Fan Wenyi's Personal Summary of Maternal and Child Health Care:
A year passed quickly. Over the past year, under the careful guidance of hospital leaders and health departments, we have earnestly completed all the work and further improved our ideological consciousness. The work since this year is summarized as follows:
First, politically and ideologically, we should adhere to the Party's line, principles and policies, and seriously study Marxism-Leninism.
Guided by Theory of Three Represents, Mao Zedong Thought adhered to Scientific Outlook on Development, earnestly carried out the activity of "striving for excellence" and actively participated in various activities. Respect leaders, unite with comrades, work hard and complain. During my work, I actively focused on the policy of maternal and child health, taking health care as the center and combining health care with clinic. Facing the community, facing the grassroots, taking the project of reducing consumption and hospital delivery as an opportunity, we will fully implement the "one law and two programs", vigorously carry out prevention and control work with obstetric quality as the core, and focus on high-risk pregnancy management, obstetric quality, hospital delivery, neonatal tetanus, mother-to-child transmission of AIDS, and creation of maternal and child safety.
Two, standardize the management of pregnant and lying-in women system, improve the quality of medical and health care services, and set up maternity in our hospital.
The Handbook of Women's Health Care and the Handbook of Rural Doctors make a thorough investigation of pregnant women in their respective jurisdictions, and carry out systematic inspection, monitoring and health care guidance according to the inspection items specified in the early, middle and late pregnancy and puerperium, so as to find out high-risk situations in time, ensure the safety of mother and baby, and at the same time carry out strict screening and management according to the scoring standard of high-risk pregnancy. There were no maternal deaths in our hospital this year, 88 newborns were born and 84 were hospitalized, with a delivery rate of 96%. The systematic management rate was 9 1%, the high-risk hospital delivery rate was 1 1, and the postpartum visit rate was 96%. There is no neonatal tetanus, which effectively reduces maternal mortality.
Third, standardize the systematic management of children and improve the quality of children's health care services. Children's health care should implement the 4.2. 1 physical examination system according to the requirements of the higher authorities, and focus on strengthening the systematic management of children aged 0-3. There are 647 children under 7 years old, 6 19 managers, and the management rate is 96%. There are 283 children under 3 years old and 20 managers.
Fourth, strengthen the management of maternal and child projects.
This year, our township's "consumption reduction" project has achieved gratifying results, 1, with standardized project management and sound organization; 2. Strong leadership, guidance and supervision, frequent implementation and strong operability; The unit is carefully organized, with responsibility to people and assessment as the goal; 3. The publicity coverage is wide, and the poverty alleviation procedures are in place, which is widely known, greatly improving the hospital delivery rate and effectively reducing the avoidable maternal death.
Five, strengthen health education, improve people's awareness of self-care.
To do a good job in maternal and child health care, we should really popularize the legal knowledge of maternal and child health care to the broad masses of the people in the future work, so that they can know, understand and abide by the law, and improve their awareness of self-care. Consciously participating in health care, on the other hand, distributing 400 publicity materials and 520 bottles of folic acid tablets, which has greatly promoted the implementation of the whole maternal and child health care work.
Problems in intransitive verbs
Although the ward environment in our hospital has been improved a lot, there is no special clinic for obstetrics and gynecology, nor does it carry out obstetrics-related business, which makes maternal and child health care and clinical business not closely integrated and cannot meet the needs of the broad masses. Village maternal and child health care workers are relatively weak, and there are many gay men. They don't perform their duties as health workers. The backward thinking of the masses still exists, and the workload of folic acid supplementation is heavy. Many maternal families don't understand, support or cooperate. In addition, due to insufficient publicity, there are also some problems in our work.
Seven, next year's work ideas to strengthen maternal health care management to improve business level, strengthen service awareness, clear the scope of services, conscientiously do a good job in maternal screening and children's health files within the jurisdiction, understand the pregnancy situation of women of childbearing age, do a good job in high-risk screening, increase the prevention and control of birth defects, popularize the knowledge of preventing birth defects, and the folic acid supplementation rate of pregnant women is over 80%. Actively carrying out obstetric services, expanding the scope of services, closely combining medical care with clinic, and striving to do a good job in maternal and child public health services in this area will be a new step in maternal and child health.
