1. Pay attention to and strengthen the propaganda work of folic acid supplementation to prevent neural tube defects, improve the awareness rate of relevant knowledge among service people and increase the distribution of folic acid.

2. Strengthen rural women? Cervical and breast cancer? Promote the free census project and raise the awareness of census? Two kinds of cancer? Awareness rate of relevant knowledge.

3. strive to improve? Two kinds of cancer? Survey the technical ability level of medical staff and improve our district? Two kinds of cancer? General survey positive detection rate, improve the examination rate of patients with abnormal initial screening for further examination, and strengthen? Two kinds of cancer? Follow-up work of patients with positive census.

4. Fill in the form truthfully, accurately and completely? Two kinds of cancer? Check the case registration form in the census, collect relevant information completely, and improve the records of relevant registration forms.

(2) Management of the Birth Medical Certificate.

Main problems:

1. The data management and filing of birth medical certificates are unreasonable and irregular.

2. The medical certificate of birth before the first registration information is issued is complete.

3, individual "birth medical certificate" issuing institutions warehousing registration is not standardized, badges are not managed separately.

4, individual "birth medical certificate" issuing institutions have a high rate of invalid certificates, and no invalid certificate register has been established.

5, individual "medical certificate of birth" issuing agencies did not post "medical certificate of birth" publicity materials, and did not formulate relevant management system.

6. There are some problems, such as the stub of birth medical certificate is not signed by witnesses, the pre-entry rate is low, and the first issuance rate needs to be improved.

Work suggestion:

1. Standardize the management of birth medical certificates and file them in a timely and reasonable manner.

2. A true, accurate and complete Birth Medical Certificate is registered and issued for the first time.

3, standardize the implementation of the "birth medical certificate" warehousing registration management system, strict badge management.

4, true and accurate issuance of "birth medical certificate", reduce the generation of invalid certificate, establish invalid certificate register, complete records.

5. Post the Birth Medical Certificate, handle relevant publicity materials, formulate the issuance management system of the Birth Medical Certificate, and strictly manage it.

6. Standardize the relevant forms of Birth Medical Certificate, optimize the process, and improve the pre-entry rate of Birth Medical Certificate.

(3) Free screening of newborn birth defects.

Main problems:

1, pregnant women failed to inform the guardians of pregnant women and newborns during prenatal examination and hospital delivery, and failed to fulfill their obligation to inform.

2. Individual midwifery institutions screen out suspected positive children, and it is not recommended to refer them to higher medical institutions for diagnosis.

3. Individual midwifery institutions diagnosed the infants delivered in our city as diseases in the scope of insurance compensation, and failed to inform the parents of the children about the relevant treatment compensation policies in time, failing to fulfill their obligation to inform. Relevant treatment compensation assistance is not in place, and the follow-up work of positive children is not followed up in time.

Work suggestion:

1. It is the obligation to inform the guardians of pregnant women and newborns during the birth check-up and hospital delivery, and obtain the consent.

2. When children suspected to be positive are screened out, it is suggested to refer them to higher medical institutions for diagnosis in time.

3, midwifery institutions in the diagnosis of diseases that fall within the scope of the city's hospital delivery insurance compensation, timely inform the parents of children about the treatment compensation policy, fulfill the obligation to inform, and assist in the relevant treatment compensation work, and do a good job in the follow-up of positive children.

(4) Screening of neonatal diseases

Main problems:

1. It is common that the neonatal disease screening institutions have not formulated the annual work plan and the work summary of the previous year in the form of documents.

2. The informed consent form of neonatal disease screening was not included in the medical record as required.

3. Follow-up records of children with abnormal need to be re-examined by individual neonatal disease screening institutions.

4. Individual neonatal disease screening institutions did not publicize this work enough to inform the relevant compensation policies for newborns diagnosed as birth defects or deaths in hospital. Work suggestion:

1. Make the annual work plan of neonatal disease screening and the work summary of the previous year in the form of documents.

2. According to the requirements, the informed consent of neonatal disease screening will be included in the medical record.

