云南省世界银行贷款卫生项目技术指导运作实践与效果分析

云南省世行贷款卫 项目通过 7年的实践 ,使云南省的省、地、县各级妇幼卫生技术指导逐渐形成了规范、合理、优质、有效的运作体系。项目技术指导在业务工作的规范化设计与管理 ;妇幼卫生教材开发与基层骨干师资培训 ;妇幼保健业务技术指导和适宜技术推广 ;危急孕产妇和儿童急救及转诊能力的加强 ;妇幼卫生信息系统的健全与完善 ;妇幼健康教育教材的开发、制作、推广 ,以及健康教育活动的计划、组织和实施 ;项目执行进度的监督评估及阶段审评 ;项目设备的转运、分发与使用指导 ;妇幼卫生扶贫服务及扶贫基金运作与应用研究等方面 ,探索了有效的方法 ,促进了项目目标的实现。项目实施后与实施前比较 ,新法接生率、住院分娩率、孕产妇保健覆盖率、 7岁以下儿童保健覆盖率、妇女健康教育率等五项主要指标上升幅度依次为 :73.6 0、 37.2 9、 72 .15、 5 4 .30、 5 0 .5 2个百分点 ;孕产妇死亡率下降了 14 0 .2 0 /10万 ,婴儿死亡率和新生儿破伤风死亡率下降幅度依次为 6 9.2 8、 11.2 4个千分点 ,死亡指标均已低于全省平均水平 ,取得了较好的项目效果

Practice and effect of technology guiding and running of World Bank Loan Health Ⅵ Item of Yunnan Province

By the practice of Yunnan World Bank Loan Health VI Item for serve years, the maternity and child health technology guiding had formed the standard, reasonable, high quality and effective running system Item technology guiding explored the effective methods in many aspects to promote the implement of Item targets as the following The standard design and management on the operation work, maternity and child health teaching materials and training teachers, maternity and child health care operation technology guiding and popularizing the feasible technique Then strengthening the first aid of high risk pregnant and lying in women and children, perfecting the maternity and child health information system, compiling the maternity and child health education teaching materials and arranging and carrying out the health education motion Then monitoring and evaluating at one period, transferring the item equipment, maternity and child health support poverty service and researches on the support poverty fund running and application Comparing between post and pre item, the increasing range of the five indexes (the rate of delivery a child by new method, delivery at hospital, the covering rate of pregnant and lying in women health care, the covering rate of the children's health care under 7 years old and the rate of the women accepted health education) were 73 60, 37 29, 72 15, 54 30, 50 52 percentage point in turn The mortality of pregnant and lying in women reduced 140 20/100 000, the decreasing range of the mortality of the infants and newborn's tetanus were 69 28, 11 24 permillage The death indexes all be lower than the average level in Yunnan Province, the Item work has achieved the better effect