Women and children are vulnerable groups in society, and they are also easily troubled by health problems. Carrying out health education for women and children can make women and children know how to protect themselves and prevent diseases in advance. I have prepared a summary of maternal and child health education for you, hoping to help you.
Chapter 1: Overview of Maternal and Child Health Education In 20xx, the work of maternal and child health in our county was guided by the spirit of the 17th National Congress of the Communist Party of China and the Fourth Plenary Session of the 17th Central Committee, led by Scientific Outlook on Development, driven by reform and development, centered on improving the health level of women and children, and focused on the maternal and child health project. We earnestly implemented the "one law and two cases", pioneered and innovated, strengthened management and made solid work, and mainly did the following work:
First, standardize the free hospital delivery subsidy for rural pregnant women, and improve the subsidy rate and free rate.
On the basis of the implementation of the Guiding Scheme of Free Hospital Delivery Subsidy Project for Rural Pregnant Women in Shaanxi Province (Shaanxi Weifang Fufa [20xx] 1 13), the implementation scheme of free hospital delivery subsidy project for rural pregnant women in hua county was further improved. At the beginning of April, Issued the Notice on Incorporating Newborn Disease Screening Expenses into the Free Hospital Delivery Service Package for Rural Pregnant Women (Huanong Pregnancy Exemption Office) [Incorporating Newborn Disease Screening and Hearing Screening Expenses into the Free Hospital Delivery Expenses Subsidy Scope for Rural Pregnant Women not only lightened the burden on the masses, but also improved the early intervention mechanism and measures for birth defects in our county, and also improved the screening rate of neonatal diseases. At the same time, the following points have been achieved for grass-roots projects: 1. Strengthen the project knowledge training of women and children specialized cadres, urge them to publicize the hospital delivery of pregnant women in the first trimester and apply for free cards in time to ensure that the vast majority of pregnant women who meet the policy can hold cards for hospital delivery; 2. For pregnant women who escape family planning and go out to work, they should make policy propaganda to their families, and suggest them to apply for a card as soon as possible and enjoy policy subsidies in time; 3. Mobilize rural doctors, constantly increase the publicity of the project, make the party's policy of benefiting the people a household name, and improve the initiative of the people to seek medical treatment; 4. Women and children are required to go deep into the villages and groups within their respective jurisdictions on a regular basis to conduct a thorough investigation, and timely report the statistics of free hospitalization and childbirth subsidies for pregnant women outside the county. Through the supervision of pregnancy-free inspection in county-level midwifery medical institutions, the following requirements are put forward: 1, all midwifery service institutions should constantly standardize midwifery services and improve the quality of obstetric services, especially the first aid ability of critically ill pregnant women; 2. Strictly implement the service content of the project service package, strengthen the connection with the joint treatment, standardize the settlement process, simplify the reimbursement procedures, and issue subsidies to the project subsidy objects in time; 3. For those who have been hospitalized but have not yet applied for free cards, we should urge them to reissue them as soon as possible during their hospitalization, and strive to improve the county's project subsidy rate and free rate. Our project office has also strengthened the daily supervision of the project, standardized the implementation and performance appraisal of the project, and regularly conducted dynamic supervision of the project in relevant units to ensure the standardized operation of the project. By the end of May, there were 1224 births and 1222 hospital deliveries in our county, with a delivery rate of 99.8%. There are 1 16 1 pregnant women in rural areas, and 1024 women enjoy pregnancy-free allowance, with a subsidy rate of 88%, including 655 vaginal deliveries, with a subsidy amount of 239,282 yuan; 355 cases of cesarean section, the cesarean section rate was 35%, and the subsidy amount was 358,220 yuan; Critical pregnant women 14, and the subsidy amount is 2 1938.7 yuan.
Two, continue to do a good job in rural women free folic acid to prevent neural tube defects and maternal health express.
