Abstract:
Objective To understand the current situation and existing problems of the human resources of children's health network at the three levels of Huaihua City,County and Township,so as to provide a reference for the decision-making of the health administrative department.
Methods The self-designed "Basic situation of children's health professionals in Huaihua City" questionnaire was used to investigate the status of 555 children health care workers from 1 municipal maternal and child health care hospital,13 county(city) district maternal and child health care centers,and 326 township hospitals and community health service centers.
Results 56. 76% of children's health care personnelin Huaihua were less than 35 years old. 70. 63% of the health care workers with bachelor degree or above. Only 28. 83% were undergraduate degrees or above,and majority of them were in municipal and county level MCH institutions. The proportion of personnel without a qualification certificate was 18. 74%,among whom 60% were rural children's health personnel. 60.18% of the them had junior titles,and only 2.88% had senior titles. The health workers who had been working for child health care for more than 3 years account for 55.86%,whereas those who had been working over 10 years accounted for only 16.76%. Among the township children health workers,part-time workers accounted for 59.13%. Only 10.64% of the urban and county level children health personnel participated in children group health care. The proportion of personnel who had never participated in training was 20.54%. The proportion of personnel who participated the municipal and provincial level training was 47.03% and 10.45%. The proportion of health workers who majored in clinical specialty was 38.56%,nursing was 42.52%,preventive medicine and public administration was 1.80% and the others was 14.05%.
Conclusion There are some problems in human resources for children's health care in Huaihua. They are shortage of health care staff,low education degree,unreasonable structure of title,less standardized training and low age. These problemss. result in poor quality completion of child health care.Governments at all levels should increase their investment in children's health care,strengthen the children's health care team through various ways,improve the overall quality of personnel.