中山市托幼机构卫生保健现况调查

目的 了解中山市托幼机构卫生保健现况,为促进集体儿童保健工作提供参考依据。方法 采取分层整群抽样的方法,使用统一的调查问卷对全市835间托幼机构进行问卷调查。结果 2间幼儿园招生前未取得卫生合格评价;专职保健医生配备率为71.50%,专职保健员配备率70.66%;5间幼儿园未设立保健室或医务室;1间幼儿园未配备专用水杯,12间园所未配备专用餐巾,39间园所未配备专用抹手巾;班级厕所共用情况以每班均有为主,占62.87%,款式以部分冲水马桶部分蹲坑为主,占41.68%;98.92%的供餐园所均能提供带量食谱;2间供餐园所未具备餐饮许可;15间幼儿园食物未留样,7间幼儿园无膳食采购验证。结论 需加强卫生、教育部门合作的力度,定期沟通、双向反馈及联合监管,促进托幼机构管理规范化,同时强化保健医队伍建设,从而提高托幼机构卫生保健工作水平。

Investigation on health care of kindergartens in Zhongshan City

Objective To understand the current situation of health care in nurseries and kindergartens in Zhongshan City, so as to provide the reference for promoting collective child health care. Methods A total of 835 nurseries and kindergartens in the city were sampled by the stratified cluster sampling method and a questionnaire survey was conducted. Results Two kindergartens did not get the health qualification evaluation before enrollment. The proportion of full-time health care doctors was 71.50 %, and the proportion of full-time health care workers was 70.66 %. There were no health rooms or infirmaries in 5 kindergartens. One kindergarten was not equipped with special water cups, 12 nurseries and kindergartens were not equipped with special napkins, and 39 nurseries and kindergartens were not equipped with special towels. The class toilets were shared by 62.87 % in each class and 41.68 % in the style of part flush toilets and part squat pits. Totally 98.92 % of the food supply centers could provide with a quantity of recipes. Two food supply parks did not have food and beverage licenses. Food samples were not kept in 15 kindergartens, and there was no food purchase verification in 7 kindergartens. Conclusion It is necessary to strengthen the cooperation between health and education departments, including the regular communication, two-way feedback and joint supervision, in order to promote the standardization of the management of nurseries and kindergartens. In addition, the construction of health care medical teams needs to be strengthened, so as to improve the health care level of nurseries and kindergartens.