3. Do a good job in screening and registration of neonatal diseases accurately and completely, record the initial screening situation in time, and do a good job in adjuvant treatment of children with positive diagnosis.

4. Strengthen the propaganda work of neonatal disease screening, and inform the families of children of the compensation policy for birth defects and death of newborns in time.

(5) Prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B..

Main problems:

1. Many data of maternal and child health care work are incomplete and untrue, and some hospitals have delayed reporting, missed reporting and logical errors.

2. The register of maternal and child health care work and Aiyimei examination in individual medical institutions is incomplete, the registration content is not perfect and the classification is not clear, the maternal examination is not registered separately, and the pregnant woman's positive does not match the register, so there is a phenomenon of underreporting.

3. Individual medical institutions do not publicize the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B, and the consultation rate and detection rate of pregnant women are very low.

4. Individual medical institutions have no billboards and publicity materials to prevent mother-to-child transmission of AIDS, syphilis and hepatitis B. ..

5. The registration of free injection of hepatitis B immunoglobulin in individual medical institutions is not standardized;

6. Individual medical institutions failed to implement free testing of AIDS, syphilis and hepatitis B among pregnant women.

Work suggestion:

1. standardize and improve the data collection of maternal and child health work and related reports, strengthen training and study, improve the quality of maternal and child health work related reports, and make the reported data true, timely and logical.

2. Standardize and improve the registration records of pregnant women with AIDS, syphilis and hepatitis B in outpatient department, inpatient department and laboratory department of obstetrics and gynecology, and report positive cases in time.

3. Strengthen the free injection of hepatitis B immunoglobulin for newborns born to hepatitis B positive women and improve the registration;

4. Strengthen the propaganda work of preventing mother-to-child transmission of AIDS, syphilis and hepatitis B, set up publicity columns and distribute publicity materials to improve the detection rate during pregnancy;

5. Strictly implement free consultation, testing and intervention to prevent mother-to-child transmission of AIDS, syphilis and hepatitis B..

6. It is suggested that all medical institutions set up leading groups and technical guidance groups for the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B, formulate their own implementation plans, hold regular work summary meetings, clarify the responsibilities of various departments and participate in related activities.

Summary of Health Education in Maternal and Child Health Hospital III

First, implement the "Maternal and Child Health Care Law" and carry out health care services according to law.

1. Further study, publicize and implement the Law on Maternal and Child Health Care and the Outline for the Development of Women and Children. First, actively carry out activities to commemorate the 20th anniversary of the promulgation of the Maternal and Child Health Law. Maternal and child health service year? During the activity, women's health care and children's health care skills competitions were held, and excellent players were selected to participate in provincial and municipal skills competitions, and excellent results were achieved. Second, increase the publicity of maternal and child health care. Outpatient departments, health departments and obstetrics and gynecology departments publish a health propaganda wall newspaper every February, and assign special personnel to educate each couple on health care, prenatal and postnatal care and family planning, so as to make the best use of it? March 8? 、? June 1st? 、? Breastfeeding week? On holidays, organize medical staff to take to the streets to carry out free consultation and publicity activities, organize medical staff to take to the streets to carry out free consultation and publicity activities for more than XX people, distribute publicity materials for more than XX people, and provide XX kinds of maternal and child health publicity brochures and wall charts free of charge to all medical and health units and county marriage registration offices in the county. Strengthen the propaganda of maternal and child health care and raise people's awareness of self-care.

2. Conscientiously implement the Measures for the Administration of Birth Medical Certificates in XXXX Province, standardize the use and management of birth medical certificates, strictly implement the measures for the administration of legal certificates related to maternal and child health care, implement the management of birth medical certificates by special personnel, and keep the certificates and seals separately. The medical certificate of birth is kept by the head nurse of obstetrics, and the seal is kept by the director of the office. Every birth medical certificate must fill in the Registration Form for Issuing Birth Medical Certificates. Assist the county health bureau to uniformly manage the purchase and use of birth medical certificates of all medical institutions in the county, cooperate with the county health bureau to check the use of birth medical certificates of medical institutions in the county, report the existing problems and make rectification within a time limit.

