Henan's "Thirteenth Five -Year Plan" women and children's health work highlights, good experience and good practices will continue to promote
Author:Medical Health News Time:2022.09.06
At the press conference of the "Fourteenth Five -Year Plan" of the "Fourteenth Five -Year Plan" of Henan Province on September 6, the press conference of the "Fourteenth Five -Year Plan" of Henan Province, the party secretary and director of the Henan Provincial Health and Health Commission of Health and Health Commission introduced " During the 13th Five -Year Plan period, Henan women and children's health work highlights, and answered questions from reporters on the relevant questions.
The core indicator of maternal and child health is better than the national average of the country
He introduced at the press conference throughout the conference that since the "Thirteenth Five -Year Plan", Henan's health career has achieved leapfrog development.
Focusing on the construction of the health system for maternal and childhood, the five -level network is more sound. There are 169 women and children's health service agencies in Henan Province, including 15 third -level maternal and child health hospitals, 94 secondary maternal and child health care hospitals; hospitals with 273 secondary levels in the province, 937 township health centers, and 18418 villages have reached the province to the province Maternal and children's health service capacity standards, provinces, cities, counties, townships, and villages have five levels, and the health service capabilities of maternal and children's health services are continuously enhanced.
Focusing on the prevention and control of birth defects, the third -level prevention system is more complete. The free marriage check rate in the province remained at about 77%, which was 15 percentage points higher than the national average; prenatal serum science screening rose from 22.79%in 2016 to 69.68%in 2021; The rates increased from 88%and 77%in 2016 to 99.16%and 98.55%in 2021; the third -level prevention and control systems all have the provincial key livelihood practices and national basic public health service projects as support to implement free services.
Focusing on the health needs of the masses, health services are more beneficial to the people. Cumulative 5.75 million people provide free cervical cancer screening and 5.87 million free breast cancer screening. Cumulative free nutrition packages for more than 1.1 million poverty -stricken counties in 53 poor counties, health management rates and health management rates and health management rates under 7 years of age in the province and the health management rate and health management rate and health management rate of children under 7 years old and the health management rate and health management rate of children under the age of 7 and Children's system management rates under the age of 3 have increased from 86.57%and 85.81%in 2015 to 91.48%and 89.67%in 2021, and the gap between urban and rural areas for women and children has further reduced.
Focusing on the implementation of the five systems, the safety of mother and baby is more secure. The province built 5 maternal and child safety security management centers in the province, and 193 centered centered centered centered centered cure centers and 196 centered centered centered centered cure centers were built. Many years are better than the national average.
Maternal and child health work achieve the goal
At the press conference, Wu Hong, Director of the Health and Child Health Division of the Provincial Health Commission, introduced in the question of the reporter that during the "Thirteenth Five -Year Plan" period, Henan women and children's health work always adhered to the health of women and children, and it was clear that the health promotion action and the health promotion action of the health of the Central Plains women and childhood The two orientations of the "full cycle of life and the entire service", improve the two systems of the maternity and child health service system and the prevention and control system of birth defects, and achieve the work goals of "double -up and double descending", that is, the health level of women and children's health and the quality of the birth population quality improvement. ; Baby, under 5 years of age, and maternal maternal three mortality rates and severe disabled birth defects have doubled.
In terms of improving the health service system of the maternity and childhood, Henan focuses on the promotion of high -level promotion, and the goal of "provincial, municipal, and county must have a standardized maternal and child health care institution organized by the" provincial, municipal, and county "proposed by the outline of women's and children's planning to promote the provincial party committee and provincial government at the municipal level The construction of the "Four Hospitals" and the "Three Hospitals" at the county level; pay attention to the driving of review, promote the standardized management, strengthen connotation, and enhance capabilities of maternal and child health care hospitals at all levels; Level project support, invested nearly 100 million yuan each year to comprehensively improve the capabilities of county maternal and child health care hospitals; pay attention to the mechanism to leverage, establish a third -level medical institution to support the mechanism of county maternal and children's health hospitals, and carry out the health service capabilities of maternal and children at all levels of medical institutions at all levels Standardized construction. At present, the province has established and improved the maternal and child health service institutions as the leader, and the maternal and child health service department of the medical institutions above the second level as the backbone, and the grass -roots medical institutions of the township and village as the bottom, covering the provinces, cities, counties, townships, and townships, and townships. Village 5th -level maternal and child health service network.
