银川市非户籍人口妇幼保健服务现况

The current status of health services for non-household women and children in Yinchuan

目的了解银川市非户籍人口妇幼健康管理服务开展现况,为政府对流动妇幼管理政策的制定提供依据。方法采用定量与定性调查相结合的方法。定量收集银川市辖三区62家社区卫生服务机构2016年妇幼健康管理相关各项工作开展的数据。同期,对妇幼健康管理部门相关负责人和居民代表进行定性访谈,了解服务相关问题。结果收集到47家机构的服务数据。非户籍孕产妇建档人数1 286人,叶酸补服人数占38. 96%,孕前监测人数占53. 42%,孕期保健人数占66. 25%,产后访视人数占88. 26%。非户籍儿童管理12 002人,建档、预防接种、定期健康检查、生长发育监测、喂养与营养指导、家庭访视人数分别占68. 21%、153. 34%、63. 75%、62. 06%、69. 54%、23. 50%。健康教育实际讲座完成参与人数为4 861人次;调查机构实际完成展板次数204次,相对于2011版国家基本公共卫生服务规范,工作量少。目前银川市非户籍人口妇幼保健服务经费主要来自基本公共卫生服务经费二次分配,但该项服务并不在基本公共卫生服务核算范围内。结论银川市社区卫生机构对非户籍妇幼健康管理服务做了大量的工作,但仍存在3个主要问题。第一,非户籍人口孕前管理服务提供少,产后访视工作未全覆盖;第二,健康教育效果不佳;第三,妇幼健康管理记录不详。

Objective To know about the current status of health services for non - household women and children in Yinchuan city,and to provide the basis for the government policy formulation. Methods A method of both the quantitative and qualitative surveys was employed. The data was collected about health management work for women and children at 62 community health service institutions within the three districts of Yinchuan in 2016. Meanwhile,the qualitative interviews were conducted with the relevant persons in charge from the department of women and child health management as well as resident representatives to learn about issues about service. Results The data on service was collected from 47 institutions. Files were set up for 1, 286 non - household pregnant women,38. 96% taking folic acid supplements,53. 42% monitoring before pregnancy,66. 25% health care during pregnancy and 88. 26% visiting after childbirth. 12002 non - household children were administered,accounting for 68. 21%,153. 34%,63. 75%,62. 06%,69. 54% and 23. 50% respectively. The number of documentation,vaccination,regular health checkups,growth and development monitoring,feeding and nutritional guidance and family visits were accounted for 68. 21%,153. 34%,63. 75%,62. 06%,69. 54% and 23. 50%,respectively. The number of participants in health education lectures was 4861,and the number of exhibition boards was 204,which was less than the 2011 edition of the national basic public health service standard. At present,the funds for no - household maternal and child health services in Yinchuan mainly come from the secondary allocation of funds for basic public health services,but this service was not within the scope of basic public health services accounting. Conclusion Yinchuan community health institutions have done a lot of work on the management of non - household women and children’s health services,but there are still three main problems. First,pre - pregnancy management services for non - household population are scarce,and the post - natal family visit is not fully covered; second,health education is not effective; third,a record of women and children’s health management is not made in detail.