湖南资兴市卫生局从去年以来,在推行预防保健基金制的同时,在农村试行建立“家庭保健册”,即建立家庭健康档案,使预防保健工作效果明显提高。试点的七里乡四苗覆盖率由过去的15％提高到85％,单苗接种率已达90％以上,其中麻疹疫苗及卡介苗接种率达100％。孕产妇建卡率由1986年的73％提高到85.4％,新法接生率达98％,未发生新生儿破伤风和产妇死亡。目前全市28个乡镇已有21个乡镇推行了这一办法。“家庭保健册”以村为单位,每户一册,由男女婚前健康检查登记表,家庭成员登记表,孕期检查、分娩、产后访视登 Since last year, the Hunan Zixing City Health Bureau has implemented a “family health book” in rural areas while implementing the preventive health care fund system. That is, it has established a family health record so that the effect of preventive health care work will be significantly improved. The coverage rate of the four seedlings in the pilot Qili Township has increased from the previous 15% to 85%, and the single seedling vaccination rate has reached more than 90%, of which the vaccination rate for measles vaccine and BCG is 100%. The rate of maternal card was increased from 73% in 1986 to 85.4%, and the rate of new childbirth was 98%. Neonatal tetanus and maternal deaths did not occur. At present, 21 townships in 28 towns and cities across the city have implemented this method. “Family Care Book” takes village as unit, one book per household, pre-marital health examination registration form for men and women, family member registration form, pregnancy check, delivery, and post-natal visit