论文部分内容阅读
目的 :在管理上 ,使防疫和妇幼保健工作更加规范化、制度化、标准化、科学化 ;在工作效果上 ,要求高质量、高效益。方法 :采用随机抽样法 ,确定实施区和空白对照区 ,对具有代表性的指标进行卫生统计分析 (u检验 )。结果 :系列服务管理实施后与实施前相比 ,婚前卫生指导率由 5 0 .0 %提高到 90 .3% ,与对照区相比 ,提高 72 .7% ;孕产妇全程管理率比实施前提高 36 .1% ,比对照区提高 33.8% ;婴幼儿全程管理率比实施前提高 34.2 % ,比对照区提高 31.4% ;婴儿死亡率由实施前 30 .4‰降到实施后的 2 0 .0‰ ;婴幼儿“四苗”接种覆盖率比实施前提高 9.0 % ,比对照区提高 8.0 % ;卫生知识知晓率比对照区提高 30 .5 % ;卫生行为形成率比对照区提高 2 9.8%。结论 :系列服务管理不仅是一种行之有效的管理方法 ,而且充分体现了防疫和妇幼保健工作的社会和经济效益。
Objectives: To make the epidemic prevention and maternal and child health care more standardized, institutionalized, standardized, and scientific in management; and in terms of work effectiveness, it requires high quality and high efficiency. Methods: Random sampling method was used to determine the implementation area and blank control area, and statistical analysis was performed on representative indicators (u-test). Results: Compared with before implementation, the pre-marriage hygiene instruction rate of the series of service management was increased from 50% to 90.3%, and 72.7% compared with the control area; the maternal overall management rate was higher than before implementation. The increase of 36.1% was 33.8% higher than that of the control area; the overall management rate of infants and young children was increased by 34.2% compared with the pre-implementation, 31.4% higher than that of the control area; the infant mortality rate dropped from 30.4% before implementation to 20% after implementation. 0; infants and young children “four seedlings” vaccination coverage rate increased 9.0% over the implementation, 8.0% higher than the control area; health knowledge rate increased by 30.5% compared with the control area; health behavior formation rate increased by 9.8% than the control area . Conclusion: Series service management is not only an effective management method, but also fully reflects the social and economic benefits of epidemic prevention and maternal and child health care.