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目的:通过对临夏州7个“降消”项目县项目执行情况的调查,找出项目实施当中存在的问题,有针对性的制定解决问题的办法和措施。方法:根据甘肃省“降消”项目督导方案,分赴全州7个项目县,每县随机抽查4个项目执行单位(县级2个,乡级2个)进行现场调查,填写统一的调查表,并统计、汇总。结果:项目管理机构健全,制度建设相对滞后,领导小组作用发挥不充分,孕产妇救助绿色通道建设工作薄弱,双向转诊机制不健全,高危孕产妇管理不到位,但救助资金落实较好。结论:临夏州“降消”项目执行情况基本符合项目要求,但是卫生主管部门和业务部门应当加强与项目领导小组成员部门单位的沟通,争取政府部门支持,加强产科建设和县乡村三级网建设,提高妇幼卫生人员专业技术水平,确保项目目标顺利完成。
OBJECTIVE: Through the investigation of the execution of 7 projects in Linxia Prefecture, the problems existing in the implementation of the project are found, and the methods and measures to solve the problems are formulated. Methods: According to the supervision plan of Gansu Province, “Xiaoxiang” project was dispatched to 7 project counties in Quanzhou. Each county randomly selected 4 project execution units (2 at the county level and 2 at the township level) to carry out on-the-spot investigation and fill in the unified The questionnaire, and statistics, summary. Results: The project management agencies are sound, the system construction lags behind, the leading group plays an insufficient role, the construction of green channel for maternal aid is weak, the two-way referral mechanism is not perfect and the high-risk maternal management is not in place, but the rescue funds are well implemented. Conclusion: The implementation of Linxia cancellation project basically meets the requirements of the project, but the health authorities and business departments should strengthen communication with the members and units of the project leading group, seek the support of government departments, strengthen the construction of obstetrics and the county and village levels Network construction, improve maternal and child health professional skills to ensure the successful completion of the project objectives.