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目的了解武汉市托幼机构卫生保健工作现状,为政府制订相关部门管理方案提供依据。方法 2013年10月至2014年1月对武汉市17个辖区及其下属的区县、乡镇、农村登记在册共911所托幼机构的卫生保健现状进行问卷调查。结果武汉市托幼机构卫生保健工作存在地域级别差异,80.6%的市区级托幼机构取得了合格证,而区县、乡镇和农村托幼机构取得合格证比例分别为45.3%,58.3%和51.7%。各项指标随市级、区县级、乡级、村级有逐渐降低趋势。市区园所除个别卫生保健指标未达标外,其余各项指标普遍良好;区县园所存在保健医配备不合要求的问题,有医学学历的卫生保健人员占44%;乡、村级园所主要存在卫生基础设施欠缺、消毒措施不合理等问题,其中农村园所问题较为明显,21.8%的农村园所专用水龙头不达标,5.0%的园所使用化学消毒剂消毒。结论武汉市市区托幼机构总体卫生保健工作较为良好,对乡镇与农村托幼机构要加大投资和监管力度。
Objective To understand the status quo of health care in kindergartens and nurses in Wuhan and provide evidence for the government to formulate the management plan for the relevant departments. Methods From October 2013 to January 2014, a questionnaire survey was conducted on the health care status of 911 care nurseries registered in 17 districts and subordinate districts, townships and villages in Wuhan. Results There were geographical differences in health care in kindergartens and nurses in Wuhan. 80.6% of kindergartens and nurses in urban areas got the certificates, while 45.3% and 58.3% in kindergartens and nurses in districts, counties and rural areas respectively 51.7%. The indicators with the municipal level, district, county, village level has gradually decreased. In addition to individual health care indicators did not meet the urban park, the rest of the indicators generally good; district hospital there is an unqualified health care medical problems, medical qualifications accounted for 44% of health care workers; Township, village-level garden Mainly lack of health infrastructure, disinfection measures unreasonable and other issues, including rural park problems more obvious, 21.8% of private garden faucet does not meet the standard, 5.0% of the park disinfectant disinfectant. Conclusion The overall health care work of kindergartens and nurses in urban areas in Wuhan is relatively good. Investment and supervision of township and village child-care institutions should be increased.