Personal summary of Fan Wener on maternal and child health care:
I will summarize my work in the past 20 years as follows:
In the management of maternal and child health care,
First, standardize the systematic management of pregnant women and improve the quality of health care services.
In 20 years, there were 78 pregnant women in my hometown * * *, of whom 42 were successfully hospitalized and delivered, and all 78 pregnant women established paper and electronic files. In order to achieve the zero birth defects determined at the beginning of the year, I carried out systematic inspection in strict accordance with the twelve inspection items stipulated in the early, middle and late pregnancy, and at the same time conducted screening and management in strict accordance with the scoring standard of high-risk pregnancy, so as to find high-risk situations in time and ensure the safety of mother and baby. This year, * * * carried out 35 pregnancy checkups1time, the systematic management rate of pregnant women reached 97.62%, and the postpartum visit rate reached 95%. It held pregnancy talks 12 times and distributed more than 2,300 publicity materials on Women's Day, Love Your Ear Day and AIDS Publicity Day. All the activities carried out are planned and provide a lot of information.
Second, standardize the systematic management of children and improve the quality of children's health care services.
There are 330 children under 7 years old in my hometown, and the child health care is strictly implemented according to the requirements of the superiors.
4.2. 1 physical examination system, 634 physical examinations were conducted for children throughout the year, and 3 14 children's files were established. The data of children's physical examinations were uploaded to the residents' health file management system in time, and the system management rate was 95. 12%.
Third, strengthen the management of maternal and child projects.
This year, I paid a serious visit to pregnant women, and reported the data of hospital delivery of pregnant women in time, which greatly improved the subsidy rate of hospital delivery, made the aid subsidy funds for poor pregnant women paid on time, and the subsidy rate reached 100%, which effectively reduced the cost of hospital delivery of pregnant women and was affirmed by the higher authorities.
Four, outpatient and inpatient work
I am a specialist in women and children, and I am also responsible for the diagnosis and treatment of outpatient and inpatient departments. In the whole year, 2 13 outpatients and inpatients were treated, and no medical accidents occurred throughout the year.
Problems with verbs (abbreviation of verb).
Because I just started to contact with maternal and child work this year, all the work is in the stage of learning and exploration, and maternal and child health care cannot be closely combined with clinical work. Although various forms of publicity have been organized, there are still blank areas, which lead to individual pregnant and lying-in women's families not understanding, supporting and cooperating with our maternal and child work, which leads to great resistance in our maternal and child filing work.
7. Work plan for next year. I will continue to strengthen the management of maternal health care, improve the professional level, strengthen service awareness, clarify the scope of services, conscientiously do a good job in maternal screening and children's health files within my jurisdiction, understand the pregnancy situation of women of childbearing age, do a good job in high-risk screening, increase the prevention and control of birth defects, popularize the popular science knowledge of birth defects prevention and control, and strive to make the folic acid supplementation rate of pregnant women reach 100%. Actively carry out gynecological business, expand the scope of services, closely combine health care with clinic, and strive to make maternal and child health care in our hospital reach a new level.
Summary of three examples of maternal and child health care model essay:
Over the past year, under the correct leadership of the county party committee and the government, the Maternal and Child Health Hospital has arranged practical education activities in strict accordance with the Party's mass line, earnestly studied Party spirit, adhered to the principle of "taking health care as the center, ensuring reproductive health as the goal, facing the grassroots and facing the group", carried out basic medical services closely related to women's and children's health, and earnestly performed public duties.
This year's work is summarized and reported as follows: 1. Strengthening system construction and further improving the overall management level of hospitals are related to the rise and fall of a unit. This year, our hospital continued to supplement and improve the original rules and regulations, focusing on revising labor discipline, medical business and financial logistics supervision and punishment, refining management regulations and reward and punishment systems, conducting unscheduled surprise inspections, and punishing departments and individuals who violated regulations. It not only enhances the sense of responsibility of cadres and workers, but also clarifies the scope and is well documented.
(A), clear personnel responsibilities, quantitative performance appraisal
Re-formulate the performance appraisal scheme, quantify the post performance, clarify the post responsibilities of all kinds of personnel, conduct quantitative assessment on departments, require all departments to conduct self-assessment, and the office conducts assessment on all departments irregularly. Conduct performance appraisal report at weekly meeting, and implement strict performance appraisal rewards and punishments every month. Combined with performance appraisal, strict inspection system is adopted. The dean will check the positions of departments from time to time, and the hospital office will check the positions at least twice a week to criticize and punish those who are late and leave early. In 20_ years, the phenomenon of being late and leaving early was basically eliminated, and the phenomenon of missing posts was obviously reduced.
