所谓“四位一体”人才,简单地说就是具备医疗、预防、保健、节育等多维知识,能防能治、能保健、能开展计划生育技术指导与宣传,为农村居民提供综合性卫生保健服务的女村级卫生人员。我区从1985年以来,有计划地培训了这支队伍,目前,已有千余名“四位一体”人员分别在30％的行政村承担村级卫生保健工作。目前,村级卫生队伍的现状与农村居民的需求不相适应。人员不足,严重的存在着“两重两轻”(重收入、重医疗;轻预防、轻保健)的问题。知识结构极不合理,普遍 The so-called “four-in-one” talents are, in simple terms, multidimensional knowledge such as medical treatment, prevention, health care, and birth control. They can prevent and treat diseases, can provide health care, can carry out family planning technical guidance and publicity, and provide comprehensive health care services to rural residents. Female village health workers. Since 1985, our district has trained this team in a planned manner. At present, there are more than a thousand “four-in-one” personnel responsible for village-level health care in 30% of the administrative villages. At present, the status quo of village health teams is incompatible with the needs of rural residents. Insufficient personnel, there is a serious problem of “two heavy and two light” (heavy income, heavy medical care; light prevention, light health). Knowledge structure is extremely unreasonable and widespread