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我国地区、城乡之间经济与社会发展极不平衡。大量调查数据表明,孕产妇死亡率和新生儿破伤风主要发生在农村地区,特别是贫困地区和民族地区。1997年孕产妇死亡率在全国平均水平以上的有16个省、自治区、直辖市,其中超过100/10万的有7个省、自治区,而这些省、自治区均在中西部地区。中西部地区经济发展相对滞后,贫困人口集中,乡、村两级医疗保健机构技术力量和设备条件落后,孕产妇死亡基数较大。因此,实现两个《纲要》目标的难点在农村,尤其在中西部地区的农村。
In our country, the economic and social development between urban and rural areas is extremely uneven. A large number of survey data show that maternal mortality and neonatal tetanus occur mainly in rural areas, especially in poor areas and ethnic areas. In 1997, there were 16 provinces, autonomous regions and municipalities directly under the Central Government with maternal mortality rates above the national average. Among them, over 100 / 100,000 have 7 provinces and autonomous regions, and these provinces and autonomous regions are in the central and western regions. In the central and western regions, the economic development lags behind and the population in poverty is concentrated. The technical strength and equipment of the health care institutions at the township and village levels are lagging behind and the number of maternal deaths is relatively large. Therefore, the difficulties in achieving the goals of the two “Outline” are in rural areas, especially in rural areas in the central and western regions.