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目的分析2014-2016年吉林省提升妇幼健康服务能力的实施情况,为全面提高妇幼健康服务人员素质,优化妇幼健康服务队伍结构,提升妇幼健康服务能力,降低剖宫产率,促进自然分娩,减少孕产妇死亡率和婴儿死亡率。方法依托省级妇幼健康服务人员培训基地,培育市(州)级妇幼健康服务人员培训基地,培养基层师资队伍,逐级扩展培训,加快乡村级妇幼健康服务人才培养,全面提高技术水平和服务能力。结果吉林省卫生和计划生育委员会统计数字显示,培训后吉林省剖宫产率、婴儿死亡率、孕产妇死亡率都有不同程度的下降。通过对培训前和培训后吉林省剖宫产率、婴儿死亡率和孕产妇死亡率进行分析发现,培训前吉林省剖宫产率和婴儿死亡率均高于培训后(P<0.001)。而孕产妇的死亡率在培训前后,差异无统计学意义(P=0.502)。结论通过提升妇幼健康服务能力项目的开展,吉林省剖宫产率、婴儿死亡率、孕产妇死亡率有不同程度的改善,体现了开展提升妇幼健康服务能力项目的重要意义。
Objective To analyze the implementation of maternal and child health services in Jilin province from 2014 to 2016. In order to improve the quality of maternal and child health services, optimize the structure of maternal and child health services, improve the capacity of maternal and child health services, reduce the rate of cesarean section, promote natural childbirth and reduce Maternal and infant mortality. Methods Relying on the training base for provincial maternal and child health service personnel, it nurtured the training base for maternal and child health service personnel at municipal (prefecture) level to train the grass-roots teachers and staff and gradually expand the training so as to speed up the training of village-level maternal and child health service personnel and comprehensively improve the technical level and service ability . Results The statistics of Jilin Province Health and Family Planning Commission show that after the training, the cesarean section rate, infant mortality rate and maternal mortality rate in Jilin Province all have different degrees of decline. By analyzing the cesarean section rate, infant mortality rate and maternal mortality rate in Jilin Province before and after training, it was found that the cesarean section rate and infant mortality rate in Jilin Province before training were higher than those after training (P <0.001). The maternal mortality before and after training, the difference was not statistically significant (P = 0.502). Conclusions The project of cetus productivity, infant mortality and maternal mortality in Jilin Province has been improved to varying degrees through the project of improving maternal and child health service capacity, which shows the importance of carrying out the project of improving the capacity of maternal and child health services.