海南省农村卫生室项目建设前后比较分析及建议

目的:通过对比项目实施前后海南省农村卫生室现况,评估海南农村卫生建设扶贫项目的执行情况及总体成果成效,为制定海南农村卫生事业发展政策及改革措施提供理论依据。方法:采取定性、定量和文献检索相结合的综合研究方法,对项目进行基线调查、中期评估和终期评估研究。结果:相对于项目实施之前,农村卫生机构的环境得到改善,危房数减少、建筑和布局平均增加,设备配置率提高,评估得分增加。但仍然存在很多需要解决的问题。结论:项目在海南农村卫生机构建设及卫生人员培训中发挥了重要作用,成果成效得到肯定。农村卫生事业发展的关键在于加强机构科室建设,解决好人才问题,加大资金投入,同时重视吸取项目经验,促进和发挥项目的激励效应。

Comparative analysis and recommendations of rural clinics construction before and after the project in Hainan province

Objective:To evaluate the implementation of rural health construction,poverty alleviation projects,and total effect in Hainan province by comparing the current situation of rural clinics in Hainan province before and after the implementation of the project,provide a theoretical basis for making development policies of rural health protection and reform measures in Hainan province.Methods:A comprehensive study of combination of qualitative,quantitative and literature retrieval methods was conducted for baseline investigation,mid-evaluation,and terminal evaluation and research of the project.Results:After implementation of the project,the environment of rural health institutions were improved,the number of dangerous buildings was reduced,the build and distribution was increased,the allocation rate of equipments was increased,and the evaluation score increased;but there was still many problem needing to be solved.Conclusion:The project plays an important role in the construction of rural health institutions and training of medical workers in Hainan province,the effect is good.The key points of rural health protection development include enhancing construction of departments in medical institutions,solving human resources,enlarging investments,attaching importance to absorb experiences,promoting and developing incentive effect of the project.