大兴区流动人口妇幼保健网格化管理模式初探

A preliminary exploration of ＂grid＂ management model of MCH care for floating population in Daxing district

目的 探索流动人口妇幼保健服务网格化管理模式.方法 采取基线调查、问卷调查和小组访谈、专家论证和预实验等在试点地区进行网格化管理模式研究.结果 网格化管理模式实施后,区-镇-村（居）三级妇幼保健管理网络进一步延伸;建立了监测与部门联动机制;拓展了流动人口妇幼保健人群信息监测的途径;2009年试点地区流动孕妇和0～6岁流动儿童建册率分别为55.05%和65.56%,相对于2008年的32.05%（χ^2=257.81,P〈0.01）和58.86%（χ^2=49.95,P〈0.01）有了较大的提高.结论 妇幼保健网格化管理模式可行有效,且需进一步巩固,以保障运行.

ObjectiveTo explore a ＂grid＂ management model of maternal and child health care for floating women and their children. Methods Baseline survey, questionnaire investigation, group interview, expert demonstration, pre-experiment and other measures were adopted in study on ＂grid＂ management model of MCH care. Results After implementation of ＂grid＂ management, the three-level maternal and child health care management network comprising district, township and village/resident＇ s committee was further extended. A mechanism of cooperation among monitors and departments was created. The information monitoring approach about MCH care for the floating population was developed. The monitoring and management coverages among pregnant and lying-in women and children aged 0 - 6 years were 55.05% , 65.56% respectively in 2009 in Daxing district, which were significantly higher than 32.05% （χ^2 = 257.81 ,P 〈 0.01 ） and 58.86% （χ^2 = 49.95, P 〈 0.01 ） respectively in 2008 in this district. Conclusion The grid management model of MCH care is feasible and effective, and it needs to be consolidated further so as to guarantee its normal running.