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1992 年以来,在各级卫生行政部门和医疗保健机构的共同努力下,《九十年代四川儿童发展规划纲要》《四川妇女发展实施规划》(简称“两纲”)卫生指标监测工作全面、连续、有序地开展,获得了全面、翔实、系统的监测指标体系。本文就四川省卫生系统1990~1998 年“两纲”监测指标进行分析。监测资料显示:我省的五岁以下儿童腹泻发生率及死亡率、儿童急性呼吸道感染死亡人数、妇女缺铁性贫血患病率、计划免疫覆盖率、消除脊髓灰质炎、麻疹死亡及发病数、围产保健和安全接生等指标已达标或2000 年将如期达标;但孕产妇死亡率、婴儿和五岁以下儿童死亡率、新生儿破伤风、低出生体重儿发生率、五岁以下儿童中重度营养不良患病率、碘缺乏、改水、改厕等指标在达标上仍困难较大。提示我们应针对目前的难点和薄弱点,特别在边远地区,应进一步加强对卫生工作的重视和领导,增加投入,提高服务能力,提高科学管理水平,进一步宣传卫生保健知识
Since 1992, with the joint efforts of health administrative departments and medical and health organizations at all levels, the “Outline of the Sichuan Children’s Development Program in the 1990s” and “Implementation Plan for the Development of Women in Sichuan Province” (referred to as “two classes”) have been comprehensively and continuously monitored. It has been carried out in an orderly manner and has obtained a comprehensive, detailed and systematic monitoring indicator system. This article analyzes the “two classes” monitoring indicators of the Sichuan Provincial Health System from 1990 to 1998. Monitoring data show: the incidence and mortality of diarrhea in children under 5 years of age in our province, the number of children with acute respiratory infections, the prevalence of iron-deficiency anemia in women, the planned immunization coverage rate, the elimination of polio, the death and incidence of measles, Indicators such as perinatal health care and safe delivery have been met or will reach target in 2000; but maternal mortality, infant and under-five mortality, neonatal tetanus, incidence of low birth weight infants, moderate severity in children under 5 Prevalence of malnutrition, iodine deficiency, water change, toilet change, and other indicators are still more difficult to achieve. It is suggested that we should address current difficulties and weak points, especially in remote areas, should further strengthen the emphasis and leadership on health work, increase investment, improve service capabilities, improve scientific management, and further publicize health care knowledge