从 90年代初开始 ,我区各市、县逐步开展了母婴保健保偿责任制 ,积累了一定的管理和服务经验。但进入 90年代中期后 ,这种保健保偿责任制的覆盖面急剧下降 ,尤其是在农村基层 ,几乎成了一片空白。本文对这一问题的产生及解决办法进行了初步探索。1　农村保健保偿覆盖面降低的主 Since the early 1990s, all cities and counties in our district have gradually implemented the responsibility system for maternal and child health care insurance and accumulated some management and service experience. However, after the mid-1990s, the coverage of this system of health claims has dropped sharply, especially at the grassroots level in rural areas. This article has carried on the tentative exploration to the emergence of this question and the solution. 1 The main coverage of rural health insurance coverage reduced