In terms of improving the prevention and control system of birth defects, Henan has strengthened government -led. Since 2017, free prenatal screening and newborns screening for 6 consecutive years will be included in the provincial key people's livelihood. ; Strengthen innovation services. Since 2018, carry out pilot services for full -process services, explore the establishment of a one -stop service model such as pre -marital health care, pre -pregnancy eugenics, folic acid supplementation, and newborns health care; strengthen the construction of the network, strengthen the provincial, municipal, and county levels. The construction of screening and diagnostic service networks has been established, 3 prenatal diagnosis centers have been established, and the number of prenatal diagnostic institutions has increased to 20, and the number of prenatal screening agencies has increased to 98. At present, the province has realized the comprehensive prevention and treatment system of birth defects, focusing on the maternal and child people's livelihood project, and supported by the national basic public health service project, and the government's free projects are full. Ensuring the implementation of the policies of the eugenics and excellence, it has effectively benefited tens of millions of families.
Comprehensively implement the safety protection work of maternal and infants
When answering the question of "facing the new situation of continuous optimization of fertility policies, how Henan implements the safety of mother and baby safety guarantee", Wu Hong said that in order to prevent and reduce the death of maternal and infant deaths, Henan Province insisted on implementing the "five systems of maternal and infant safety. ", Further strengthen the security of maternal and newborn at the institutional level.
The province enhances the screening and evaluation of pregnancy risk, combines offline and online health education, widespread knowledge of childbearing health, and strengthening the awareness of "the first responsible person of their own health" for pregnant women; Maternal categories are accurate and fine to prevent risks strictly from the source; strengthen the management of high -risk pregnant women's projects, conduct five -color identification and refined management of maternal women in accordance with different degrees of risk, and strictly implement high -risk project management to ensure that "find a case, register, register, register, One example, a report, one example, one case, and a treatment of treatment "; the risk -risk maternal maternity was referred to the higher -level medical institution for intervention and treatment, and the consultation institution opened the" green channel "to the high -risk pregnant women who referred to the diagnosis and treatment. Ensure safety; improve the level of treatment of critical condition, and include the construction of critical mothers and newborn treatment centers in the construction of the province's "five major centers". Relying on the training project of grassroots maternal and child backbone physicians, a total of county -level training, gynecology, newborns, newborns, newborns, and newborns, newborns, and newborns, newborns, newborns, newborns, newborns, and newborns, newborns, and newborns, newborns, There are more than 1,500 technical personnel of critical condition; it takes a combination of online and offline to carry out appropriate technical training to cover more than 50,000 people. Open the province's online free clinic consultation platform, guide the 24 -hour mother and baby safety hotline in various places, give full play to the role of the Internet+maternal and child health, and take the initiative to respond to the needs of maternal consultation during the epidemic period; In the control situation, a divided classification management is implemented, and the number of pregnant women in the high school risk zone and the centralized isolation point dynamically grasped the number of pregnant women in the centralized isolation point. The hospital's sense of prevention and control, formulated a guide for prevention and control of key groups, clarified the treatment agency, and achieved the goal of "zero" infection in the hospital infection and diagnosis of "zero death" in the hospital infection. "Two cancers" and "two sieves" people live in people's livelihood
When answering the question of how to ensure how to ensure the results of the provincial project technical service management agency, how to ensure how the two cancers, the two sieves, the people's livelihood are effective ", Wang Xinjun, the dean of the Henan Provincial Maternal and Child Health Institute, introduced that the Provincial Maternal and Child Health Hospital Give full play to the advantages of the expert team, set up technical guidance groups in the aspects of obstetrics, gynecology, pediatrics, and assist the Provincial Health Commission to formulate technical documents such as work plan, technical specifications, and quality control standards, and guide the province's screening work standardized development.
