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目的 :通过拓宽妇幼保健基础服务 ,降低孕产妇和 5岁以下儿童死亡率。方法 :通过推行妇幼保健保偿制 ,完善三级保健网络 ,加强乡、村级妇幼保健人员适宜技术培训 ,加强母婴保健执法监督 ,完善婚前保健 ,实行母子“一条龙”服务 ,积极创建爱婴市 ,设立优生遗传室等途径 ,拓宽妇幼保健基础服务。结果 :使孕产妇死亡率由 1990年的 5 19/10万降至 1999年的 6 6 /10万 ,5岁以下儿童死亡率由 1990年的 70 .8‰降至 19.3‰。结论 :拓宽妇幼保健基础服务与降低孕产妇与 5岁以下儿童死亡率 (两个死亡率 )呈负相关。
Purpose: To reduce the maternal and under-five mortality rate by broadening the basic services for maternal and child health care. Methods: To improve the three-level health care network by strengthening the system of maternity and child health care, strengthening appropriate technical training for MCH at the township level and village level, strengthening law enforcement supervision of maternal and infant health care, improving maternal and child health care, implementing “one-stop” service between mother and child, and actively creating love Baby City, the establishment of eugenics room and other means to broaden the basic services of maternal and child health. Results: The maternal mortality rate dropped from 59.19 million in 1990 to 66.1 million in 1999. The mortality rate for children under 5 years of age dropped from 70.8% in 1990 to 19.3% in 1990. CONCLUSIONS: There is a negative correlation between broadening basic services for maternal and child health care and reducing maternal deaths among children under 5 years old (two deaths).