Three basic public health work plans in villages and towns

20XX is a crucial year to promote medical reform. In order to implement the Party's livelihood project, actively and steadily promote the construction of rural integration, improve public health services and emergency handling capacity of public health emergencies, so that the people of the whole town can gradually enjoy equal public health services. According to the spirit of the county health work conference and the 14th Party Congress of the town, combined with the actual situation of our town, the public health work plan for 20XX is formulated.

First, strengthen organizational management and improve the working system.

Establish a new rural public health service system with town government as the leading factor, central hospitals as the main body, rural doctors as the basis and village-level health forces as the supplement. The town public health administrator is responsible for the daily management and coordination of health work. The village women's director also serves as a public health information officer, cooperates with the village clinic to do a good job in inspection and information reporting of health-related products such as environmental sanitation, water improvement and toilet improvement, health education, corporate hygiene, group dinners, food and medicine, and assists the professional health care personnel in the area to do a good job in maternal and child health management and immunization standardization of the permanent population and floating population in the village. The central health center will further strengthen its leadership, set up a team of responsible doctors, and guide the standardized and orderly development of public health work within its jurisdiction. Under the unified management of central hospitals, village clinics undertake basic public health services and basic medical services in administrative villages.

Second, strengthen the construction of village clinics and the management of rural doctors.

According to the requirements of the government, village clinics are planned in an overall way, taking into account the service population, residents' needs and the geographical conditions of towns. In principle, each central village shall set up a community health service station, and each administrative village shall set up 1 village clinic. According to the requirements of full coverage of village-level health services, mobile medical points can be set up for those village clinics that have not been built, and medical and health services can be provided according to the requirements of "three decisions" (one person, one person, one person), or the neighboring village clinics can enjoy services. The construction of village clinics shall be applied by administrative villages, and the newly-built or expanded clinics shall be standardized, and financial subsidies shall be given after passing the acceptance by the health administrative department.

Since February 29th, the village clinics have fully implemented the basic drug system and implemented zero-difference sales of drugs. The central health center implements "five unifications" management for village clinics. In order to facilitate the reimbursement of rural residents' cooperative medical care, eligible village clinics will be included in the management of designated medical institutions of cooperative medical care, and the reimbursement ratio will not be lower than that of hospitals. By the village committee to apply, submitted to the town government to arrange the plan, approved by the county joint management office for acceptance before implementation.

The central health center and the village committee jointly implement the appointment system for rural doctors, improve the assessment mechanism and distribution scheme that can enter and leave, encourage and be effective. The central health center conducts post assessment for residents on a monthly or quarterly basis, and the assessment results serve as the basis for performance distribution.

Three, actively carry out the fourth round (20xx-20xx years) to participate in the health examination of farmers.

In order to truly realize the purpose that the government pays for health and farmers benefit, this year, the community health service center will continue to carry out free health checkups and free gynecological diseases surveys for farmers participating in the new rural cooperative medical system every two years. The physical examination group mainly adopts the methods of centralized physical examination in villages and sporadic physical examination in hospitals to ensure that the annual physical examination rate of the elderly over 60 years old reaches over 80%, and the general survey rate of gynecological diseases reaches over 80%.

IV. Strengthening public health services

1, strengthen the publicity and education of farmers' health knowledge. Set up health education bulletin boards according to the specifications, including no less than 2 bulletin boards in central hospitals and no less than 1 bulletin boards in village clinics and community health service stations; Carry out at least 9 public health consultation activities every year; Hold at least 1 health knowledge lectures every month; The awareness rate of farmers' health knowledge is over 85%.

2. Assist in the management of rural maternal and child health care. The general survey rate of gynecological diseases in two years is ≥80%. Let every rural pregnant woman who gives birth in a hospital enjoy government subsidies; Free folic acid supplementation for more than 90% rural women who are pregnant or pregnant within 3 months; There were no maternal deaths caused by health care. Standardize maternal and child health care, and the certified rate, vaccination rate and systematic management rate of children aged 0-3 are all above 99%. Grasp the health status of women of childbearing age and pregnant women in time, and carry out health care management for pregnant women during pregnancy and childbirth. Systematic management of pregnant women and hospital delivery rate reached 100%.

3, do a good job of safe vaccination. Vaccination should be carried out in strict accordance with immunization procedures, and various related systems for safe vaccination, such as vaccine collection management system, vaccination response handling and reporting system, safety vaccination inspection system, reward and punishment system, etc. , should be fully implemented.

4, cooperative medical publicity work in place, the relevant policies published on the wall, requiring each village cooperative medical participation rate of more than 90%, farmers' satisfaction rate of more than 85%, participation information error rate controlled within 1‰, 1/3 village clinics to carry out cooperative medical reports. Implement the cooperative medical system, strictly examine and check the insured patients, put an end to pretending to be cooperative medical patients, and publicize the reimbursement of insured farmers every month.