At the same time, the Provincial Maternal and Child Health Hospital sinks the provincial technical resources, and every year, more than 40,000 personnel training and technical assistance to the grass -roots screening institutions, cumulative training of prenatal screening and "two cancer" screening personnel; through the establishment of green transfer The diagnosis passage, remote consultation, online consultation, counterpart assistance, etc., promote the sinking of provincial expert resources multiple ways, and provide timely support for the timely consultation, screening, diagnosis and treatment of the service objects that have been screened. Realize the supervision of "online and offline", develop online quality control modules, and organize experts to conduct quality control analysis of grass -roots screening images, reports, data, etc. through information systems every month; With technical guidance, more than 2,000 "two sieves" and "two cancer" screening agencies in the province realize the full coverage of provincial experts on the spot; establish the province's information platform, develop people's livelihood practical information systems, and cover provinces, cities, counties, and townships. , Village 5th level, connect with screening agencies, testing agencies, diagnostic agencies and management agencies; provide strong guarantees for government departments to understand work progress, fund settlement, performance assessment, data verification, etc. The convenient results query method improves the satisfaction and sense of gain of the service object.
Early development of grassroots children's early development work smoothly
At the press conference, Li Caihong, the dean of the Xinmi Maternal and Child Health Hospital, answered the questions from the reporter on the early development of children's early development work on the grass -roots medical service institutions.
Xinmi City has explored early development service models suitable for children in rural areas since 2007. In 2017, it was rated as a national early childhood development demonstration base. Combined with the reality of rural areas, Xinmi City has established a child's early development service system that "focusing on family -centered and improving the ability of family breeding and care", promoting the continuous improvement of children's health levels in the jurisdiction. The city's health management rate from 85% in 2016 in 2016 was 85% in 2016. Rise to 91.5%.
Li Caihong said that the achievement of achievements is based on 4 points of experience: first to improve the network and consolidate the grassroots foundation. Xinmi City is led by the Health and Health Commission, uniformly regulates the setting standards for the three maternal and child health care institutions of counties, townships, and villages. The health service team implements grid management of 18 township office and 352 administrative villages (neighborhood committees) in the city. Each grid establishes a WeChat group of maternal and children's health management to achieve households, health guidance face to face, and attach heart. , Zero distance.
The second is to move forward to build a safe defense line. Move the early development of the child to the pregnancy period, implement the five -color management of pregnancy risk assessment, implement the management model of early pregnancy, the establishment of the card, the management of the card, the pre -diminating consultation, and the high -risk companionship. One example.
The third is to cooperate and promote early development of children. After the maternal childbirth, the new maternal and child health care hospital in Xinmi City carried out early screening of newborns, instructing novice mothers to master the nursery methods and feeding skills, and formulated the first month's family nursery care plan; within one week of maternal discharge, the village health care staff was arranged to enter the household for postpartum delivery. Follow -up, evaluate the health status of maternal and infants, and urge the implementation of the family raising care plan; township women and children are responsible for the growth and development evaluation of children in the area every 3 months, formulate staged family nursery and care plans, and urge parents to implement it; municipal maternal and child health care hospital Baoxiang personnel go to the countryside to take a clinic and teach every month, and evaluate and guide children with high risk factors to ensure that parents have a quality response to their children with quality. Fourth, multi -dimensional hair power, strengthen assistance assistance. Pay attention to special groups such as poverty, left -behind and serious illnesses, and special groups such as obesity, psychological behavior and abnormal eyesight.
The whole process said that during the "Fourteenth Five -Year Plan" period, Henan continued to promote the good experience and good practices of women and child health in the province, and strive to make women and children feel more full of color, more happiness, and more security. Guaranteed. (Reporter Liu Yan Xu Dongdong Correspondent Li Kang)
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