贵州省农村贫困地区政府购买妇幼卫生服务的可行性分析

Feasibility analysis of purchasing maternal and child health services(MCH)in rural poverty regions of Guizhou Province

为探讨合同购买妇幼卫生服务在贫困地区农村实施的可行性,文章从社会经济状况、妇幼卫生服务投入、政府合同购买妇幼卫生服务的费用负担和乡镇卫生院卫生人力资源、设施设备情况等方面,对贵州省关岭县、罗甸县和平塘县等3个卫生Ⅷ项目县开展的合同购买妇幼卫生服务试点情况进行了综合分析。结果显示,贵州省贫困地区农村开展合同购买妇幼卫生服务在技术、设施设备和人力资源等方面是可行的,但开展该项工作将给贫困县财政带来较大的费用负担。因此,如果能得到国家在财政上的支持,贵州省贫困地区农村开展政府合同购买妇幼卫生服务是可行的。

To explore feasibility of implementing contract to purchase maternal and child health services（MCH）in rural poor areas,the conducted situation of pilot areas Guanling County,Luodian County,Pingtang County was comprehensively analyzed in their socio-economic status,the investment and burden to purchase MCH services,human resources,facilities and equipment of township hospitals etc.Results showed that it was feasible of purchasing MCH services in technology,facilities and human resources,but it would bring financial burden to the county finance.Therefore,if there is national financial support,it is feasible to make contract to purchase MCH services in poor rural areas of Guizhou Province.