安徽省县区级妇幼保健机构发展现状及对策研究

目的:了解安徽省县区级妇幼保健机构发展现状,为卫生管理部门制定妇幼保健机构能力建设方案和发展对策提供参考依据。方法:采取整群抽样的方法,应用全国统一的"妇幼保健机构资源与运营情况调查表"和《全国妇幼卫生机构管理信息网络报告系统》对全省101所县区级妇幼保健机构进行全面调查。结果:87.13%的县区级妇幼保健机构人员编制未达国家标准,卫生技术人员中以中、初级职称和大专及以下学历为主;妇幼保健常用仪器设备相对缺乏,服务项目拓展受到限制;73.27%的机构处于长期负债运营状态,后续发展力较弱;科研教学水平落后,制约机构全面发展。结论:应强化县区妇幼保健机构的能力建设、明确功能定位、进一步加大财政专项投入和政策支持、加强群体保健工作力度、加快人才队伍建设、全面提升服务能力和水平。

Study on development status of maternal and child health institutions at county level in Anhui province and countermeasures

Objective:To understand the development status of maternal and child health(MCH) institutions at county level in Anhui province,and provide references for health administration authorities to formulate construction solutions and development countermeasures for MCH institutions.Methods:Cluster sampling method was used in the study,and national "maternal and child health resources and operating situation questionnaire" and "national Maternal and child institutions management information network report system" were used to conduct complete investigation among 101 MCH institutions in Anhui province.Results:The personnel of 87.13% of the medical workers was not up to the national standard,most health technical staffs were intermediate or junior certificate and college degree or under;apparatus equipments were relatively scarce,service projects were restricted;73.27% of the institutions was in long-term liabilities,the developing force was weak;scientific research and teaching level were backward,the integrated development of institution was restricted.Conclusion:The capacity building of MCH institutions at county level should be strengthened,the function should be clearly positioned,financial input and policy support should be enhanced more,population health care work should be strengthened,the talent team building should be accelerated.Then the service ability and service level will be improved.