本文選題：死亡率 + 兒童健康服務(wù)�。� 參考：《蘭州大學》2012年碩士論文

【摘要】：目的 通過對2001-2010年平?jīng)鍪?-7歲兒童健康服務(wù)和保健服務(wù)相關(guān)數(shù)據(jù)的分析,對平?jīng)鍪袃和】捣⻊?wù)和保健服務(wù)的現(xiàn)狀進行綜合性的評價,分析影響平?jīng)鍪袃和劳雎实囊蛩?探討平?jīng)鍪袃和】捣⻊?wù)和保健服務(wù)工作中存在的主要問題,為平?jīng)鍪性谥贫▼D幼保健方面的政策措施時提供科學參考。 方法 依據(jù)平?jīng)鍪?001-2010年婦幼衛(wèi)生年報信息,分析平?jīng)鍪袃和】捣⻊?wù)和保健服務(wù)現(xiàn)況,并與甘肅省和全國兒童健康服務(wù)和保健服務(wù)的水平進行比較,計算增長率,繪制趨勢變化圖。利用關(guān)聯(lián)分析法評估社會各因素對嬰兒死亡率的影響程度,找出主要影響因子。用灰色預(yù)測法預(yù)測2011-2020年的兒童健康服務(wù)變化趨勢。 結(jié)果 1.平?jīng)鍪袐D幼機構(gòu)及人員數(shù)量變化：2001-2010年平?jīng)鍪袐D幼機構(gòu)數(shù)保持不變,婦幼保健機構(gòu)人員從130人增加到309人；婦幼保健機構(gòu)醫(yī)務(wù)人員學歷主要集中在大專和中專,2010年本科學歷僅占27.31%；婦幼保健機構(gòu)人員職稱主要為初級和中級,高級僅有4.46%。 2.平?jīng)鍪袃和】捣⻊?wù)趨勢變化：(1)新生兒死亡率：2001-2010年平?jīng)鍪行律鷥核劳雎收w下降,但高于全國、甘肅省平均水平,降低幅度也低于全國和甘肅省十年的平均下降幅度。(2)嬰兒死亡率：2001-2010年平?jīng)鍪袐雰核劳雎食氏陆第厔?達到了聯(lián)合國千年發(fā)展目標即嬰兒死亡率降到13.00%o。(3)5歲以下兒童死亡率：2001-2010年平?jīng)鍪?歲以下兒童死亡率呈明顯下降趨勢,但低于甘肅省平均水平,高于全國平均水平。(4)低出生體重：平?jīng)鍪?001-2010年低出生體重呈下降趨勢。 3.平?jīng)鍪袃和＝》⻊?wù)趨勢變化：(1)新生兒訪視率：平?jīng)鍪?010年新生兒訪視率為90.37%,與2001年相比,增加了2.89%,上升幅度為10.91%,與全國和甘肅省平均水平基本一致。(2)新生兒破傷風：2008-2010年近三年來平?jīng)鍪形窗l(fā)生新生兒破傷風發(fā)。(3)3歲以下系統(tǒng)管理率：平?jīng)鍪?歲以下兒童系統(tǒng)管理率從2001年的59.80%增加到2010年的81.72%,增加了20.92%,增長幅度為36.66%。(4)7歲以下兒童保健管理率：2010年平?jīng)鍪?歲以下兒童保健管理率已達到了全國平均水平。(5)母乳喂養(yǎng)：平?jīng)鍪?個月母乳喂養(yǎng)率高于甘肅省整體水平,2010年達到了95.30%。(6)營養(yǎng)不良：2010年平?jīng)鍪?歲以下兒童中重度營養(yǎng)不良患病率降為1.54%,降低幅度為69.38%,與全國平均水平一致。 4.影響因素的分析：經(jīng)關(guān)聯(lián)分析,影響嬰兒死亡率的最主要因素廣播電視覆蓋率的關(guān)聯(lián)度為0.93,其次是新型農(nóng)村合作醫(yī)療,第三為城鎮(zhèn)人均可支配收入。 5.平?jīng)鍪袃和】捣⻊?wù)預(yù)測：2011-2020年平?jīng)鍪行律鷥核劳雎�、嬰兒死亡率�?歲以下兒童死亡率呈整體下降趨勢,較為緩慢,下降幅度不大。 結(jié)論 2001-2010年間平?jīng)鍪袃和】捣⻊?wù)和保健服務(wù)水平穩(wěn)步提升,這與平?jīng)鍪械慕?jīng)濟、衛(wèi)生、文化、教育和社會等因素有密切關(guān)系。但與發(fā)達國家和地區(qū)相比,還存在一定差距,仍有進一步提高的空間。
[Abstract]:objective
Through the analysis of the data related to health service and health service of 0-7 year old children in Pingliang for 2001-2010 years, the present situation of children's health service and health service in Pingliang was evaluated comprehensively. The factors affecting the mortality of children in Pingliang were analyzed, and the main problems existed in the work of children health service and health service in Pingliang were discussed. Pingliang provides scientific reference for formulating policies and measures for maternal and child health care.
Method
Based on the information of the 2001-2010 year maternal and child health report in Pingliang, the present situation of children's health services and health services in Pingliang was analyzed, and compared with the level of children's health services and health services in Gansu province and China, the rate of growth was calculated and the trend map was drawn. The impact of social factors on infant mortality was evaluated by using the association analysis method. The main influencing factors were identified. The trend of child health service in 2011-2020 years was predicted by grey prediction.
Result
1. the changes in the number of women and children in Pingliang and the number of women and children: the number of women and children in Pingliang remained unchanged in 2001-2010 years, and the staff of maternal and child health care institutions increased from 130 to 309; the educational background of maternal and child health care institutions was mainly concentrated in junior college and secondary school. In 2010, only 27.31% of the undergraduate education was educated; the professional titles of women and child health care institutions were mainly in the primary and middle schools. Level, advanced only 4.46%.
2. Pingliang city children health service trends: (1) neonatal mortality: 2001-2010 years in the 2001-2010 year the overall decline in neonatal mortality in Pingliang, but higher than the whole country, the average level in Gansu Province, lower than the national and the average decline in the ten years in Gansu province. (2) infant mortality rate: 2001-2010 years in the 2001-2010 death rate of infant mortality is declining, The millennium development goal of the United Nations was reached to the infant mortality rate of 13.00%o. (3) under 5 years of age: the mortality rate of children under 5 years in Pingliang was obviously declining in 2001-2010 years, but lower than the average level in Gansu, higher than the national average. (4) low birth weight: the low birth weight of Pingliang was declining in 2001-2010 years.
3. the trend of child health service service in Pingliang: (1) the visiting rate of newborns: the visiting rate of newborns in Pingliang was 90.37% in 2010. Compared with 2001, it increased by 2.89% and 10.91%, which was basically consistent with the national and Gansu average. (2) neonatal tetanus: no neonatal tetanus occurred in the last three years of 2008-2010 years in the city of Pingliang. (3) the system management rate under 3 years of age: the management rate of children under 3 years of age in Pingliang increased from 59.80% in 2001 to 81.72% in 2010, increased by 20.92%, increased by 36.66%. (4) children under 7 years of age health management rate: the health management rate of children under 7 in Pingliang in 2010 has reached the national average level. (5) breastfeeding: Pingliang 4 The rate of breastfeeding was higher than the overall level of Gansu province in 2010. In 2010, it reached 95.30%. (6) malnutrition. In 2010, the prevalence rate of moderate and severe dystrophy in children under 5 years of age in Pingliang was reduced to 1.54%, and the decrease was 69.38%, which was in accordance with the national average.
4. analysis of influencing factors: through correlation analysis, the most important factor affecting infant mortality is 0.93, followed by new rural cooperative medical care, and third for urban per capita disposable income.
5. Pingliang children's Health Service Forecast: 2011-2020 years, the mortality of newborn in Pingliang, infant mortality and the mortality of children under 5 years of age showed a overall decline, relatively slow, and the decline was not significant.
conclusion
In the past 2001-2010 years, the health service and health service level of children in Pingliang have been steadily improved, which is closely related to the economic, health, cultural, educational and social factors in Pingliang, but there is still a certain gap compared with the developed countries and regions, and there is still room for further improvement.