3. The implementation of the Regulation of XXXX Province on Prohibition of Fetal Sex Identification and Selective Termination of Pregnancy for Non-medical Needs, and the crackdown was established? Two mistakes? The leading group has formulated relevant regulations prohibiting non-medical needs to identify the sex of the fetus and choose the sex to terminate pregnancy. Monitoring probes are installed in front of the B-ultrasound room, computers and second-generation ID card readers are installed in the B-ultrasound room, obstetrics and gynecology department and pharmacy, and the real-name registration system is implemented for pregnant women who are pregnant 14 weeks or more. The leaders of the hospital signed a management responsibility letter with the obstetrics and gynecology department, B-ultrasound room and pharmacy, set up a report telephone number, organize supervision once every six months, and report the supervision to the Health Bureau in writing.

4 seriously implement the measures for the administration of health care in kindergartens. In order to further strengthen the health care management of nurseries and improve the management quality, a training course for health care workers in nurseries and kindergartens in XXXX county was held, and XX people participated in the training, providing health care guidance for nurseries and kindergartens in the county and assisting health care workers in food management. Organize physical examination teams and go down to various parks to carry out health examination and growth monitoring for children. In 20 14, the child care department carried out health supervision and management and health care guidance to the child care institutions in XX county. The health management rate of nurseries and kindergartens is 100%, including XXX children's health examination, XXX preschool teachers' health examination and XXX qualified certification, and timely feedback the health examination results, and put forward corresponding guidance and intervention measures to ensure that,

5. Standardize the premarital health care work according to law, and conscientiously implement the Law on Maternal and Infant Health Care, the Specification for Premarital Health Care Work, and the Implementation Plan for Comprehensive Scientific Premarital Examination to Prevent Birth Defects in XXXX County. This year, the County Maternal and Child Health Hospital was included in the first batch of standardized premarital clinics in the province by the Provincial Health Planning Commission. In strict accordance with the requirements of the Standard for Standardized Construction of Pre-marital Health Care Clinics formulated by the Provincial Health Planning Commission, more than XX yuan was invested to transform the pre-marital clinic. Standardize the establishment of premarital examination rooms, consultation rooms, publicity classrooms and related auxiliary examination departments for men and women, arrange X medical personnel with premarital examination qualifications to engage in premarital examination, strictly implement the "Specification for Premarital Health Care" of the Ministry of Health, conscientiously do a good job in premarital medical examination, health consultation and health guidance, especially for those with abnormal premarital examination results, patiently give advice and guidance, resolutely put an end to human contacts and ensure the quality of premarital examination, which has been well received by the evaluation team of the Provincial Health Department. XX years, XX months, the actual premarital check-up was XX person-times, the premarital check-up rate was 100%, and XXX person-times of various diseases were detected, with the detection rate of XXX%, including XX cases of designated infectious diseases, XX cases of hepatitis, XX cases of syphilis and X cases of AIDS. According to the results of premarital examination, the corresponding medical advice is put forward: delaying marriage, respecting the opinions of the subjects, meeting the medical conditions of marriage, and giving health guidance to XX people before marriage.

6. Strengthen obstetric construction and consolidate the achievements of baby-friendly hospitals. Obstetric quality maintains the health and life safety of two generations of mothers and babies, conscientiously implements the relevant provisions of the Maternal and Infant Health Care Law, assists the county health bureau to assess the medical and health institutions and midwifery technicians who carry out midwifery technology production in the county according to the Measures for the Administration of Midwifery Technology of the Ministry of Health and the Basic Standards for Midwifery Service Institutions in XXXX Province, and strictly grasps the qualifications of institutions and personnel. After examination, there are XX midwifery institutions in the county, including three X, two X and one X, and XX people in the county have obtained the technical qualification certificate of midwifery, so that institutions and personnel can take up their posts with certificates. All medical and health institutions actively carry out the activities of establishing baby-friendly hospitals and consolidate the achievements of baby-friendly hospitals. X medical institutions in the county carried out midwifery technology, and X obtained it. Baby friendly hospital. Re-evaluation of the application of baby-friendly hospital by XX medical institutions in XX years. In XX years, the county's breastfeeding rate reached XXX%, and the pure maternal and infant feeding rate reached XXX%.