(2), combined with the actual hospital, scientific accounting distribution system.
According to the development trend of hospital work in recent years, our hospital has improved the performance appraisal method, implemented the performance principle of cost accounting, such as distribution according to work, more pay for more work and giving consideration to fairness, and earnestly implemented the superior departments.
The principles and policies of wage system reform, so as to realize the balanced development of personal income and hospital public accumulation.
(3), strengthen the responsibility, earnestly implement the system of weekly meeting.
Our hospital continues to implement the Monday regular meeting system, which is composed of team members, heads of administrative departments, directors of clinical departments and directors of health care departments. Understand the situation of various departments through regular meetings, strengthen the coordination and management of daily management, find problems in time, provide rectification plans, and seriously deal with people and things that violate the unit management system.
(four), energy saving and emission reduction, strictly implement the system of double increase and double section.
Actively respond to the spirit of energy saving and emission reduction at the higher level, and ask the logistics department to fully meet the needs of clinical work, ensure the deeper operation of clinical first-line departments, effectively implement cost accounting to departments, and make the best use of it. All kinds of materials shall be managed by computer, and a system of dual management and dual signature shall be formulated to standardize the procedures of demand, supply, procurement and warehousing. And strictly control all kinds of expenses, especially flexible expenses, and require the broad masses of employees to enhance their sense of ownership and economy, increase revenue and reduce expenditure, increase energy and increase efficiency, and ensure large investment, less waste, more income and rapid development. Compared with 20 13, the expenditure in the same period of 20_ years decreased by RMB yuan, which achieved good social and economic benefits.
Two, strengthen medical quality management, standardize medical service behavior.
Medical quality and medical quality are directly related to the survival and development of hospitals. Our hospital always takes medical quality and medical safety as the top priority, constantly explores new medical management modes and methods, pays close attention to the implementation of the medical system, and the medical business in the hospital develops healthily with remarkable results.
(1) Improving the service environment and optimizing the service process are the basis for improving the medical quality. Adhere to the "patient-centered" service concept, actively promote the improvement of medical service facilities, establish a new outpatient paging system, set up a triage desk, and shorten the time for patients to seek medical treatment; The ward area was replaced with glass and curtains, and two large air conditioners were added, providing patients with a warm and comfortable medical environment. All-weather obstetric consultation service, 24-hour duty system for administrative staff, and 24-hour mobile phones for cadres and workers in the hospital to facilitate patients' contact, consultation, treatment and
Organize rescue work, etc. Better promote the harmony between doctors and patients; Telephone and family visits were made to the parturient, so as to know the situation of the parturient and the newborn in time, and at the same time, the discharged parturient was transferred to the grassroots maternal and child health care personnel to ensure the health of the parturient and the newborn after discharge.
(2), the implementation of medical quality and safety inspection and quality control, is the need to strengthen medical quality.
First, establish and improve the secondary medical quality control system in hospitals and departments. Every week, the dean in charge and the directors of relevant departments conduct administrative rounds of medical services. Focus on the daily medical business, administrative management and hospital departments to carry out a comprehensive supervision and inspection of the hospital management system, and at the same time give corresponding treatment to existing problems, and order the existing problems to be rectified within a time limit and deduct performance points.
The second is to conduct self-examination and self-correction as required. We have seriously rectified the feedback problems at all levels in the inspection of our hospital.
Third, the Medical Department and the Nursing Department regularly conduct "three basics and three strictness" training for medical staff, assess the mastery and implementation of the core medical system, first aid technology and operating norms, and give certain spiritual and material rewards according to the assessment results.
(3) Improving hardware construction and service ability is the key to strengthen medical quality.
(1), according to the advantages of specialized hospitals, expand the scope of medical services. First, strengthen postpartum health care on the basis of the original health care during pregnancy and childbirth. The new diagnosis and treatment instrument for upper pelvic floor muscle disorder has been used for 20 years, screening people with pelvic floor muscle disorder, and the rest are treated; The second is to strengthen the screening and management of high-risk infants on the basis of monitoring children's growth and development. Monitor children's growth and development in 20_ * * years, screen out high-risk children, and manage them all by filing. Thirdly, on the basis of the original bath massage, children's massage was carried out. In the past 20 years, massage therapy for torticollis and diarrhea in children has been carried out, which has won good social and economic benefits for the hospital.
