial - level agency, 14 state - level agencies and 122 county - level agencies. The contents included basic status of maternal and child health care, human resources, health services and medical technologies, group health care work. The data were analyzed via SPSS 15.0 and Excel 2003. Results： （1）Basic status： the average amount of people participating in maternal and child health care was 15, with 124 of provincial - level, 17 of state - level and 14 of county - level. （2）Healtheare clinic ： the average person - time of the out - patients receiving maternal health care was 6 475, while the average person - time of the out - patients receiving child health care was 7 821. （3）The development of health care ： the proportions of maternal health care management, prenatal diagnosis management, reproductive health and family planning, assisted reproductive health were 98.5% , 12.4% , 84. 7% and 6. 6% , respectively; more than 70% of the institutions carried out growth and development of children , child nutrition, child development and the promotion of high - risk infants ; training courses were conducted for 6 times, 429 people - times were trained and 26 people - times were received for further education, 646 people - times went to grass roots. Conclusion： The investment of government agencies is inadequate and the human resources should he strengthened, at the same time, group health should be further in -depth, and information management should be improved.