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目的全面系统地评估长沙市基层妇幼保健机构基础建设现状,为当前卫生和计生部门合并提供依据,并就存在的问题提出建设性意见。方法在2013年1—9月采用问卷调查的方法,对长沙市基层妇幼保健机构基础设施状况进行调查,并用描述性指标对调查结果进行分析。结果长沙市地区基层妇幼保健机构建于2000年前的为74.16%,建于2000—2004年和2005—2009年分别占6.74%和14.04%,而建于2010年后的占5.06%。从编制床位来看,长沙市区区县级(包括雨花区、天心区、芙蓉区、开福区和岳麓区)妇幼保健机构均无编制床位,但市郊和附属县市区级妇幼保健机构有较多编制床位。在乡镇级妇幼保健机构中,芙蓉区编制床位中位数最低为12.5张,望城区最高为50张。各区县级妇幼保健机构中构建业务用房最大面积的为浏阳市妇幼保健机构,为28 487 m2,最小的为雨花区,为1 600 m2,在乡镇级妇幼保健院中构建业务用房面积最大的同样为浏阳市,为8 126 m2,最小的为天心区,为613 m2。结论长沙市基层妇幼保健机构基础设施投入不足,建议进一步加强资源配置。
Objective To comprehensively and systematically evaluate the current situation of infrastructure for maternal and child health care institutions in Changsha and provide evidence for the current merger of health and family planning departments and put forward constructive suggestions on the existing problems. Methods From January to September in 2013, a questionnaire survey was conducted to investigate the infrastructure of maternal and child health care facilities in Changsha and the descriptive indexes were used to analyze the survey results. Results In Changsha, the grassroots MCH institution in Changsha was 74.16% before 2000, accounting for 6.74% and 14.04% of that in 2000-2004 and 2005-2009, respectively, and 5.06% in 2010. From the perspective of the preparation of beds, there are no maternal and child health care facilities at the county level in Changsha (including Yuhua District, Tianxin District, Furong District, Kaifu District and Yuelu District). However, there are no maternal and child health institutions in the suburbs and subordinate counties More preparation of beds. In the township level MCH institutions, the lowest median for beds prepared by Furong District is 12.5 and the maximum is 50 for Wangcheng District. The largest area for maternity and child care in county-level maternity and child care institutions was 28,487 m2 for women and children in Liuyang City, the smallest for Yuhua District, and 1,660 m2 for maternal and child health centers in townships The largest of the same for Liuyang City, 8 126 m2, the smallest of Tianxin District, 613 m2. Conclusion The basic maternal and child health care facilities in Changsha lack of infrastructure investment, it is recommended to further strengthen the allocation of resources.