(2) Take the way of "please come in and go out" to continuously improve the medical service capacity. Invited superior experts to our hospital for business guidance and lecture training many times. In the meantime, send young people.
Comrades go to Liaocheng, Jinan, Beijing and other places for classes and full-time study. Over the past 20 years, their superiors have participated in various classes, with the number of participants reaching 1000.
(4) Establishing a perfect quality management system and standardizing medical behavior is the core of strengthening medical quality.
First, combined with the nature and content of each post, the management system of post responsibilities, medical ethics, rewards and punishments has been strengthened; A number of quality control assessment rules such as administrative management, medical quality management, nursing quality management, drug management, hospital infection control management, and medical ethics management have been refined. Therefore, there are rules to follow and rules to follow.
Second, actively respond to the requirements of the health administrative department, strengthen the professional qualification access system for doctors and nurses, and do a good job in the supervision of various technologies, so that all technicians in the hospital can work with certificates and practice according to law.
The third is to strengthen the management of medical records and standardize the writing of various documents. Regular medical record examination, evaluation and appraisal. In-depth development of hospital informatization with electronic medical records as the core, and gradual implementation of real-time monitoring of medical service information. In 20_ years, the hospital informatization construction was fully rolled out in the whole hospital, and it is running smoothly at present.
Fourth, strengthen medical safety supervision, establish an early warning mechanism for medical quality and safety risks, do a good job in implementing various measures, implement accountability, and prevent and control the doctor-patient relationship from the source. Regularly carry out doctor-patient communication activities to resolve conflicts and disputes in time; Smooth patient complaint mechanism, establish suggestion box, smooth complaint telephone, and minimize disputes between doctors and patients.
Fifth, strengthen the supervision of pharmaceutical affairs. Establish and improve the long-term mechanism of antibacterial drug management, and strictly implement the relevant regulations on prescription review and other management; According to the professional characteristics, we will focus on strengthening the clinical application of drugs, antibacterial drugs and hormone drugs for pregnant women and children, and realize the comprehensive standard of clinical application of antibacterial drugs in our hospital.
Sixth, actively carry out moral construction. Strictly implement the specific requirements of "Nine Prohibitions" for professional ethics construction and "Three Increases and One Prohibition" for the convenience of medical clinics to prevent the occurrence of bad behaviors in the purchase and sale of drugs and medical practice in our hospital.
In 20_ years, our hospital * * * treated more than 10000 outpatients, hospitalized patients and hospitalized delivery personnel, with an annual total income of 10000 yuan, an increase of 10000 yuan, with a growth rate of%. A satisfaction survey was conducted, and the complete satisfaction rate was over 97%.
Three, strengthen the public welfare as the core, complete the work of maternal and child health care.
The main purpose of maternal and child health care institutions is to require them to undertake public health functions related to women's and children's health, and become the technical support for women's and children's health services within their jurisdiction, which has obvious public welfare. In the past 20 years, our hospital has continued to play the role of the three-level maternal and child health care network in Chiping County, gradually defined the scope and responsibilities, and further realized the real public welfare group health care service by strengthening grassroots training, supervising and guiding, and implementing routine work item by item.
(a), maternity protection work:
1, actively popularize maternal and child health care knowledge. Further popularize the awareness rate of women and children's own health knowledge, and actively carry out women's health education through lectures, free clinics, leaflets and other forms. In 20_ years, * * * concentrated on health education lectures, large-scale free clinics, and distributed more than 10000 health education publicity materials to receive counseling and education for the masses. Make pre-marital health care, pregnancy health care, menopause health care, prenatal and postnatal care knowledge popularization rate reach more than 90%.
2. Actively do a good job in maternal health care. In accordance with the requirements of the Measures for the Management of Pregnant Women's Systematic Health Care in Shandong Province, we will continue to do a good job in the systematic management of pregnant women, promote hospital delivery, improve the screening and identification ability of high-risk pregnant women and the ability to deal with critical cases, and ensure the health of mothers and babies to the maximum extent. 20_ years pregnancy examination, filing management personnel, pregnant women's AIDS and syphilis detection personnel, prenatal screening population, high-risk management personnel, confirmed cases of pregnancy-induced hypertension syndrome, confirmed cases of neural tube defects.
