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目的:在管理上,使合二为一的防疫妇幼工作更加规范化、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,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50%增加到90.3%,与对照区相比,增加72.7%;孕产妇全程管理率比实施前增加36.1%,比对照区增加33.8%,婴幼儿全程管理率比实施前增加34.2%,比对照区增加31.4%;婴儿死亡率由实施前30.4‰降到实施后的20‰;婴幼儿四苗接种覆盖率比实施前增加9%,比对照区增加8%;卫生知识知晓率比对照区增加30.5%,卫生行为形成率比对照区增加29.8%。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妇技术经济和社会效益的价值。
Objectives: In management, the integration of maternal and child protection efforts for prevention of diseases and diseases into more standardized, institutionalized, standardized and scientific. In terms of work effectiveness, high quality and high efficiency are required. Methods: Random sampling method was used to determine the implementation area and blank control area. Representative indicators were used for health statistics analysis (u test). Results: Compared with before implementation, the pre-marital health instruction rate was increased by 72.7% compared with the control area after the implementation of serial service management; the overall management rate of pregnant women was increased by 36.1% compared with that before the implementation. 33.8% increase, the overall management rate of infants and young children increased by 34.2% over the previous period, 31.4% more than the control area; infant mortality rate dropped from 30.4 to 30% after implementation; infants and young children four seedlings vaccination coverage increased than before implementation 9%, an increase of 8% over the control area; the awareness rate of health knowledge increased by 30.5% compared with the control area, and the health behavior formation rate increased by 29.8% compared with the control area. Conclusion: Series service management is not only an effective management method, but also fully embodies the value of technology, economic and social benefits for the prevention of epidemic diseases.