目的通过了解河北省61所贫困县妇幼保健机构的资源及服务现状,提高贫困地区妇幼保健机构的服务能力,为相关政策的制定提供依据。方法采用统一的调查问卷调查河北全省61所贫困县县级妇幼保健机构资源及服务现状,运用Epidata软件进行数据双录入后使用Spss19. 0软件对机构的相关数据进行统计分析。结果河北省61所贫困县妇幼保健机构平均在职职工89. 1人,卫生技术人员69. 3人,卫生技术人员中高级和中级职称所占比例为5. 0%和24. 9%;研究生和本科学历占0. 0%和6. 3%。平均业务用房面积2580 M2,平均万元以上设备32台,提供住院服务的平均设置床位数57张,平均年门诊量17 009人次,平均出院人次644人次。结论河北省61个贫困县妇幼保健机构人员数量相对不足,卫生技术人员结构不合理且素质不高;贫困县收入相对较低,业务用房、万元以上设备和床位数等基础设施相对薄弱,不利于相关服务的开展。无论是资源还是服务能力,贫困县妇幼保健机构均处于明显的劣势。因此贫困县妇幼保健机构在努力争取政策支持和财政投入的前提下,要积极寻求发展机会,拓展服务项目,努力提升服务能力和水平。

Objective By understanding the current situation of human resources in maternal and child health( MCH) institutions in the 61 poor counties of Hebei province,to improve service capacity of MCH institutions in poor areas,and to provide a basis for the formulation of relevant policies. Methods A unified survey was used to survey the current situation of MCH institutions in 61 poor counties in Hebei province. After using Epidata software for data double-entry,Spss_19. 0 software was used to analyze the number,composition and quality of personnel in the institutions. Results In 61 MCH institutions in poor counties,the average number of employees was 89. 1,and the number of health technicians was 69. 3. The proportion of health technicians with senior and intermediate titles was 5. 0% and 24. 9%,respectively. There was no master degree among the health technicians and undergraduate degree accounted and 6. 3 %. The average area of business premises was 2580 square meters,and there were 32 sets of equipments with an average of more than 10,000 yuan. The average number of beds provided for hospitalization service was 57,with an average of 17,009 annual outpatient visits and an average of 644 discharge. Conclusion The number of personnel in MCH institutions in 61 poor counties in Hebei Province is relatively insufficient,and the structure of health personnel is unreasonable and the quality of personnel is not high. Moreover,poor counties have relatively low incomes and relatively weak infrastructure such as business premises,equipment above 10,000 yuan and beds,which is not conducive to the development of related services. No matter in terms of resources or service capacity,MCH institutions in poor counties are obviously at a disadvantage. Therefore,under the premise of striving for policy support and financial investment,MCH institutions in poor counties should actively seek development opportunities,expand service items,and strive to improve service capability and level.