3. Pay close attention to obstetric construction to ensure the safety of mother and baby. Over the past 20 years, we have continued to adhere to the service tenet of "mother's safety, children first", and strengthened the management of practicing according to law from the aspects of personnel training, equipment investment and standardized management, further standardized the quality of obstetrics, and effectively improved the level of medical diagnosis and treatment and safety. Those who have been hospitalized for 20_ years, and those who have received the first injection of hepatitis B immunoglobulin for newborns free of charge. The incidence of maternal death and neonatal tetanus is 0.
4. Actively carry out general survey and treatment of gynecological diseases. On the occasion of "March 8th" and Mother's Day in 20_, in close cooperation with the county women's federation, the "Women's Health Action" was actively carried out among women of childbearing age in the county (mainly in urban party and government organs, enterprises and institutions), and all the diseases found were treated and followed up in a standardized way. In 20 years,% of women's diseases (including breast cancer and cervical cancer) were found. The detected diseases should be treated or referred in time.
5. Breast cancer screening. As a "breast cancer" provincial project county. Actively complete the task of free breast cancer screening in 20 13 and 20_ years according to the requirements of the provincial health department. * * * Screening population, people who were found to be positive for breast cancer, (confirmed population), and people who were found with benign cases of breast cancer. To find out the disease, should be given positive referral or treatment follow-up.
(2) Child care:
1. Optimize children's health care and further improve children's healthy development level.
In the past 20 years, our hospital has continued to actively carry out health care for children aged 0-3 and health intervention for kindergarten children, strictly implemented the "4.2. 1" physical examination system, and focused on strengthening the inspection and supervision of systematic management of children aged 0-3 in the county and the annual health examination for kindergarten children. In 20_, children were allowed to enter the park to check their names. All kinds of diseases have been found and the incidence rate has reached. Treatment and scientific guidance were given to the diseases found, and special management and regular review were taken to ensure the physical and mental health of children. At the same time, the well-known kindergarten teachers in the county were given health check-ups, health files were established, health certificates were obtained, and the spread of diseases among kindergarten teachers and students was avoided.
2, conscientiously perform their duties, according to the law to carry out children's health care technical services.
(1), neonatal disease screening is an important responsibility entrusted to maternal and child health care institutions by the Maternal and Child Health Care Law. Actively carrying out neonatal disease screening is an important measure to prevent mental and physical retardation of newborns, reduce disability and improve the quality of the population, which can achieve the purpose of early detection, early diagnosis and early intervention of congenital diseases. According to the requirements of superiors, a new screening for neonatal diseases was developed on the basis of free screening of the original varieties. In the past 20 years, the screening rate of neonatal diseases has reached more than 90%, among which congenital diseases, hearing screeners and hearing impaired people have been found. For positive infants and confirmed infants, our hospital conducts follow-up guidance to ensure that children receive standardized treatment.
(2) The medical certificate of birth is the "first certificate of life" and has obvious legal benefits. According to Shandong Province's Regulations on the Administration of Birth Medical Certificates, and in strict accordance with the requirements of the Ministry of Public Security and the Ministry of Health on the Measures for the Administration of Birth Medical Certificates, a special person is assigned to be responsible for the issuance of Birth Medical Certificates, and the management measures for the issuance, reissue and renewal of Birth Medical Certificates are formulated to ensure that the certificates and seals are kept separately and the entry-exit registration is complete. At the same time, the detailed workflow has been further improved from the aspects of certificate issuance process, file management and certificate inquiry, which has blocked all kinds of loopholes and ensured the standardization and safety of certificate issuance. In 20_ years, the county issued the Birth Medical Certificate, and the qualified rate was 100%.
(3) Actively promote breastfeeding to ensure the healthy development of lactating children. Since the establishment of Baby-friendly Hospital, our hospital has been actively advocating and guiding breastfeeding and managing it according to the requirements of Baby-friendly Hospital. In the past 20 years, there were live births and breast-feeding people in our hospital, and the breast-feeding rate reached%, which effectively improved the healthy development level of infants.
(3) premarital examination.