【學位授予單位】：蘭州大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R179

【參考文獻】

相關(guān)期刊論文 前10條

1 謝開貴,何斌,鄭繼明;灰色預(yù)測模型建模方法探討[J];重慶郵電學院學報;1998年03期

2 潘華志;衛(wèi)建東;夏治國;何峰;;動態(tài)灰色模型在變形預(yù)測中的應(yīng)用[J];測繪科學;2007年04期

3 劉霞;祝筠;周鳳榮;岳媛;;山東省2000-2009年嬰兒主要死因變化趨勢及干預(yù)措施的研究[J];中國兒童保健雜志;2011年09期

4 李容漢;趙慶國;李兵;鐘細霞;鄧群娣;何秋苑;;2001～2005年廣東省5歲以下兒童死亡監(jiān)測結(jié)果分析[J];國際醫(yī)藥衛(wèi)生導報;2006年10期

5 張樹彬;劉守軍;;兒基會報告:世界兒童碘缺乏病狀況[J];國外醫(yī)學(醫(yī)學地理分冊);2006年04期

6 呂海濤,趙林明;應(yīng)用灰色模型(GM)時注意的一些問題[J];華北水利水電學院學報;2000年01期

7 谷川;張岳;;GM(1,1)灰色模型改進及其應(yīng)用[J];海洋測繪;2008年03期

8 時穎,焦淑芳,謝瑾,王瑜,尹香君;北京市城市和農(nóng)村地區(qū)兒童意外傷害現(xiàn)況及影響因素比較[J];疾病控制雜志;2004年06期

9 陳健生;;經(jīng)濟增長、人力資本投資與降低嬰兒死亡率[J];經(jīng)濟評論;2006年01期

10 科菲·安南;聯(lián)合國秘書長千年報告(摘要)[J];當代世界;2000年09期

相關(guān)碩士學位論文 前2條

1 梁伯衡;全國嬰兒死亡率現(xiàn)況及其影響因素研究[D];四川大學;2005年

2 寇嘉寧;甘肅省婦幼健康和保健服務(wù)狀況趨勢研究[D];蘭州大學;2010年

，

本文編號：1807195