1.影响村卫生宣的主要因素 ①村办村管实难管。双方都难管。既管不了又管不好。多以农为主,在实际工作中,又没有一个严格的考勤制度,这种现象特别是在边远山区、贫困地区最突出。②未建财会帐务,影响人民群众集资的信心。③村卫生室人员因在经济上没有得到国家享受的报酬和制度的约束,这样,导致了经济上发展的障碍,村卫生员有利就干,无利就走。④伪劣药品难抵当,村卫生员未通过系统专业培训,缺乏真假药品的鉴别能力,既加重农民的负担,用药又无安全保障。⑤消毒管理不严格。结果不但不能为患者治好病,反而给患者治病加病。 2.加强发展村卫生宣的具体对策 ①乡设卫生室管理办公室。主要职责是:负责各村卫生室各项业务技术质量,预防保健工作,随时收集管理村卫生室发展变化的情况,协助乡卫生院防保组做好有关工作。②加强对村卫生室集资管理和集资方式.按各村经济情况,由村干部负责统一集资,村卫生员自己集资一部分并建立财会帐务。③选拔身体好、有事业心和责任感、具有一定专业技术学历和临床实践的人员补充到村卫生室。④加强对消毒管理的制度。⑤随时监督村卫生室进的药品是否伪劣药品,对使用的 1. Main factors affecting the village health declaration 1 Village management is difficult to manage. Both are difficult to manage. Can neither control nor manage well. More agriculture is the mainstay. In practical work, there is no strict attendance system. This phenomenon is particularly prominent in remote mountainous areas and poverty-stricken areas. 2 Accounts for finance and accounting are not built, which affects the confidence of the people in raising funds. 3 Because the village clinic staff were not economically bound by the country’s remuneration and system, this resulted in economic obstacles to development. 4 When counterfeit and inferior medicines are difficult to reach, the village health workers have not passed systematic professional training, and lack the ability to discriminate between genuine and fake drugs. This not only increases the burden on farmers, but also has no safety guarantee for medication use. 5 disinfection management is not strict. The result is not only for the patient to cure the disease, but to the patient’s treatment and disease. 2. Strengthen the specific countermeasures for the development of village health advocacy 1 The township-based health room management office. The main responsibilities are: responsible for the technical quality of each business in the village clinics, preventive health care work, collecting and managing the development and changes of the village clinics at any time, and assisting the township health center defense team in doing the relevant work. 2 Strengthen the fund management and fund-raising methods for the village clinics. According to the economic conditions of each village, the village cadres shall be responsible for unified fund-raising. The village health workers shall collect part of their own funds and establish accounting accounts. 3 Select personnel with good health, professionalism and responsibility, professional technical qualifications and clinical practice to supplement the village clinic. 4 Strengthen the system of disinfection management. 5 At any time to supervise whether medicines imported into the village clinics are counterfeit or not, on the use of