上海凉城新村街道外来儿童保健10年效果分析

Analysis of effectiveness of the health care for migrant children in Liangcheng Xinchun community for ten years in Shanghai

目的：了解虹口区凉城新村街道外来儿童系统保健管理现状，为外来儿童全覆盖管理提供依据。方法：资料来自凉城新村街道社区卫生服务中心儿保门诊2003．2012年0-6岁儿童保健的各项登记表册，对管理人数、系统管理数、体格检查、母乳喂养、营养性疾病发生等情况进行综合分析。结果：2012年外来儿童保健建卡率为98．8％，系统管理率为95．6％，比2003年建卡率48．1％，系统管理率38．7％显著上升，差异有统计学意义（P〈0．01），母乳喂养率保持在90％以上，营养性疾病的发生率显著下降。结论：本社区外来儿童系统保健管理取得一定效果。

Objective： To offer theory supporting for full coverage of migrant child health care by studying the current status of systematic health care management for migrant children in Liangcheng Xinchun community in Hongkou district. Methods： By studying the files of Shanghai 0-6 years old child health care cards from year 2003-2012 in Liangcheng Xinchun community, the number of children under management, number of systematic management cards, health examination, breast feeding, and the occurrence of nutritional diseases were comprehensively analyzed. Results： The rate of establishing the health care management cards was 98.8% in the year of 2012, and the rate of systematic health care management was 95.6%, whose difference had statistical significance compared with those in 2003 （P〈0.01）. The rate of breast feeding for less than 6 months kept above 90%, and the rate of occurrence of nutritional diseases declined significantly. Conclusion： The systematic management of migrant child health care in community has made some achievements.