The Analytical Study On Children Health Development Between2001and2010in Pingliang City

ObjectivesTo analyze the children health and care service situation in Pingliang City from2001to2010by surveying some key data related to the children health and care service, investigate the possible factors affecting the child mortality in Pingliang, indentify the prominent problems resulting in children mortality.MethodsThe data was collected from the maternal and child surveillance (2001-2010) and annual report(2001-2010) in Pingliang City. Then the health and care service situation of children were analyzed. Based on Gansu province and Chinese Health-Statistics between2001and2010, differences in the growth rate and drew the diagram of trend between Pingliang City, Gansu province and China were compared. Identifying the main social factor of mortality by correlation analysis method and predicting the trends of child health services were by gray forecasting method.Results1. The changes of the quantity on institutions and staff in maternal and child institutions Pingliang city:the institutions quantity remained unchanged, but the staff increased from130to309between2001and2009. The qualifications of the staff were mainly concentrated in the tertiary and secondary school, undergraduate education accounted for only27.31%in2010. The main titles are primary and middle title, senior title only accounted4.46%. 2. The changes of child health services index:The neonatal mortality declined from2001to2010, but it was still higher than the level of the nation and Gansu province. The neonatal mortality decreases was lower than the average level of the nation and Gansu province in these10years. The infant mortality was decreased from2001to2009, reached and under the UN Millennium Development Goals(13.00‰). The children under5years mortality and the low birth weight showed a clear downward trend between2001and2010.3. The trends of child care services:(1) Compared with2001, the pediatric visits rate was90.37%, increased2.89%and the rising range was10.91%in2010, which was similar to the average level of the nation and Gansu province.(2) There were no neonatal tetanus cases from2008to2010.(3)The system management rate of the child under3years raised from59.80%in2001to81.71%in2010, increased20.92%and the rising range was36.66%.(4) The system management rate of the children under7years reached the average level of the nation.(5) The breastfeeding rate of four months old infants was95.30%and higher than the average level in Gansu province.(6)The moderate and server poor nutrition rate of the child under5years was1.54%, the decline range was69.38%and similar to the average level of the nation.4. The main influencing factors analyzed by Gray Correlation Analysis Method were as follows:the coverage rate of the broadcast, the new rural cooperative medical system, and the net income of the residents.5. The child health services prediction:The neonatal mortality, infant mortality and under-five mortality showed an overall decline trend from2011to2020. But the reduction range was slow.ConclusionsThe children health services and care services increased steadily from2001to2010. The main influence factors were the level of economic, health, culture, education and social factors. There is still a long way to narrow gap between Pingliang city and developed countries and regions.