文章报道贵州实施妇幼卫生项目与非项目地区的５岁以下儿童的系统管理状况，ＩＭＲ由项目实施前的８３．９‰降至５２．７‰，下降了３７．２％。尽管项目县的基本条件较差，但项目县的ＩＭＲ下降幅度、新生儿访视、儿童体检、“四苗”接种等工作指标均优于非项目县。为了进一步降低ＩＭＲ，加强新生儿与婴儿的预防保健工作，提高服务对象利用卫生服务能力，严控计划外生育是非常必要的 The article reports on the system management of children under 5 years of age in MCH and non-project areas in Guizhou. The IMR decreased from 83.9 ‰ to 52.7 ‰ before the project implementation, a decrease of 37.2%. Although the basic conditions of the project counties are not good, the working indexes such as IMR decrease rate, neonatal visit, child health checkup, and “Four Miao” inoculation are all better than those in non-project counties. In order to further reduce the IMR, to strengthen the prevention and care of newborns and infants, to improve the ability of clients to use health services and to strictly control unplanned births, it is necessary