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目的以贵州省从江县为例,了解“西班牙”项目实施对我国民族地区妇幼卫生工作的影响和推动作用。方法通过听取报告、访谈、现场查看以及文档资料查阅等调查研究方法,了解项目实施对当地妇幼卫生工作指标的影响。结果项目实施后,从江县住院分娩率从2009年的61.2%上升至2011年的94.8%,提高了33.6%;孕产妇死亡率由2009年的87.7/10万下降至2011年的21.5/10万;婴儿死亡率从2009年的39.3‰波动下降至2011年的10.98‰,降低了28.32‰;5岁以下死亡率从2009年的31.8‰下降至2011年的15.1‰,降低了16.7‰。妇幼卫生服务指标明显改善。同时发现三级妇幼保健网薄弱,妇幼保健服务能力建设有待提高等问题。结论通过“西班牙”项目实施,有效推动了民族地区妇幼卫生工作的开展。建议在政府重视和大力支持下,以项目活动为抓手,提高基层妇幼卫生服务能力为重点,进一步加强民族地区妇幼卫生工作。
Objective To take the case of Congjiang County in Guizhou Province as an example to understand the influence and promotion of “Spain ” project implementation on MCH work in ethnic minority areas of our country. Methods By means of listening to reports, interviews, on-site inspection and access to documentation and other research methods, we can understand the impact of project implementation on MCH work targets. Results After the implementation of the project, the hospital delivery rate in Congjiang County increased from 61.2% in 2009 to 94.8% in 2011, an increase of 33.6%. The maternal mortality rate dropped from 87.7% in 2009 to 21.5% in 2011 The infant mortality rate dropped from 39.3 ‰ in 2009 to 10.98 ‰ in 2011, down 28.32 ‰. The mortality rate under 5 years old dropped from 31.8 ‰ in 2009 to 15.1 ‰ in 2011, a decrease of 16.7 ‰. MCH indicators have improved significantly. At the same time, it is found that the tertiary MCH network is weak and the MCH capacity needs to be improved. Conclusion The implementation of “Spain ” project has effectively promoted the work of maternal and child health in minority areas. It is suggested that with the government’s attention and strong support, we should focus on the project activities as the starting point and improve the capacity of grassroots MCH services to further strengthen MCH work in minority areas.