通过对全国 10 0个项目社区的调查分析 ,了解开展项目工作 2年来城市社区的一般情况 ,妇女、儿童保健状况和妇幼保健服务现状。调查结果显示 :该项目开展后 1出院前母乳喂养率平均达 90 .88% ,4个月母乳喂养率84.6 0 % ;2早孕建卡率达 84.5 3% ,产前检查 8次以上 80 .6 5 % ,99.30 %的孕妇住院分娩 ,87.90 %的产妇产后得到家庭访视 ;391.5 8%的儿童定期进行健康检查 ,检查内容包括身高、体重、视力、牙齿和营养指导 ;4孕产妇均能得到健康教育 ,但对妇科普查知识的知晓率仅有 38.2 6 %。总之 ,妇幼卫生社区健康服务项目取得了可喜的成果 ,但还需不断加强健康教育 ,使妇幼人员提高专业水平 ,更好地为妇女和儿童服务。 Through the survey and analysis of more than 100 project communities nationwide, we learned about the general situation of urban communities, the health status of women and children, and the current status of MCH services in the two years since the project was started. The results of the survey showed that after the project was carried out, the average rate of breastfeeding before discharge was 90.88% and the rate of breastfeeding for 4 months was 84.6%. 2 The rate of establishing card in early pregnancy was 84.5% and the rate of prenatal examination was more than 8 times 80.6 5%, 99.30% of pregnant women were hospitalized and 87.90% of the mothers were given post-natal home visits; 391.5 8% of children regularly performed health checks, including height, weight, eyesight, teeth and nutrition guidance; Health education, however, only 38.2 6% knew about gynecological census knowledge. In sum, gratifying results have been achieved in MCH community health service programs, but health education needs to be continuously strengthened so that women and children can improve their professional standards and better serve women and children.