Current Situation And Countermeasures Of Diagnosis And Therapy Of Pedopneumonia In Poverty County Of Guizhou Province

Objective: To analyze the current situation of the diagnosis and therapy of pedopneumonia in the poverty county of Guizhou province with sample survey on the data from the local medical institution. To explore the measures on pedopneumonia prevention and reducing the morbidity and mortality of children with pneumonia. To investigate and build and sound the systematic management methods of children health care in Guizhou province.Data and Methods: the collected survey data on the current situation of diagnosis and therapy of pedopneumonia in poverty counties of Guizhou province supported by World Bank-ASEM Project was adopted in this study. According to geographic setting and yearly per capita income, 314 cases of pedopneumonia from 14 medical institution in 4 relatively poverty counties were chosen into the study with methods of stratified sampling and simple random sampling. Database was designed with Epi data software and the data was analyzed by the SPSS 11.5 software. Biostatistics methods such as Descriptive analysis, Chi-square analysis, and sociologic methods such as special topic discussion, experts counseling were adopted in the study.Results and analysis:1. educational background and professional title of medical workers in county and town medical institutions.1.1 In county medical institutions, the rate of high grade medical workers is 3.75%, middle grade 30.28%. 71.60% medical workers graduated from middle professional school and high professional school; 40.61% have educational background of high professional school and college, 8.24% only graduated from junior high school.1.2 In town medical institutions, no high grade medical workers, 7.75% middle grade. 76.63% have the educational background of middle professional school and senior school, senior and below 9.25%.From the stucture and layer of professional title and academic career, for lack of technicians not matching with development of health service, low diathesis of technicians not comparing to their medical task, it is suggested to think highly of introduction of medical skillsman and training medical workers.2. distribution and diagnosis of pedopneumonia in poverty county of Guizhou province2.1 The constituent ratio of mild and severe pedopneumonia in Zheng'an county is 50.88%, highest among all the counties; the ratio in Nayong, Guiding county is 30.89%, 30.77%, the lowest among the counties.2.2 The therapy effect of the mild pedopneumonia is apparently different among different counties.2.3 Cure rate of mild and severe (including very severe) pneumonia in counties is higher than that in towns. With exact propability, No difference is found in the therapy effect on the mild and severe pedopneumonia between sanitary institutions in counties and towns(mild: p=.5054;severe: p=.2677).2.4 Cure rate of mild and severe (including very severe) pneumonia of children in the year of 2 months to 5 years old is not different between sanitary institution that in counties and towns(χ2=0.215,p=.643). 2.5 The therapy effect of mild and severe (including very severe) pneumonia of children in the year of 2 months to 5 years old is apparently different among different counties. Cure rate of mild and severe (including very severe) pneumonia in counties is higher than that in towns.2.6 94.87% of child (<2months) with pneumonia were accepted in hospital in counties. Few were accepted in hospital in towns.2.7 Of mild pedopneumonia (<2months old), 60.0% were cured well, 30.0% improved, 0.5% not cure well, 0.5% died; of severe and very severe pedopneumonia(<2months old), 63.1% were cured well, 31.58% improved, 5.26% died.Countermeasures and Suggestion:1. From the stucture and layer of professional title and academic career, for lack of technicians not matching with development of health service, low diathesis of technicians not comparing to their medical task, it is suggested to think highly of introduction of medical skillsman and training medical workers.2. For existence of inferior accessibility of basic health care to rural inhabitant, it is needed to reinforce construction of three level health protection net in the poverty counties, define the function of every level medical institute distinctly, inhance the accessibility of basic health service.3. For the difference of diagnosis and treatment to pedopneumonia between county and town medical institutions, children with pneumonia or severe ones especially (including extreme severe) are suggested to visit hospitals in town.4. In order to enhance the level of diagnosis and treatment of medical institude in county and town, and to depress morbidity of pedopneumonia, it is suggested: 4.1 to train child health care worker in countryside and towns and to activate their work enthusiasm.4.2 to launch a sound acute respiratory infection(ARI) cases management.4.3 to manage child diseases comprehensively.4.4 to strengthen planned immunity and reduce the mortality of contagious disease.4.5 to detect children growth and development overspreadly.4.6 to teach parents about the scientific child care.5. The children health care organizations resources and the management of children health care are needed to improve. Rural cooperative medical system and medical aid system should be built and consummated.