百色市2000～2010年妇幼卫生项目实施情况及工作效果回顾性统计分析

目的探讨利用妇幼卫生项目发展妇幼卫生事业的问题。方法采取回顾性调查分析的方法对2000—2010年百色市实施5个妇幼项目的项目管理、资金投入、基础建设、业务人员培训、健康教育宣传、项目资金监管等指标进行调查分析。结果（1）全市的主要指标：5岁以下儿童死亡率、婴儿死亡率、新生儿破伤风发生率、低出生体重发生率、孕产妇死亡率、5岁以下中重低体儿发生率、出生缺陷发生率等7个指标达到全国、广西和百色的“两纲”指标要求。（2）基础指标：农村儿童保健覆盖率、城市孕产妇保健覆盖率、农村孕产妇保健覆盖率、农村住院分娩率、农村高危住院分娩率、6个月内母乳喂养率、婴儿家长科学喂养知识普及率等7个指标达到全国、广西和百色的指标要求；住院分娩率达到广西、百色的“两纲”指标要求；住院分娩率、农村住院分娩率2个指标双双首次突破90％，达到历史新高。结论综合妇幼卫生项目在贫困地区的实施是成功的，是一种切实可行的妇幼卫生工作模式，可推动贫困地区妇幼卫生事业整体向前发展。

The implementation of maternal and child health projects and the statistical analysis of its effects in Baise city from 2000 to 2010

Objective To explore how to apply the maternal and child health projects to improve the work of maternal and child health. Methods Five maternal and child health projects were implemented in Baise city. By strengthening the management of projects, increasing investment, strengthening infrastructure, improving the quality and business level of operational staff, strengthening health education and promotion, effectively using funds of pro- jecto, the main t0~k~ of the maternal and child health work were c0mpleted and health indexes were improved signifi- candy. Results （ 1 ） The city＇ s main indexes ： mortality of children under five, infant mortality, the incidence of neo- natal tetanus, the incidence of low birth weight, maternal mortality, the incidence of low body weight in under-five chil- dren, birth defect rate achieved country＇s, Guangxi＇ s and Baise＇s requirement of ＂Two Outlines＂ indexes. （2）Basic indexes ： rural child health coverage rate, urban maternal health eoverage rate, rural maternal health coverage rate, hos- pital delivery rate in rural areas, rural high-risk hospital delivery rate, and so on achieved the country＇ s, Guangxi＇ s and Baise＇ s requirement of the indexes; hospital delivery rate achieved Guangxi＇ s and Baise＇ s requirements of ＂Two Out-lines＂ indexes; hospital delivery rate, and the rural hospital delivery rate were the first time more than 90%, reaching a record high peak. Conclusion The implementation of comprehensive maternal and child health projects in poor areas is successful. It is a practical mode of maternal and child health, and can push the overall cause of maternal and child health in poor areas to develop forward.