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目的:了解酒泉市儿童保健服务利用的现状,分析新生儿、婴儿及5岁以下儿童死亡率和相关儿童保健指标的变化趋势,探讨提高儿童保健工作的对策。方法:利用酒泉市妇幼卫生监测网络收集2008～2012年酒泉市四县一区二市妇幼卫生主要指标年度报表及5岁以下儿童死亡卡,并对上报的相关资料进行审查、核实后,汇总、统计并分析。结果:酒泉市2008～2012年新生儿、婴儿及5岁以下儿童死亡率、5岁以下儿童中重度营养不良发生率呈下降趋势;新生儿访视率、3岁以下儿童系统管理率、7岁以下儿童保健管理率、新生儿疾病筛查率呈上升趋势;母乳喂养率、低出生体重发生率有波动。结论:提高儿童保健工作应从基础能力建设入手,结合公共卫生服务均等化,加强专业人才培养和高素质人才的引进,加大经费投入,加快儿童保健服务的内涵建设,增加保健服务项目,以适应社会的需求。
OBJECTIVE: To understand the status quo of the utilization of child health services in Jiuquan city, to analyze the changing trend of neonatal and infant mortality rate and related health indicators of children under 5 years old, and to explore ways to improve child health care. Methods: By using the MCH monitoring network in Jiuquan City, we collected the annual reports of maternal and child health major indicators and the deaths of children under 5 years old in four districts and one district of Jiuquan city from 2008 to 2012, reviewed and verified the relevant information reported, Statistics and analysis. Results: The mortality rates of infants, infants and children under 5 years old in Jiuquan from 2008 to 2012 and the incidence of moderate to severe malnutrition among children under 5 years showed a decreasing trend. The neonatal visits, the system management rate of children under 3 years old, 7 years old The following child health management rate, neonatal screening rate is on the rise; breast-feeding rate, low birth weight fluctuations. Conclusion: To improve child health care work should start from the basic capacity building, with the equalization of public health services, to strengthen the training of professionals and the introduction of high-quality personnel, increase funding, accelerate the construction of children’s health services, increase health services to adapt to Social needs.