Study On The Resource Integration Effect Of Maternity And Child Hygiene And Family Planning

[Purpose]Analyzing the essential elements of integration systematically defines the notion of resource integration of maternity and child hygiene and family planning.To survey the integration situation of maternity and child hygiene and family planning,realize the weakness and propose the suggetions of integration.[Methods]Defining the notion of maternity and child hygiene and family planning based on the literature and theory analysis.Describing the resource integration of maternity and child hygiene and family planning by adopting the field survey and questionnaires in the sample areas.Comparing the survey of the institutions and the indicators before and after integration makes the evaluation indicators of the maternity and child hygiene and family planning.Analyzing the evaluation indicators and effectcs realizes the weakness and finds out the solutions.[Results]1.Defining the notion of the resorce integration of maternity and child hygiene and family planning.The resorce integration of maternity and child hygiene and family planning,based on the theory of system management and service-oriented government,integrates the human resource and financial,especially for those similar functions and duties.Selecting the optimal process and paths to be good for the development of maternity and child hygiene and family planning,improve the efficiency and achieve the effect of 1+1>2.2.Analyzing the resource integration environment of maternity and child hygiene and family planning.The promotion of national policy and the needs of the reproduction are the external driving force.The fragmentation of resources,the function overlap of maternity and child hygiene and family planning,the imbalance of maternity and child hygiene and family planning are the internal driving force.The management differences,the inperfection policy,and the lag of information technology are the hinders of integration.3.Analyzing the detail implementationa and conditions of maternity and child hygiene and family planning in sample areas.In health service providing,adjusting the original and integrated the family planning into the maternity and child hygiene.In terms of personnel,in accordance with the basic principles of mobilization of jobs in balance of workers.In funding allocation,integration of institutions to adhere to the financial system unchanged.At present,the information system includes the total population information,the electronic health records and the electronic medical records.Actively promoting the integration of maternity and child hygiene and family planning at the level of township and villages.4.Analyzing the resource integration effects of maternity and child hygiene and family planning.The level of the effects of maternity and child,child health care and family planning improved form the relative indicators.In the women’s health care,the rate of antenatal care,the postpartum visit,and the maternity system management has increased.In the children’s health care,the rate of system management for 0-6 children has also increased.The infant nortality rate has decreased from 3.38‰ to 2.58‰.In family planning,there was not significant difference existing(the rate was 0.01%~0.02%).In terms of the comprehensive evaluation results,the effectiveness and the efficiency are higher than before.There was a significance between the mean scores of the mertanity and the family planning workers(P<0.05).Given the integration attitude,there was 35.92% workers supporting the integration.5.Proposing the suggetions of integration for the problems.There were some problems in the encourage mechanism,professional training,service integration and information communication at the primary stage.Putting forward some measures to establish the effective encourage mechanism,improve the workers training,deepen the service integration,and increase the information system investment.[Conclusions]At present,a significant effectiveness was showed in the maternity and child hygiene and family planning.The resource of maternity and child hygiene and family planning means to improve the health service quality and effectiveness,decrease t he service cost.Due to the primary stage,some problems were still existed in the workers encouragement mechanism,professional training,service integration and information communication,to promote the constant development of maternity and child hygiene and family planning.