Abstract: 【Objective】 The ability of child health services in primary health institutions in China. 【Method】 To understand the basic station of staff and facilities and equipment,the knowledge and satisfaction of staff were understood by the survey,questionnaires and observation. 【Results】 1)There were many facilities and equipment,but some of the equipment failed to meet the requirements,dilapidated,idle unused.2)Part-time staff for child in the primary health service was 48%,junior was 68%,secondary and below was 42%,88.5% of full-time child care staff was the non-prevention medicine.3)The correct rate of primary child health services staff's knowledge was 65.7%,the knowledge of urban community health services staff was higher than the township's,the difference was statistically significant (t=2.64,P=0.01).Overall satisfaction was 58.9%.They were not satisfied with the wages and work load.4)They all carried out the basic public health services,but they didn't fully meet the requirements. 【Conclusions】 The unreasonable device configuration,the lack of staff,staff lack of knowledge and skills and low satisfaction limit the development of child health services capacity,some measures should be taken to improve the capacity of primary child health service,such as increasing staffing,training and reasonable equipment purchase and so on.

Key words: primary health institutions, children, health services

摘要： 【目的】 了解我国基层卫生机构儿童卫生服务能力的现状,为相关部门制定政策提供参考依据。 【方法】 采用填写调查表、问卷调查、现场观察等方法,调查基层卫生机构的基本情况、人员配置情况、设施设备配置和业务开展情况,儿童卫生服务人员的知识水平及满意度情况等。 【结果】 1)基层卫生机构的设施设备基本符合国家要求,但部分设备存在不符合要求、陈旧破损、闲置未用等。2)基层儿童卫生服务人员兼职占48%,初级职称占68%,中专及以下占42%,88.5%的专职儿童保健人员不是预防专业的。3)基层儿童卫生服务人员知识正确率为65.7%,其中城市社区的知识水平高于乡镇卫生院,差异有统计学意义(t=2.64,P=0.01);总体满意度58.9%,基层儿童卫生服务人员主要对工资待遇和工作负荷等不满意。4)均开展了儿童基本医疗、保健和计免服务,但保健服务与国家基本公共卫生服务要求还存在差距。 【结论】 基层卫生机构存在设备配置不合理,人员不足,人员知识技能欠缺及满意度不高等问题限制儿童卫生服务能力发展,应采取增加人员编制、加强培训、购买合理设备、加大宣传等措施提高基层儿童卫生服务能力。

关键词: 基层卫生机构, 儿童, 卫生服务