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报道了四川省3市社区妇幼健康服务需求定量和定性调查结果。经分析讨论发现,社区健康服务符合人群的愿望;社区妇幼人群的主要健康问题除常见病外,还存在多方面问题;妇幼卫生服务尚不平衡;社区人群对健康知识需求较强;近年来母乳喂养工作较好,产前检查、婚前医学检查等服务群众满意度较高,住院分娩服务有待进一步加强。提出以下对策:加强和推行社区健康服务的宣传及机构建立工作;妇幼保健专业机构应把建立社区健康服务作为重要任务,深入社区健全妇幼卫生网底;社区妇幼健康服务优先领域应是社区健康服务的基础工作,特别应加强健康教育工作;增加妇幼卫生经费的多渠道投入,提高服务利用率;各社区应有针对性的全面的开展妇幼卫生服务,加强服务的薄弱环节;巩固母乳喂养、婚前医学检查等工作成果,解决托幼机构儿童保健人员中存在的问题
This paper reports the quantitative and qualitative findings of the community maternal and child health services in three cities in Sichuan province. Analysis and discussion found that community health services meet the aspirations of the population; the main health problems in the community women and children in addition to common diseases, there are many problems; maternal and child health services are not balanced; community groups have a strong demand for health knowledge; in recent years, breast milk Better feeding, prenatal care, premarital medical examination and other services to people with higher satisfaction, hospital delivery services need to be further strengthened. The following measures should be put in place: strengthening and promoting community health service advocacy and establishment of institutions; and specialized maternal and child health care institutions should set up community health services as an important task and should further establish a sound maternal and child health network in the community. The priority areas for community maternal and child health services should be community health services In particular, health education should be stepped up; multi-channel funding for MCH funding should be increased to improve service utilization; various community-based MCH services should be targeted and comprehensively implemented so as to strengthen the weak links in services; and the consolidation of breastfeeding, premarital Medical examinations and other work to solve the child care nurseries in the organization of the problems