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儿童急性呼吸道感染(ARI)标准病例管理是世界卫生组织和联合国儿童基金会向发展中国家推荐的降低婴儿死亡率(IMR)和5岁以下儿童死亡率(U5MR)的适宜技术,我们于1991～1992年在我省礼陵、安乡两县进行了试点实施,效果显著,现报告如下:按分层整群随机抽样的原则,以各县总人口20％的比例,两县共随机抽取8个乡作为试点乡,抽样乡内5岁以下儿童均列为观察对象,共16843人。用统一方法、标准和内容对上述两县1990年县、乡、村三级卫生资源,儿童保健服务现状及年出生和5岁以下儿童死亡等情况进行基础调查。采用参与式教学法对乡、村卫生人员进行ARI技术培训,重点内容是ARI诊断分类,治疗原则,抗生素应用及转诊原则.自1991年1月起,以乡为单位进行ARI监测。
ARI standard case management is a suitable technology recommended by WHO and UNICEF to developing countries for reducing infant mortality (IMR) and child mortality under the age of 5 (U5MR) In 1992, we carried out pilot projects in Li and Ling townships of our province. The results are as follows. The report is as follows: According to the principle of random sampling stratified cluster, taking 20% of the total population in each county, the two counties randomly selected 8 A township as a pilot township, sampling of children under the age of 5 were listed as observed objects, a total of 16,843 people. Based on the unified methods, standards and contents, the basic survey on the tertiary health resources, the status quo of child health services and the deaths of children born under the age of 5 years and 1990 at county, township and village levels in the two counties was conducted. The participatory teaching method is used to train the rural and village health personnel in ARI technology, and the key contents are ARI diagnostic classification, treatment principle, antibiotic application and referral principle. Since January 1991, the ARI monitoring has been carried out in township level.