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怀化市2015-2019年0~6岁儿童保健服务情况及健康状况分析

Analysis of health services and health status of children aged 0-6 years old in Huaihua city from 2015 to 2019

  • 摘要: 目的 分析怀化市2015-2019年0~6岁儿童保健服务情况和儿童健康状况,为制定怀化市儿童保健管理措施提供理论依据。方法 选用怀化市2015-2019年妇幼卫生年报数据,计算新生儿访视率、母乳喂养率、儿童管理率、儿童系统管理率、低体重率、生长迟缓率、超重率、肥胖率、贫血率等儿童保健服务情况指标及儿童健康状况评价指标,并比较指标在不同年份、不同户籍类型间的差异。结果 2015-2019年,怀化市新生儿访视率、身高(长)和体重检查率、5岁以下儿童血红蛋白检查率和3岁以下儿童系统管理率、0~6岁儿童健康管理率分别为94.23%、86.49%、70.91%、87.76%和89.6%,6月龄内婴儿母乳喂养率、纯母乳喂养率分别为89.87%、64.63%,5岁以下儿童低体重、生长迟缓、超重、肥胖、贫血和中重度贫血患病检出率分别为1.45%、0.97%、0.90%、0.35%、3.41%和0.30%,且农村检出率均高于城市(P<0.05)。结论 怀化市儿童健康管理逐渐完善,主要健康指标均达到或超过《儿童发展纲要(2010-2020年)》目标要求,但纯母乳喂养率低于湖南省基本水平;怀化市儿童健康状况维持较高水平,但城市和农村差异大。应加大母乳喂养相关知识的健康宣教力度,提升农村儿童保健服务水平,提高辖区儿童健康状况。

     

    Abstract: Objective To analyze the health services and health status of children aged 0-6 years old in Huaihua from 2015 to 2019,and to provide theoretical basis for the development of child health management measures in Huaihua.Methods The data of maternal and child health annual report from 2015 to 2019 in Huaihua City were selected to calculate the following indicators: the rates of newborn visit,breastfeeding,child management,child system management,low body weight,growth retardation,overweight,obesity,anemia,and evaluation indicators for children's health status. The differences of indicators in different years and between different household registration types were compared.Results In 2015-2019,the total rates of newborn visits,height(length) and weight check,hemoglobin test among under 5 years old children and system management among under 3 years old children,and health management of children aged 0-6 years old was 94.23%,86.49%,70.91%,87.76% and 89.6%,respectively. The total rate of infant breastfeeding and exclusive breastfeeding in 6 months was 89.87% and 64.63%,respectively. The detection rates of lowweight,stunted,overweight,obesity,anemia and moderate to severe anemia among under 5 years old children was 1.45%,0.97%,0.9%,0.35%,3.41% and 0.3%,respectively. The detection rates in rural areas were higher than that in urban areas(P<0.05).Conclusion The health management of children in Huaihua City has gradually improved.,and the main health indicators have met or exceeded the target requirements of the Outline for Child Development(2010-2020). However,the rate of exclusive breastfeeding is lower than the basic level of Hunan Province. Although the health status of children in Huaihua City maintains at a high level,but the difference between urban and rural areas is still great. It is necessary to increase the health education of breastfeeding-related knowledge,improve the level of rural children's health care services,and improve the health status of children in the areas.

     

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