The mother and child care state of poverty-stricken area of countryside allows of no optimist
"Western region and poor countryside of our country are the influence in factors such as economy lagging behind, geographical environment, folkways and customs,etc., there is obvious disparity at children's health care level and the whole country and the developed area of east. " At the 11 Session of the second meeting of Chinese People's Political Consultative Conference(CPPCC) of this year, a motion about children's health care state of poverty-stricken area has aroused the attention from reporter. This motion is that a central women's work committee of peasants' and workers' democratic party follows the content of research, the ones that submitted to conference in collective name are " about the suggestion of implementing the comprehensive project of children's health care in the countryside poverty-stricken area ". A few days ago, reporters interviewed one of the persons in charge of this motion, central women's work Sun XiaoMei, director of committee of peasants' and workers' democratic party.
The health service of the women and children in west and countryside is serious and scarce
"We find, the mortality of rural child under the age of 5 in Guizhou is 33.5% through the investigation. ,It is under the age of 7 children it is slow without being grown rate it is 27.82%, in rates ills malnutritive severe is for 33.39%, higher than the national countryside by 23.6% separately. , 10% and 14% of the averages. " Sun XiaoMei has quoted these a succession of figures, and these figures were last August - September the central women's work committee of peasants' and workers' democratic party organized experts to children's health status of western poverty-stricken area, medical resources are distributed and utilized the situation, rural children's health care current situation to obtain after carrying on investigation of many angles and analyzing.
Sun XiaoMei says, they find, health care of children of some areas in the west is put into zero through questionnaire investigation, some health clinics in towns and townships do not have even basic physical examination apparatus, does not mention children's health care. In some health clinics in towns and townships of Guizhou which the expert panel surveyed and studied, there aren't even basic scales of children and height chi. Tall and consciousness weighed that women of here have not given children quantity.
"What weighed accounted for 84.5%, did not know that weigh accounting for 10.5% of the situation when being born in; Have, 31% visit target reflect delivery room to be relatively cold, have 34% visit into children born, because environmental hypothermia immediately personal to hold mother or other people once, in order to intensify to keep hot; The ones that have not known the weight is monitored and pursued or in the family have accounted for 76%, the ones that have weight to monitor and pursue but has no mark account for 17.75%, have weight to monitor only accounting for 6.25% of picture and mark "
The investigation still finds, most poor rural areas have not launched the systems of children yet and kept healthy, grown and monitored and fed guidance and worked with nutrition; Have not implemented the essential intervening measure to low birth weight, malnutritive child even more. Rear better children knowledge to be poor feeding method to be single, lead to the fact regional a lot of children these malnutritive and development slow.
"Most health clinics in towns and townships lack children health care personnel, most health clinics in towns and townships do not possess the ability of neonatal first aid; Most village clinics are unable to launch the basic physical examination service. There are about 1/5 of the death children under the age of 5, have not got the treatment before death. " The investigation still finds, there are nearly 1/2 of the death children under the age of 5, the death place takes place beyond the hospital. Most rural areas have not launched the systems of children yet and kept healthy, grown and monitored and fed guidance with nutrition, stress to low birth weight, countryside such as being malnutritive maternity and child hygiene important intervening measure of issue such as health education in pregnancy period etc. to implement yet still more.
Appeal for setting up the tertiary network of rural mother and child care as soon as possible, implement " comprehensive project of children's health care "
The current situation surveyed and studied keeps Sun XiaoMei wait to feel " Strengthen the tertiary networking of rural maternity and child hygiene of poverty-stricken area " Urgency. Investigate and set up and discuss, the country should further pay attention to the rural children's health care work of poverty-stricken area, bring children's health care within the important component of the work of public health; " working standardard management of children's health care " and " health care technical specifications of children " made in unison, define the duties and tasks of the health authorities and medical health institutions at all levels, define health care technical requirements of children. How to strengthen the tertiary networking of rural maternity and child hygiene of poverty-stricken area, Sun XiaoMei says, first, the medical health institution at county level should pay attention to training more high-level pediatrics professional personnel. Second, the health clinics in towns and townships will set up the professional team of one grade of children's health care in the township of a business really up to the mark, relatively stable, allocate the corresponding facility apparatus, improve service ability and service quality. Third, regard village clinic as the important supplement of rural children's health care service system, discern in critical the intersection of disease and infant and change the place of examination, the intersection of children and regular physical examination, plan, play a greater role in the work by immunity,etc.. She thinks, only in this way, could " set up improving it with medical health institution at county level as the locomotive progressively, regard health clinics in towns and townships as the backbone, with the rural children's health care service system supplemented by the village clinic " .
Another suggestion of this motion is, implement " comprehensive project of children's health care " in the western region ,And bring children's health care work within the important component of the work of public health, from the policy, put into sloping the western region. Implementation in 100 counties of our country " Reduce pregnant and parturient women's mortality and dispel the neonatal tetanus project " Have made very good effect, has promoted the rural pregnant and parturient women's health care job standardized management of the western region. Propose drawing lessons from in motion " Lower and subdue the project " Successful experience, is put the western region into for the main, local finance at all levels and forms a complete set appropriately, the government takes the lead, hygiene, finance, woman the intersection of working committee and the intersection of person who run, educate and the intersection of children and the intersection of development monitoring and assess, the intersection of nutrition and help and guidance, the intersection of disease and the intersection of comprehensive management,etc. and service item of health care that department launch jointly. But the speech from the national aspect, the expert who surveys and studies the group thinks, you had better make the unified " working standardard management of children's health care " and " health care technical specifications of children ", define the duties and tasks of the health authorities and medical health institutions at all levels, define health care technical requirements of children.
Sun XiaoMei thinks, through these actions, it is expected to narrow the disparity of levels of mother and child care in urban and rural areas, "set up and amplify the rural health service networks of children of poverty-stricken area progressively, improve the rural children's health care working mechanism in the poverty-stricken area, improve the environments and conditions of the medical treatment and health care in the countryside at the basic level, thus improve the rural health care levels of children in the poverty-stricken area " .
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