Continue to do a good job in the prevention and treatment of birth defects, conscientiously do a thorough investigation of pregnant women in the county, organize the distribution of low-dose folic acid tablets, do a good job in issuing registration, expand the publicity of low-dose folic acid supplementation, raise the awareness of prenatal and postnatal care of pregnant women, do a good job in prevention as much as possible, and reduce the occurrence of birth defects such as neonatal neural tube defects.
We continue to carry out the popularization of maternal and child health science knowledge and health education with the "Mother Health Express" as the carrier, improve the awareness rate of health knowledge among the general public, and publicize the benefits of hospital delivery. Adhere to the "Mother's Health Express" monthly free consultation and public welfare activities, as well as women's disease check-up activities in each village. During Women's Day on March 8 and the activities of going to the countryside through science and technology in April, free general survey of gynecological diseases and publicity activities on popular science such as the Law on Maternal and Child Health Care were carried out. At the end of April and the beginning of May, we had a physical examination for 3-6-year-old children in urban 10 kindergartens.
Third, start the basic public health maternal and child health project as scheduled, and fully implement maternal and child health management for 0-36 months.
Maternal and child health management service is an important part of maternal and child health care and an important part of medical reform. We attach great importance to and conscientiously implement the Guiding Plan for Equalization of Basic Public Health Services in Shaanxi Province. According to the National Implementation Plan for Basic Public Health Services for Maternal Health Care and Child Health Care for 0-36 Months, we formulated the Implementation Plan for Basic Health Services for Maternal Health Care and Child Health Care for 0-36 Months in hua county, strengthened leadership, carefully organized and held a regular meeting for women and children on April 3 to train related matters. All towns and villages are required to conduct a thorough investigation, record and report on children aged 0-36 months, all pregnant women and 42-day pregnant women within their jurisdiction. At the same time, the project office has printed 79,000 copies of basic health care for pregnant women and children aged 0-36 months, various record forms and service vouchers, and 60,000 copies of maternal and child health care manual 1.6, and the project has been fully implemented. On April 23, this work was formally arranged at the meeting of directors of primary health centers; On April 29th, the women's and children's specialists were called again for detailed training on the problems and specific operation methods in the project implementation process, and all kinds of problems encountered in the trial were answered and helped for one month. On May1-May 3, hua county news media made a comprehensive report on the project work. On May 20th, the fund allocation plan and project supervision and evaluation plan for maternal health management services and child health management services for 0-36 months were issued. From May 27th to June 8th, the staff of our project office conducted supervision and inspection on grass-roots project work. Since the implementation of the project for two months, our county has conducted free pregnancy check-ups for 809 rural pregnant women and 10 pregnant women in cities and 9 pregnant women in floating population, conducted free postpartum visits for 293 rural pregnant women, conducted 42-day closed visits for 158 pregnant women, and established free pregnancy check-ups for 2,859 rural children aged 0-3, 6 urban pregnant women and 5 floating children. In the first half of the year, there were 8969 children under 3 years old in our county, and 6934 children were systematically managed, with a systematic management rate of 77.438+0%.
Fourthly, comprehensive management promotes the decision-making of maternal and child health information work.
According to the requirements of the higher authorities for maternal and child health information work, we first strengthen the maternal and child health information network in towns, implement the responsibilities of maternal and child health information personnel, and strengthen maternal and child health supervision and evaluation, quality management and control; Second, the system of maternal and infant deaths, birth defects and birth reports was implemented in medical institutions in the county, which standardized the relevant registration of medical institutions and effectively reduced the omission of maternal and infant deaths; Third, the management measures for the appointment and assessment of women and children's professional cadres have been re-formulated, the annual assessment of women and children's health work in towns and villages has continued, the regular meeting system and conference training system for women and children's professional cadres at county and township levels have been adhered to, and the professional quality of women and children in our county has been continuously improved; Fourth, gradually unify the forms and cards of all kinds of maternal and child health-related registration at the grassroots level in the county, and standardize the management of information materials. From May 27th to June 8th, we inspected and supervised the projects of folic acid distribution and free hospital delivery for rural pregnant women in towns and villages throughout the county, and assessed the maternal and child health work in towns and villages in the first half of the year through inspection data. The evaluation results have been reported to the Health Bureau on time.
