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为提高我区妇幼保健工作质量及制定卫生工作规划提供理论依据 ,对新疆农牧区 2 4个县妇幼卫生机构分布、卫生服务利用和儿童早期发育情况进行调查。结果 :每县至少有 1所医院和妇幼保健院 ,妇幼人员占卫技人员的比例分别为 17.44 %和 6 0 .2 2 % ,且以中专学历为主 ,只有 5个县妇幼保健院有住院病人 ,所有妇幼保健院均未设儿科病房 ,也未开展剖宫产术 ;乡、村两级均存在机构不健全、人员素质和学历层次低、提供服务能力差等问题 ;孕产妇产前检查、产后访视和住院分娩的比例很低 ,活产新生儿在家出生和旧法接生的比例和孕产妇、婴幼儿死前未就医和就诊家中的比例均超过半数 ;每户家庭平均有 1.16个不满 5岁的儿童 ,31.2 8%和 73.6 1%的家庭无玩具和书籍。应注重农村三级保健网建设和各级医疗机构和人员的配置 ,尤其是网底建设 ,为农牧民提供最基本的医疗保健服务 ;在提高农牧民生活水平的同时 ,给予贫困地区和贫困人口必要的医疗扶贫救助 ;加强宣传教育工作 ,提高父母对孩子早期教育的重视程度。
To provide a theoretical basis for improving the quality of maternal and child health care work and formulating health work plan in our district, investigate the distribution of MCH institutions, health service utilization and early childhood development in 24 counties in Xinjiang. Results: There were at least one hospital and MCH hospital in each county. The proportions of women and children in health care workers were 17.44% and 62.2%, respectively, and secondary school education was the major. Only 5 county maternal and child health care centers had Inpatients, all maternal and child health centers have not set up pediatric wards, cesarean section has not been carried out; township and village levels are unsound agencies, personnel quality and academic level is low, to provide poor service capacity and other issues; maternal prenatal The proportion of examinations, postnatal visits and hospital deliveries was very low. The proportion of live born newborns and old births and the number of pregnant women, infants and young children before going through the death and the number of infants at the time of death were all more than half. On average, 1.16 Children under 5 years of age, 31.2 8% and 73.6 1% of families have toys and books. Should pay attention to the construction of rural health network at three levels and the allocation of medical institutions and personnel at all levels, especially the construction of the network, provide the most basic medical and health care services for farmers and herdsmen; improve the living standards of farmers and herdsmen at the same time, to poor areas and Poor people need medical assistance to alleviate poverty; strengthen publicity and education efforts to raise parents’ attention to children’s early education.