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阿坝藏族羌族自治州汶川县是少数民族集聚、地处山区的县,农村年平均出生人数占全县总出生人数的89.80％。1983年以来,农村生产责任制的改变,接生员的劳动报酬从原来的实误实评改为由产家负担。但受长期以来实行免费接生的影响,这一制度难以实施下去,村接生员的报酬得不到合理解决。村接生员人数减少了23.08％,新法接生率从原来的98％下降到91％,产妇死亡率也有所上升,已基本消灭的新生儿破伤风又重新出现,严重地影响了母婴健康。
Wenchuan County, Aba Tibetan and Qiang Autonomous Prefecture is a county inhabited by ethnic minorities and located in mountainous areas. The average number born in rural areas accounts for 89.80% of the total number born in the county. Since 1983, changes in the responsibility system for rural production, births remuneration remuneration from the original real error assessment by the family burden. However, due to the long absence of free births, this system can not be implemented and the remuneration of village birth attendants can not be properly solved. The number of village birth attendants decreased by 23.08%. The new birth attendance rate dropped from 98% to 91%. The maternal mortality rate also increased. Neonatal tetanus, which has been basically eliminated, reappeared, seriously affecting the health of mothers and children.