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目的:以实施“基本公共卫生服务项目”为依托,促进和规范孕产妇、儿童系统管理,提高妇女儿童健康水平,降低孕产妇、5岁以下儿童死亡率。方法:根据《青海省基本公共卫生服务规范》,建立了孕产妇、(0~6)岁儿童保健服务健康档案,实现了母子一体化保健管理,强化了母子保健健康核心信息的宣传,规范了母子系统保健管理流程,有效提高母子系统保健管理质量。结果:通过实施《青海省基本公共卫生服务规范》,使全县各项妇幼保健指标取得了显著的成效。孕产妇和儿童系统保健管理率明显上升;孕产妇死亡率、5岁以下儿童死亡率和婴儿死亡率、低出生体重发生率和5岁以下儿童中重度营养不良患病率显著下降。结论:规范化的孕产妇和儿童系统保健管理是降低孕产妇和儿童死亡率、保障母婴健康的最有效的方法之一。
OBJECTIVE: To promote and standardize maternal and child system management based on the implementation of the “Basic Public Health Service Project”, to improve the health of women and children, and to reduce maternal, under-five mortality rates. Methods: According to the “Basic Public Health Service Regulations of Qinghai Province”, we established the maternal health and health care records for children (0 ~ 6) years old, realized the mother-child integrated health care management and strengthened the propaganda of the mother and child health and health core information, Mother-child system health management processes to effectively improve the quality of health care management system. Results: Through the implementation of “Basic Public Health Service Regulations of Qinghai Province”, the MCH indicators of the county have achieved remarkable results. Systemic maternal and child health management rates have risen significantly; maternal mortality, child under 5 and infant mortality, low birth weight and severe malnutrition prevalence in children under 5 years have dropped significantly. Conclusion: Standardized maternal and child health management is one of the most effective ways to reduce maternal and child mortality and protect the health of mothers and children.