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辽宁省朝阳市市辖五县一市二区,城乡总人口360万,其中农村人口占84％,是个贫困地区。农村实行家庭联产承包责任制以后,村级集体办医一度解体,1980年至1982年间农村传染病发病率上升,一些过去已基本控制的传染病呈局部暴发流行,1981年全市就发生小儿麻痹438例,是前16年发病的总和,孕产妇和新生儿死亡率都有所上升。村级卫生工作处于无人管理状态。为了改变这种局面,我们采取了以下改革措施:
Chaoyang City, Liaoning Province, under the jurisdiction of five counties and one city and two districts, the total urban and rural population of 3.6 million, of which 84% of the rural population is a poor area. After the implementation of the household contract responsibility system in rural areas, the village-level collective medical treatment was disintegrated. The incidence of infectious diseases in rural areas rose between 1980 and 1982. Some infectious diseases that were basically controlled in the past were in a state of local outbreak. In 1981, poliomyelitis 438 cases, the sum of the incidence of the first 16 years, maternal and neonatal mortality rates have increased. Village-level health work is unmanaged. In order to change this situation, we have taken the following reform measures: