Moyu County In Basic Public Health Services, Capacity Building

Objective: By questionnaire survey and data analysis of the MoYu County’s basicpublic health service ability construction, we can find out the defects in the existing abilityconstruction, analyse the bottleneck for basic public health work’s advance, and then putforward the corresponding countermeasures and suggestions to provide academicassistance for the the MoYu County’s public health work’s development. Method: Wetypically sampled the MoYu County’s public health institutions at or above the countylevel, all the community health service centers, six township hospitals and random drewthree village clinics in each town—totally twenty-nine health organs to do thequestionnaire survey, then interviewed agency management, staff and the enjoyingpersonnel at three-level. After that, we used Excel and SPSS18.0software to deal with thedata. Consequence:(1)the MoYu County with the area of2.5square kilometers,2011thetotal population of MoYu is531124, medical and health institutions are385, beds in thehospitals are1976, health staff are1057and the coordination between the three levels is ingood condition.(2)Infrastructure and basic equipment: county and township healthagencies are equipped with basic needs, part of the village clinics are lack ofequipment.(3) Personnel status: health service personnel are in a state of "three low"(lowdegree,low title,low professional rate), fourthermore their quantity and professionalquality are difficult to meet the demand.(4) Income and spending: the income is less thanthe spending and they rely on financial appropriation.(5) Network construction condition:county institutions,township hospitals and community are equipped with computers andthe staff can operate computers basically, though the village clinics’ computer equipmentand personnel are hard to meet the requirements.(6) Performance appraisal status: theperformance appraisal system is pushing, but assessment results and wages are difficult topeg.(7) Health services status: they can provide eleven basic public health services,which meet the national basic requirement, and overall evaluation for enjoying people has beenimproved, but there is still a distance and it is urgent to improve. Conclusion:Configuration is still insufficient but equipment use is under-utilization, present humanresources are short, reserves update and trainings are also insufficient. We shouldstrengthen the network construction, improve the level of management, strengthen thecooperation between professional and non-professional, extended service width, increaseservice depth, and enhance service height based on the eleven public health services.