母子保健保偿责任制是我国社会主义初级阶段发展妇幼卫生事业的有效途径。1986年,我市农村实施保健保偿责任制,把计划免疫和母子保健结合在一起,对规划内孕产妇和0～7岁儿童进行保健保偿,增加了服务项目,扩大了管理范围。1989年底,母、子入保率分别达到82.6％和84.1％,新法接生率由95.1％提高到99.8％,婴儿、孕产妇死亡率分别由35‰和6.6/万下降到27.2‰和4.2/万,高危孕产妇和体弱儿管理率分别由18.4％、19.1％上升到98.3％、99.1％,小 Maternal and child health care liability insurance system is an effective way to develop MCH cause in the initial stage of socialism in our country. In 1986, the responsibility system for health care insurance was implemented in rural areas of our city, which combined planned immunization with mother-child health care and provided health care benefits for pregnant women and 0 to 7-year-old children under planning, increased service items and expanded the scope of management. At the end of 1989, the enrollment rates of mother and child reached 82.6% and 84.1% respectively, the birth attendance rate increased from 95.1% to 99.8%, and the infant and maternal mortality rate dropped from 35% and 6.6% to 27.2% and 4.2% respectively , High-risk pregnant women and frail children management rates increased from 18.4%, 19.1% to 98.3%, 99.1%, small