Premarital health care is one of the important tasks entrusted to maternal and child health care institutions by the "one law and two programs" of maternal and child health care, and it is the primary link to improve the quality of the population and reduce birth defects. Over the past year, we have closely focused on the provisions and requirements of one law and two cardinal guides, taken various effective measures, and made the residents in the county realize the benefits of premarital examination by printing posters, brochures, lectures in newly-married schools, and effectively improved the premarital examination rate. In 20 years, 90 14 people registered to get married (4507 couples). There were 7568 people (3784 couples) who had premarital examination, and the premarital examination rate was 83.96%. 90 14 people have received premarital health consultation, 1 1 people have received premarital health consultation, and 1522 people have been diagnosed with diseases. These people have received corresponding guidance, and infectious diseases and heredity have been effectively controlled.
(4), grassroots public * * * maternal and child health care.
1, attach great importance to it and supervise it regularly.
Deploy elite forces, led by the county health bureau set up a public * * * women and children's engineering work leading group. Implement the work system of monthly supervision and quarterly assessment. In 20 years, * * * went to the countryside to supervise and inspect for 6 times, and the problems were corrected in time, which ensured the smooth development of the public * * * women and children project.
2, strengthen training, extensive publicity.
Use the county once a month (regular meeting on the 8th of each month) to arrange and report daily work, and conduct special training and experience exchange on public health projects once a quarter. In the past 20 years, * * * held 10 regular meeting and conducted 7 trainings, with more than 300 trainings, which laid a solid human foundation for the smooth development of public health projects.
3, earnestly do a good job of assessment, quality and quantity to complete all the work.
Strengthening service quality assessment and service effect assessment, our hospital has refined the assessment scheme of maternal and child health service projects, and incorporated the project implementation into the annual comprehensive work assessment of supervisors, so that they can consciously and solidly promote maternal and child health work, truly solve practical problems, and ensure the smooth completion of the task indicators of maternal and child health projects in the county.
598 live births1case in 20 years, 98.06% pregnant women were examined before delivery, 93.86% pregnant women were systematically managed, 94.5% were visited after delivery, 100% were hospitalized, 2 18% were high-risk pregnant women, 100% were hospitalized.
(5) Community work
1, 20_, Lisan Community Health Service Station successfully completed the routine work of residents' filing, chronic disease follow-up, vaccination, maternal health care, child health care, etc. according to the requirements of basic public health services, and the quality of work was well received by superior leaders, and it achieved excellent results in city and county level inspections. Establish residents' health records in 20_ years, with a pass rate of%;
The elderly management personnel, chronic disease management personnel, children's vaccination times, children's system management personnel and maternal system management personnel have all been entered into electronic files. Carry out health education consultation activities, print and distribute health education publicity materials, and distribute copies in total. A family doctor contractor.
2. On the basis of public health services, basic community medical services not only ensure the health of the community service population, but also achieve certain economic benefits, achieving a win-win situation for both social and economic benefits.
Problems with verbs (abbreviation of verb)
1. Insufficient investment in maternal and child health care and narrow office space make some new technologies, new projects and routine projects of maternal and child health care unable to be fully developed, which can no longer meet the service needs of the people for medical treatment, and also affect the further development of maternal and child health care in the county.
2. There are few health technicians in our hospital, and the business volume is large. As for many health care work can not be carried out, it seriously restricts the improvement of maternal and child health care work and obstetric technical force in our county.
3. The three-level medical care network is not perfect. Although the work of county-level maternal and child health workers is solid, and the team of specialized maternal and child health workers in township hospitals is gradually stable, the village-level network is weak and the service capacity is not high. Can not meet the needs of the broad masses.
4. Medical staff's legal concept and doctor-patient communication ability still need to be further improved.
There are many problems in management that need to be improved.
In the past 20 years, with the help of the county government, health bureau and colleagues, and with the joint efforts of the staff of the whole hospital and the maternal and child health care personnel of the county, all indicators and tasks of maternal and child health care have been successfully completed. In the new year, we should further emancipate our minds, forge ahead, explore boldly, actively implement the national medical reform policy and the spirit of the county health bureau documents, and strictly implement various laws and regulations and unit rules and regulations in accordance with the overall thinking of being pragmatic, harmonious, enterprising, safe and efficient. At the same time, it is necessary to increase the training and introduction of talents and strive to make positive contributions to the health of women and children in the county.
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