Verb (abbreviation of verb) Main problems:
1. Insufficient investment in maternal and child health care: funds for maternal and child health care have not been implemented, and houses in maternal and child hospitals are in short supply, facilities are backward, and settings are unreasonable. It is urgent to establish a graded maternal and child health hospital as soon as possible, and the expansion and construction of the maternal and child hospital base is imminent.
Two, the village health care personnel's job responsibilities and workflow need to be further standardized.
Three, neonatal asphyxia resuscitation technology needs to be vigorously promoted, the quality of obstetrics needs to be further improved, and the technical training of obstetricians needs to be further strengthened, especially to improve the rescue ability of midwifery institutions for critically ill pregnant women.
In the second half of the year, we will redouble our efforts, continue to standardize the project work, do a good job in training and popularizing neonatal asphyxia resuscitation, pay close attention to the quality of obstetrics, and fully implement all tasks this year, so that the maternal and child health care work in our county will reach a new level.
Chapter II: Summary of Maternal and Child Health Education In the first half of XX, with the strong support and correct leadership of the higher authorities, the maternal and child health care work in our hospital focused on the implementation of the Maternal and Child Health Care Law, making pioneering efforts and increasing efforts; Focus on improving the quality of the birth population and ensuring reproductive health; With the aim of serving children and women's health, optimizing the service mode has improved the service capacity of maternal and child health care in our hospital, reduced the maternal mortality rate, infant mortality rate and birth defect rate, broadened the service field, and made great progress in the township's maternal and child health care work, which is summarized as follows:
First, strengthen the construction of maternal and child health care network and do a good job in maternal and child health care in the township.
(1) Do a good job in systematic management of pregnant women. Carry out hospital delivery, do a good job in systematic management of pregnant women, and reduce maternal mortality. It is the foundation of maternal and child health care. In the first half of this year, the total number of pregnant women in the township was 7 1 person, including 68 early pregnant women, with a filing rate of 95.77%, and 65 pregnant women were systematically managed, including 7 1 person hospitalized, with a delivery rate of 100%, a new delivery rate of 100%, and postpartum visits. 62 people were breastfed, and the feeding rate was 87.32%. 27 cases of high-risk pregnant women were screened out and followed up all the time, so that the management rate and hospital delivery rate of high-risk pregnant women reached 100%. There were 0 cases of maternal death, and folic acid 167 was distributed free of charge.
(2) Do a good job in the systematic management of children. The monitoring of children's growth and disease prevention has been strengthened, and the health level of children in the township has been improved. In the first half of this year, there were 870 children under 7 years old, 634 children under 5 years old and 397 children under 3 years old. 10-June, 452 files were filed for children's health care, and 77 files were completed 196 newborns were interviewed, including 0 with mild rickets and 9 with low weight, which ensured children's physical and mental health. In the first half of this year, the number of children under 3 years old in our township was
(three) to carry out the investigation and treatment of women's diseases in townships, villages and towns. According to the requirements of women's health care, physical examination of married women plays an important role in the prevention and treatment of women's diseases, and the main factors affecting women's health are mastered. Through the general survey, women's common diseases, frequently-occurring diseases and "two cancers" were found and treated early, which greatly guaranteed women's physical and mental health. During March 8th this year, with the great assistance of the District Women's Federation, the married women in our township were examined, and 15 17 people were found, and 369 people were found with various diseases, with the incidence rate of 24.32%, including vaginitis, the prevalence rate of 13.7 1% and cervicitis. The total number of family planning was 83, 33 were placed with IUD, and the IUD was taken out 17. Drug abortion 23 people.
(4) Improve the "two systematic management" measures, further consolidate the "six-in-one" function of community health service stations, continuously strengthen the systematic management of pregnant women and children, and further strengthen and improve the postpartum visits that have been carried out to ensure the satisfaction of the whole town.