5, vigorously carry out patriotic health campaign in rural areas, actively carry out activities to create health villages, and promote patriotic health work such as rural environmental improvement, water improvement and toilet improvement. The penetration rate of sanitary toilets in farmers' new houses reached100%; Assist in water quality monitoring; Strengthen the supervision and inspection of sanitary cleaning and centralized collection and treatment of domestic garbage, not less than 2 times a year.

6. Assist in health supervision and inspection, grasp the background information of occupational disease enterprises within the jurisdiction, assist in the promotion of occupational disease prevention laws and regulations and prevention knowledge, occupational hazard factor monitoring and occupational health examination.

7, basic public * * * health service project compliance rate and major public * * * health service project completion rate reached more than 85%.

Fifth, actively do a good job in maintaining stability

Properly handle medical disputes involving the masses in this area and within its jurisdiction; There will be no incidents that seriously endanger social order and stability due to improper handling. Timely report and effectively handle public health emergencies and help maintain stability.

Work measures and requirements of intransitive verbs

1, strengthen leadership, clear division of labor and close cooperation. All departments, village committees and community health service centers should fully understand the importance and urgency of carrying out grass-roots public health work, earnestly strengthen leadership, carry out their duties, implement the main body of basic public health service projects, find out the target base, and clarify the service content, work objectives and assessment methods. Grasp and analyze the progress of public health work in each village in time, give timely feedback when problems are found, and put forward rectification opinions to ensure that basic public health services are put in place. Villages should incorporate the work situation into the important content of target management and performance appraisal.

2. Strengthen training and improve quality. In view of the present situation of public health service in our town, we established and improved the regular meeting system of public health work and the monthly notification system of major work objectives and progress, strengthened communication and coordination with superior professional public health units, and carried out training by using the monthly meeting to complete the training of 55 public health personnel required by the National Basic Public Health Service Standard (version 20 1x). The training rate of public health professionals under the age of 55 has reached more than 90%, and the quality of various health teams such as community health management, disease prevention and control, maternal and child health care, health supervision and community responsible doctors has been comprehensively improved.

3. Strengthen publicity and raise awareness. All departments, village committees and community health service centers should strengthen the publicity of the medical reform policy and the new rural cooperative medical system policy at ordinary times to ensure that the annual basic public health projects reach the compliance rate of more than 85% in the village; All public health indicators are up to standard. Gradually improve people's satisfaction with public health work.

extreme

According to the provisions of the basic public health services, in order to further improve health education, combined with the actual situation of our town, this plan is formulated.

I. Guiding ideology

Guided by Theory of Three Represents Theory and Scientific Outlook on Development, aiming at improving people's health quality, focusing on residents' health in the jurisdiction, we will vigorously carry out health education and health promotion through various educational means, and strive to achieve 90% awareness rate of health knowledge and 70% formation rate of health behaviors by the second half of 201x.

Second, the work objectives

(1) Establish and improve health education institutions and grass-roots education networks, ensure personnel and funds, earnestly carry out publicity days and publicity weeks designated by the World Health Organization and the state, publicize and popularize health laws and regulations and health knowledge, correctly guide community residents to actively participate in various activities beneficial to physical and mental health, and guide residents to change passive "spending money to treat diseases" into active "investing in health" to fundamentally improve their health knowledge level and health care ability.

(two) in strict accordance with the requirements of the higher authorities to carry out health education lectures and health education consulting activities.

(three) to carry out health education for patients and their relatives in various forms, and the awareness rate of relevant health knowledge of inpatients is ≥85%.

(four) the villages to carry out various forms of health activities, residents' awareness rate of basic health knowledge is 85% or higher, the formation rate of healthy lifestyle and behavior is 60% or higher, and the mastery rate of basic skills is 60% or higher.

(5) Conscientiously implement the establishment of smoke-free units by the World Health Organization and medical institutions.

Third, the work content

(a) strictly implement the relevant provisions of the national basic public health services.

According to the opinions of the Municipal Health Bureau on promoting the equalization of basic public health services and the requirements of the 20 1x version of the national public health service standard of the Ministry of Health, we should conscientiously do a good job in health education. The main work contents are as follows:

1. Publicize and popularize "China citizens' health literacy-basic knowledge and skills (for Trial Implementation)" and cooperate with relevant departments to promote citizens' health literacy.

2. Residents' health education: health education on reasonable diet, weight control, proper exercise, psychological balance, improving sleep, limiting salt, quitting smoking, limiting alcohol, controlling drug dependence and other healthy lifestyles and intervening risk factors.

3. Health education for key groups such as teenagers, women, the elderly, the disabled and parents of children aged 0-6.

4 to carry out health education on key diseases such as hypertension, diabetes, breast cancer, cervical cancer, tuberculosis, hepatitis, AIDS, influenza, hand, foot and mouth disease and rabies.

5 to carry out health education on public health issues such as food hygiene, public health emergencies, occupational hygiene, radiation hygiene, environmental hygiene, drinking water hygiene, drug rehabilitation and family planning.

Carry out health activities

In 20 1x, the following health education activities were mainly carried out:

1. Make the annual health education work plan.

2. Distribution of health education materials:

(1) Distribute health information to the village (including health education leaflets, health education prescriptions, health manuals, leaflets, etc.). ). Need to collect: first, the health education activity record form, second, the data distribution form, and third, the health education materials are all archived.

(2) promotional materials (including health education leaflets, health education prescriptions, health manuals, leaflets, etc.). ) placed in the waiting area, consulting room, consulting room, etc. In the hospital, count the amount of materials distributed and fill in the health education activity record form.

(3) Play audio-visual materials (including video tapes, VCDs, DVDs and other audio-visual communication materials). Hospital diagnosis room and village health station broadcast in health education room during normal consultation time. Need to collect: one is the health education activity record form, and the other is the audio-visual record form.

(4) set up a health education bulletin board. There are not less than 2 publicity columns in the town health center and not less than 1 in the village health station, and the area of each publicity column is not less than 2 square meters. Publicity columns are generally set in the most obvious outdoor places, and the contents of health education publicity columns in town health centers and village health stations should be changed at least 1 time every quarter. Need to collect: first, the health education activity record, second, the publicity manuscript, third, the publicity samples made, and fourth, the photos of the contents of each publicity column changed.

3. Carry out public health consultation activities. It is necessary to carry out various public health consultation activities in combination with comprehensive demonstration of chronic diseases and healthy lifestyle activities.

4. Hold health knowledge lectures. The object of health knowledge lecture is the villagers in the jurisdiction. Township hospitals hold 1 lecture on health knowledge every month, and rural clinics hold 1 lecture on health knowledge every month. Need to collect: 1. Health education activity record form; The second is the manuscript of health knowledge lecture; Third, the effect evaluation of holding health knowledge lectures; The fourth is the household registration book; The fifth is the picture information during the lecture.

5. Health education work data file management. Town health centers and village health stations should have a complete record of health education activities, and should collect, sort out and properly keep health education materials, records, summaries, evaluations and other materials, including words, pictures, audio-visual documents, etc. , and establish a complete work file for work assessment and effect evaluation.

Fourth, health education in schools and kindergartens.

Publicity and guidance on school health education, oral health care for chronic diseases and common diseases. And the coverage rate of this kind of education is 60%. Sex education for students in schools.

Verb (abbreviation for verb) supervises and evaluates the implementation.

(a) the main contents of supervision and evaluation: planning, organization and management, use of funds, service quality, service effect, residents' satisfaction, etc.

Evaluation index

1. Types, quantity and distribution rate of printed materials for health education.

2 kinds, times and time of playing audio-visual materials of health education.

3. Health education bulletin board settings and content updates.

4. The number of health education lectures and health education consultation activities and the number of participants.

5. Investigation on residents' awareness rate of health knowledge.

6. Health education data collection.

Tisso

In order to effectively improve the management level of rural basic public health service projects in our town, solidly implement the contents of rural basic public health service projects, and continuously improve the health level of people in our town, according to the requirements of relevant documents at higher levels and combined with the actual work in our town, the following plans are made for the annual rural basic public health service projects in our town.

1. Background analysis: Our town has 20 administrative villages with a population of 75,000. There are 2 community health service centers, 0 hospitals and 0 village-level community health service stations in the town. There are 206 catering and public places and 3 centralized water supply units in this area.

Two. Work objective: Under the leadership of the Municipal Health Bureau and the town government, under the guidance of the superior business departments, and through the concerted efforts of all departments, the indicators of rural basic public health service projects have been successfully completed, and the management level of rural basic public health service projects and the health level of people in our town have been continuously improved.

Third, the work indicators:

1, health education: the timely replacement rate of village-level health education billboards is100%; Village-level health education materials reached 85%; The awareness rate of health education knowledge among the masses and students is over 90%; The formation rate of healthy behavior is over 90%.

2. Handling of public health emergencies; The training rate of sudden public health knowledge of medical staff was100%; The timely reporting rate and correct disposal rate are 100%.

3, the prevention and treatment of major diseases:

Tuberculosis: the network direct reporting rate is 100%, the referral rate is 100%, the follow-up rate is 95%, and the in-place rate is 80%. The sputum examination rate of patients with suspected pulmonary tuberculosis symptoms reached 95%, the examination rate of close contacts of smear-positive pulmonary tuberculosis reached 90%, patients visited the village every week 1 time, the visit rate was 100%, and the treatment rate was 80% under the supervision of medical staff.

Schistosomiasis: the completion rate of snail investigation task is over 95%, the mortality rate of snail control by drugs is over 80%, the density of live snails is reduced by over 85%, and the completion rate of snail investigation task is over 95%. The inspection rate of the target population is over 80%.

AIDS: the distribution rate of publicity materials is 4% in rural areas; The villagers' knowledge awareness rate is 70%; There are more than 5 slogans on the propaganda wall of AIDS prevention in villages, covering the whole township 10% of villages;

Intestinal infectious diseases: the detection rate of cholera in diarrhea patients is not less than 10% and1‰ of the total population; Ten days ago.

Report the number of registered diarrhea patients, the number of searches and the number of suspected diarrhea patients step by step, and the timely reporting rate is 100%. The number of internal supervision and inspection from April to June shall not be less than 1 time/month. The epidemic rate of infectious diseases should be 100% to properly handle the epidemic situation of intestinal infectious diseases.

Acute infectious diseases: From May to June, 65438+ 10, blood tests were carried out for patients with fever, blood tests and deworming tasks assigned by superiors were completed, and malaria epidemic situation was properly handled.

4. Women's health care: the women's health care network is sound, and the tasks of diagnosis and treatment of gynecological diseases assigned by superiors are completed; The delivery rate of pregnant women in hospital is 1.000%, and the systematic management rate is over 95%. Carry out menopausal health care services.

5. Child health care: within 48 hours, the epidemic rate of related infectious diseases reached over 95%, and the epidemic reporting rate reached100%; After each outbreak, the emergency vaccination rate of the surrounding susceptible population reached 95%; Timely report the monthly routine report on the vaccination rate of permanent children and floating children according to the regulations, and the monthly reporting rate reaches100%; The rate of establishing cards for newborns and children under 4 years old is over 98%; The basic immunization coverage rate reached more than 95%; The vaccination rate of related vaccines reached over 90%. The timely rate of the first dose of hepatitis B vaccine reached over 90%; The timely rate of basic immunization of polio vaccine reached over 90%; The reporting rate of routine report of vaccination reaction and monthly report of zero cases reached 100%, and the informed consent before vaccination was seriously implemented. The notification rate before vaccination reached 100%, and the utilization rate of vaccination certificates printed by provincial governments reached over 95%. The utilization rate and safe destruction rate of disposable syringes for inoculation reached100%; The systematic management rate of children is over 95%; The management rate of frail infants is 100%.

6. Prevention of chronic diseases: All patients over the age of 35 are subject to the system of blood pressure measurement at the first visit, and the blood pressure measurement rate is1.000%; Establish management files for patients with chronic diseases such as hypertension, diabetes and tumor, and the filing rate is above 80%; Regular follow-up and systematic management of patients with chronic diseases such as hypertension, diabetes, tumor, etc., at least 4 times a year, and the systematic management rate reaches more than 50%; Make full use of health examination, clinical data, combined with active door-to-door service, gradually establish health records for farmers and carry out targeted health intervention. The filing rate of elderly people over 60 years old reaches 80%, and the follow-up visit is more than 4 times a year; Standardize the management of mental patients.

7, food and drinking water hygiene supervision: engaged in food practitioners physical examination rate of 98% or higher; The qualified rate of training is 98%, and the transfer rate of those who fail physical examination is100%; Health supervision and inspection covers the unit more than four times a year; Food production and business units shall conduct sampling inspection every quarter 1 time, with no less than 5 kinds of food; The reporting rate of food poisoning was 100%, and the correct disposal rate was 100%. Regular training for enterprise leaders with occupational hazards (once a year), with a coverage rate of100%; Regular training for workers (once a year) with a coverage rate of ≥ 80%; Establish the account of drinking water sources for community residents, with the registration rate of100%; Establish health records of water supply units, and the filing rate is 100%.

8. Public health information collection and reporting: the network direct reporting system is operating normally and the system is sound.

Fourth, work measures:

1. Strengthen leadership and clarify responsibilities: the leading group of rural basic public health service projects should strengthen leadership over the management of rural basic public health service projects, clarify the responsibilities of relevant functional departments, coordinate the work among relevant units, and promote the development of various tasks in a timely manner.

2. Strengthen cooperation and make smooth progress: under the leadership of the project leading group, all relevant departments should strengthen cooperation and earnestly perform their duties around the project assessment rules to ensure the smooth completion of the specified objectives of the project; And in view of the problems existing in the work, summarize them regularly and take targeted measures to improve them.

3. Strengthen assessment to ensure quality: The project leading group should strengthen the assessment of relevant functional departments according to the assessment plan, give timely feedback on the problems found in the assessment, urge all functional departments to improve, and allocate relevant funds according to the assessment results.