7, to carry out neonatal disease screening, improve the quality of the birth population. Screening for neonatal diseases is an effective measure to prevent children from falling behind in intellectual and physical development and improve the quality of the birth population. According to the "Administrative Measures for Neonatal Disease Screening in XXXX Province" and the "Implementation Plan for Expanding the Scope of Neonatal Disease Screening" issued by the Provincial Health Department, medical and health institutions directly under the county level are organized to actively carry out neonatal disease screening, and obstetricians of relevant medical institutions are organized to participate in professional training in the Provincial Maternal and Child Health Hospital, focusing on the quality of blood collection, recall and follow-up of suspicious patients, so as to realize early detection, early diagnosis and early treatment, promote the early recovery of sick children and further promote the improvement of the quality of the born population in our county. There are XXXX county hospitals, civilian hospitals, traditional Chinese medicine hospitals and maternal and child health hospitals in our county to carry out neonatal disease screening and neonatal hearing screening. In XXX years, the county screened XXX people for neonatal diseases, found X cases of hypothyroidism, and screened XXX people for hearing.

8. Actively carry out the prevention and control work of Ai, Mei and B ... Seriously implement the Implementation Opinions of XXXX Provincial Health Department on Strengthening the Prevention of Mother-to-child Transmission of AIDS and the Implementation Plan of XXXX Prevention of Mother-to-child Transmission of AIDS. Strengthen the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B, actively carry out publicity and education and personnel training to prevent mother-to-child transmission of AIDS, syphilis and hepatitis B, establish screening laboratories, carry out pre-marital health care and maternal AIDS, syphilis and hepatitis B detection and consultation, and establish an information management system. The detection rate of AIDS in pregnant women is XXX%, and the positive rate is X; The detection rate of syphilis in pregnant women is XXX%, and the infection rate of syphilis is XX%. The detection rate of maternal hepatitis B was XX%, and the positive rate of HBsAg was XXX%. The detection rate of AIDS in premarital examination was XXX%, and X cases of AIDS were found. The detection rate of syphilis in premarital examination was 100%, and XX cases of syphilis were found. The detection rate of hepatitis B before marriage was XX%, and XX cases of hepatitis B were detected, with a positive rate of XXX%.

Second, the existing problems and difficulties

1, personnel funds and operational funds cannot be guaranteed. Xxx years ago, XXXX County Maternal and Child Health Hospital was self-supporting, relying entirely on the income from clinical medical services to maintain maternal and child public health services. There are many historical debts, and the social security of cadres and workers cannot be solved. With the development of national medical reform, the health task of women and children is getting bigger and bigger, and it is difficult to survive, let alone develop, by relying on clinical medical income.

There are too many staff. According to the Notice on Adjusting the Establishment Standards of Maternal and Child Health Institutions in the Province issued by [XX] XX Province and the Provincial Health Department, the staffing of maternal and child health care institutions at the county level is XXX, and the staffing of clinical staff is XXX. The population of our county is about more than XX. At present, there are XX staff members in the Maternal and Child Health Hospital, but there are actually XX staff members. As a result, some departments are unable to carry out business, which restricts the development of maternal and child health.

3. Insufficient medical equipment. Due to the shortage of funds, it is impossible to buy medical equipment. Compared with the basic equipment construction standards of maternal and child health care institutions, there is a big gap.

4. Insufficient business premises and poor office conditions. The comprehensive building of XXXX County Maternal and Child Health Hospital was built in XXX with three rural health construction funds in XXXX Province, with a construction area of XXX square meters. On the one hand, the business space can not meet the needs of maternal and child health business; On the other hand, it has been used for XX years, and it is dilapidated and lacks decoration funds, resulting in poor environmental conditions.