(5) Strengthen the network construction and improve the network construction of maternal and child health care: the network construction at the district, town and village levels is the foundation of maternal and child health care work, and it is necessary to further strengthen the construction and management and conduct regular training and guidance. Strengthen business management and improve service quality
The second is to continuously strengthen business learning, improve service quality and broaden service areas.
According to the requirements of the provincial and municipal health administrative departments and the arrangement of the district health bureau, we organized professional and technical personnel to participate in the training courses and advanced courses of the provincial and municipal health departments, and insisted on self-study and professional study every Friday, which greatly improved the technical level of professional personnel.
Through the joint efforts in the past six months, the medical and social work in our district has made great progress and achieved some good results, which is inseparable from the care and support of leaders at all levels. We are determined to take the implementation of the Maternal and Child Health Care Law as the core in our future work and further promote the all-round development of maternal and child health work. It is necessary to strengthen the management of maternal and child health according to law, improve the level of maternal and child health work, liberalize development, strengthen management, improve the overall quality, provide more convenient, better quality, more warm and comfortable, more comprehensive and thoughtful services for women and children in our region, and make greater contributions to the cause of maternal and child health in our region! !
Chapter III: Overview of maternal and child health education. Maternal and child health care institutions and personnel.
Fugou County governs 16 townships, towns and farms, and 4 1 1 administrative villages with a total population. County Health Bureau has jurisdiction over 16 township, town and field health centers, and 4 1 1 village health centers. Married women and girls of childbearing age in this county, children under 7 years old, children under 5 years old, children under 3 years old, 2XX, born in the past, 64 1 1.
The second is to do a good job in perinatal health care, promote the systematic planning rate of pregnant women and reduce the mortality rate of pregnant women with depression.
Perinatal care is an important part of maternal and child health care, which has long been attached great importance by the party and government. The implementation of the new rural mutual medical care system has greatly improved the delivery rate and hospitalization delivery rate of the new method, and ensured the life guarantee of pregnant women and resurrected babies. Maternal and child health care workers at all levels have made great efforts to open the task of handling pregnant women's systems, and the county maternal and child health hospital has added perinatal care clinics, high-risk pregnancy clinics and pregnant women's clinics. The number of live births in that year was 64 1 1, the total number of pregnant women was 6404, and the number of pregnant women was 5503, with a systematic planning rate of 85.84%. 5669 people were interviewed after delivery, and the interview rate after delivery was 88.43%. There were 6 173 inpatients, and the hospitalization rate was 96.29%. The new delivery method is 635 1 person, and the new delivery rate is 99.06%. Three pregnant women died, and the maternal mortality rate was 46.79/65438+ 10,000.
Third, do a solid job in children's health care, promote the systematic intention rate of children, and lower the mortality rate of children under five.
The task of child health care is another necessary form of maternal and child health care. Children are the hope of the motherland and the future of the nation, and Party committees and organs at all levels attach great importance to them. In the past, the designer of children's health care under 7 years old, the child health care plan rate was 89.27%; Children under 3 years old are eager to learn from others, and the trivial planning rate of children under 3 years old is 87.92%. According to the nutritional assessment of children under 5 years old, the incidence of moderate and severe malnutrition is 1. 15%, which shows that the nutritional environment of children needs to be improved. On the eve of Children's Day on June 1st in the County Maternal and Child Health Hospital, with the strong approval of the County Education Committee and the passive cooperation of kindergarten staff, a comprehensive and detailed physical examination was conducted for children belonging to 7 kindergarten groups in the whole town, with a total of 2 109, and 630 people were found to be wrong, with a detection rate of 29.87%. Mild blood deficiency 176, rickets 120, dental caries 350, inguinal hernia 9 and hepatitis b surface antigen 3 were detected. In the case of cherishing children's privacy, I put forward corresponding suggestions for diagnosis and treatment, which won unanimous praise from parents. Through the implementation of health care measures, 79 children under 5 years old died in the county, and the mortality rate of children under 5 years old was12.32 ‰; The infant mortality rate was 58 cases, and the infant mortality rate was 9.05‰.
