Research Of Present Situation And Human Resource Prediction Of Health Resources Of Maternal And Child Health Care Institutions In Xinjiang

Objective:Based on the present situation of the maternal and child health care institutions allocation of health resources in xinjiang compared with national standard,analysis the women’s and children’s health care problems existing in the allocation of health resources.forecast the demand for the maternal and child health care institutions in Xinjiang and puts forward the corresponding countermeasures and suggestions,and provide scientific basis for promoting the development of maternal and child health in Xinjiang.Method:Using SPSS 17.0 with constituent ratio,the average speed of development and the chi square test and other statistical indicators,descriptive analysis of maternal and child health care institutions and health manpower,financial resources,the main indicators of the health of women and childrenand the changes of.Xinjiang 2008-2013.Reference to the Ministry of Health to develop standards related to the construction of infrastructure,Consider population growth,Maternal and Child Health institutions to develop in line with the actual situation in Xinjiang health resource allocation criteria and forecastNumber of Xinjiang health workforce.in 2015,2020year.Results:(1)women and children’s health indicators:2000-2013 years,the rate of delivery in hospital increased from 56.22%to 98.85%in Xinjiang maternal,delivery rate increased 42.63 percentage points,of which the City maternity hospital delivery rate is much higher than the rural areas;and the maternal mortality rate was significantly decreased by 161.37/million,down to 34.881/10 million,the maternal mortality rate in the rural the area above the city.Neonatal,infant,mortality of children under 5 years old respectively from 13.27 per thousand and 55.50 per thousand and 65.40 per thousand to 13.51 per thousand,decreased 22.72 per thousand and 26.06 per thousand;the mortality rate of children in rural areas was significantly higher than that of the city,the overall level of a downward trend.(2)the number of institutions:by the end of 2013,Xinjiang has a total of 94 maternity and child care institutions,including maternal and child health care institutions established independently in 91,the coverage rate of 96.81%;(3)human resources:Xinjiang maternal and child health care institutions of health personnel in total increase,by the end of 2013,the total number of Xinjiang maternal and child protection health institutions and health staff of 4047 people,the existing staff of 3406 people,health and technical personnel 3398 people,accounting for 83.96%of health personnel,health care personnel 1602 people,accounting for health technical personnel 47.15%;health care than 1:0.8;health technical personnel 35-44 years of health technical personnel in the proportion is highest,accounted for 42.02%;education in college mainly accounted for 45.59%;Bachelor degree or above personnel less,only 18.21%;the title to the primary,accounted for 68.7%;the senior staff of the lowest percentage accounted for 7.05%,senior:Intermediate:primary title for the 1:2.7:10.6 ratio.The configuration results show,Xinjiang maternal and child health care institutions should configure the staff number of 4264 people,the existing staff number of 3406 people,should increase the staff number is 855;the number of municipal institutions should allocate personnel 1463 people,the county level institutions should be configured number of staff 1716 people.Xinjiang maternal and child health care institutions should be configured to clinical staff number is 2967,the municipal institutions should be 1648 people,the county level institutions shall be 1319.The number of nurses should be equipped with 3197 people,municipal agencies should be 2142 people,the county level institutions shall be 1055.The prediction results:2015 and 2020 Xinjiang maternity and child care institutions staff were respectively 4351 and 4605;clinical staff up to 3026 people and 3204 people;registered nurses to 3273 people and 3442 people.(4)the material resources:Xinjiang maternal and child health care institutions has less than prepare beds beds,with 10 to 49 beds institutions the most,accounting for 42.86%;county level institutions of municipal institutions and 64.06%54.17%bed distribution in the standard has reached the standard of.Xinjiang average every health centers for women and children with real business area of 1569.88 square meters,and the municipal health centers for women and children of 5756.21 square meters,the county level mechanism for 1656.59 square meters,far below the national average business houses.With Xinjiang maternal and child institutions million yuan to 100000 yuan of the following equipment i.e.basic equipment,accounting for 75.65%;the area of equipment number the highest value in Urumqi city is the lowest value of 26 times the Oblast region.(5)financial resources:the total income of Xinjiang health centers for women and children showed a rising trend year by year,the average growth rate of 23.52%,the medical income accounts for the largest proportion of 57.98%,financial subsidy income is 37.53%;at the same time expenditure also increased year by year,the average growth rate of 21.72%,the total expenditure on medical expenditure,followed by the personnel expenditure,accounted for 33.41%.The Bortala state and Kizilsu Kirgiz State total expenditure is greater than the total income,the balance of payments.Conclusion:Maternity and child care institutions health resources distribution was significant difference in Xinjiang;staffing shortage,imbalance;the overall quality of health technical personnel in general on the low side,the structure is not reasonable;the infrastructure is weak,the imbalance of development;insufficient,government financial input of payments are not balanced;maternal and child health disparities between urban and rural areas,the poor consciousness of self health care maternal and child health care knowledge popularization is difficult,the need to improve the government awareness of the masses;maternal and child health care work,to strengthen health education;improve maternal and child health care personnel quality,further strengthen the talent team construction;strengthen maternal and child health care funds investment,maternal and child health infrastructure and MCH informationization construction in the region;implementation of the maternal and child health network management.