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目的:降低孕产妇死亡率,保障妇女生育权,是各级政府卫生行政部门、各级医疗特别是妇幼保健机构应尽的责任和义务。方法:自2000年以来承德市各级卫生行政部门实施强制取消家庭接生,加强基层网络建设、落实县乡村妇幼人员待遇,明确了县乡村三级妇幼保健人员职责任务,加强产科质量建设,加强培训,提高产科人员素质,加强孕产妇急救中心和绿色通道建设,强化市县乡逐级督导检查,实行项目带动战略等一系列卫生行政干预力度。结果:承德市孕产妇死亡率大幅下降,由2000年的38.73/10万,降到2011年的21.11/10万,降幅达45.49%,超过国家要求标准(《中国妇女发展纲要》目标是2010年比2000年下降25%)。结论:加强基层网络建设与管理,可有效降低孕产妇死亡率。
Objectives: To reduce the maternal mortality rate and ensure the reproductive rights of women is the responsibility and obligation that the health administrative departments at all levels and all levels of medical care, especially the MCH institutions, should fulfill. Methods: Since 2000, the health administrative departments at all levels in Chengde City have abolished family birth abstinence, strengthened grassroots network construction, implemented the treatment of women and children in counties and townships, clarified the responsibility and responsibility of maternal and child health workers at county and township levels, strengthened the construction of obstetrics and quality and strengthened training , Improve the quality of obstetric personnel, strengthen the maternal emergency center and the construction of green passageway, strengthen supervision and inspection by city, county and township level supervision and implement a series of health administrative interventions such as project-driven strategy. Results: The maternal mortality rate in Chengde dropped significantly from 38.73 / 100000 in 2000 to 21.11 / 100000 in 2011, a drop of 45.49%, exceeding the required standard of the country (the goal of “China’s Women’s Development Program” was 2010 25% lower than in 2000). Conclusion: Strengthening grassroots network construction and management can effectively reduce the maternal mortality rate.