Fourth, take the initiative to do a good job in the general survey and treatment of housewives' diseases, improve the healthy environment of female groups, and pay attention to energy costs as soon as possible.
County and township medical and family planning departments conducted a general survey of housewives' diseases, and the inspection rate was 1, 6 1.42%. Gynecological diseases were found, and the prevalence rate of gynecological diseases was 45.07%. With the strong support of the county women's Federation, the county maternal and child health hospital insists on the investigation and treatment of urban housewives' diseases every year. From March to May, there were 98 census units with 870 people. Because of the whole project of the census, including breast examination, gynecological examination, B-ultrasound search, colposcopy, hysteroscopy search and vaginal cytology, the incidence of female illness reached 80.00%, and 3 cases of cervical cancer were found, which was a high level. After the standardized treatment of process reaction, the overall health status of housewives has been obviously improved.
Five, continue to do a good job in family planning skills to lead the task, to prevent the death of family planning surgery.
Family planning and technical means to lead this work still need the content of maternal and child health care. County Maternal and Child Health Hospital, as the leading unit of family planning and martial arts in the county, has always attached great importance to the large-scale training of family planning and parenting tasks at the township level and achieved remarkable results. In that year, 4 884 cases of various birth control operations were performed, among which IUD accounted for 49.30%, tubal ligation accounted for 2.83%, abortion rate was 65 438+00.24%, drug outflow accounted for 20.07%, and induced abortion accounted for 2.52%. Did not cause death.
Six, do a good job in maternal and child health monitoring tasks, and provide scientific basis for the implementation of intervention measures in the province.
Since 1996, our county has been a monitoring point for maternal deaths, deaths of children under 5 years old and birth defects. Maternal death monitoring is carried out in the county, death monitoring of children under 5 years old is carried out in Cuiqiao Township, and birth defect monitoring is carried out in county hospitals and health centers. Over the years, the county hospital obstetrics, pediatrics, health care department of health hospital, and the prevention and protection station of Cuiqiao Health Center have always adhered to the grand mission attitude, serious work spirit and patient filial piety, and delivered valuable scientific research materials to the superiors every quarter, making practical strategies for the maternal and child health tasks in the province and making due contributions.
Seven, the implementation of foreign reproductive health/family planning projects, to promote the follow-up development model during the withdrawal of maternal and child health care tasks in our county.
Since the implementation of the sixth cycle reproductive health/family planning project of China-Communication Country UNFPA in our county, it has greatly attracted the performance and talents of maternal and child health care tasks in the county. The idea of taking remuneration as the core, people's all-round progress as the core and public demand as the starting point is deeply rooted in the hearts of the people. Project news, popular science, adolescent health clinic and family planning standard efficiency training, as well as mutual visits and sightseeing in engineering counties, have broadened our horizons and dominated the pulse of the times of maternal and child health. The establishment and normal operation of standards for adolescent health care clinics, pregnant women's schools, perinatal health care clinics and family planning management clinics have made the maternal and child health care work in our county keep up with the development mode of the period, and the task of maternal and child health care has taken on a brand-new look, and excellent standard work and various health education activities have been carried out, which has caused women, children, men and adolescents in our county to suffer greatly.
Eight, the implementation of death and birth defects monitoring project, grasp the case audio-visual, temper a number of professional and technical teams, to further promote the informationization of maternal and child health care.
In XX, the project of cancer analysis and prevention in Huaihe River Basin of the State Council was unilaterally launched, and the project of monitoring birth and death defects was implemented. The township and county health care units directly avoid the world, and the death defects are static in real time, and the health care department of the health care hospital has carefully finalized the case. Since the implementation in late June of XX, up to1October 22nd, a total of165438+65438,6870 cases were reported, and 17 cases were found to be defective after China's entry into WTO. It not only grasped the news of the case in time, broadened the scope of maternal and child health care, but also cultivated a number of professional skills, further improving the dynamic quality of maternal and child health care.
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