The national health and family planning commission on the implementation of maternal and child health service demonstration project of the notice 
 
 
The national health and family planning commission of the People's Republic of China 
 
 
The 2014-08-01 
 
 
The women's and children's hair [2014] no. 39 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission (health bureaus, population and family planning commission), the xinjiang production and construction corps health, population and family planning commission.
To improve the level of maternal and child health services, to ensure people's access to quality of maternal and child health services, to safeguard the health rights and interests of the people and national health commission decision, since 2014, demonstrative project of maternal and child health service in China, through guidance, demonstration and promotion, comprehensively enhance the level of maternal and child health services.
One, the guiding ideology and the work target
Maternal and child health service demonstration project to carry out the law of the People's Republic of China on maternal and infant health care ", "population and family planning law of the People's Republic of China" and a program for the development of Chinese women and children from 2011 to 2020, adhere to the direction of health services for the people, adhere to the "children first, safe motherhood," the purpose, adhere to the maternal and child health work policy, improve the level of maternal and child health services and management, meet the health needs of women and children.
Maternal and child health service demonstration project of the overall objectives are: to promote the governments at all levels pay more attention to women's and children's health work, improve maternal and child health service quality and management level, and improve the fairness and accessibility of maternal and child health services, and constantly improve the level of women's and children's health, security effectiveness, safety, and timeliness of contraceptive practices, and build a new brand, excellent service make people more satisfied, promote the development of maternal and child health, nice and fast. Specific include five aspects:
- leadership attaches great importance to the good. Governments at all levels to maternal and child health work into the overall economic and social development planning and government target responsibility appraisal, establish an effective coordination mechanism and the safeguard mechanism for stable.
- specification management well. Maternal and child health service system perfect, institution building standards. Management system, work system, technical specifications, process improvement, powerful, supervision and management system implementation in place.
- good quality of service. Maternal and child health services environment, warmth, medical and health service level continuously improve, maternal and child health service quality improved significantly.
- implement. Core of women and children health indicators continue to improve, maternal and child health services index increased significantly, the successful completion of various tasks.
People's satisfaction. The good reputation, set up the women's and children's health quality service brand, service object satisfaction gradually increase.
Second, the main content
(a) strengthen the implementation of government responsibility. At all levels of government attaches great importance to the maternal and child health work, be included in the local economic and social development plan, the maternal mortality rate, infant mortality, under-five mortality, contraceptive service efficiently, such as birth defects prevention measures LaShiLv maternal and child health core index into the government's target responsibility appraisal, maternal and child health development planning and implementation, clear responsibilities, each related department to establish coordination mechanism, the implementation of maternal and child health management by objectives. All work of the implementation of maternal and child health services, and ensure the tasks completed smoothly.
(2) adhere to the correct development direction. Adhere to the "health as the center, in order to ensure reproductive health for the purpose of health care and the combination of clinical, groups and the grassroots and prevention first" policy of maternal and child health work. For women and children from birth to old age, the content covers the physical and psychological initiative, continuous health care service and health management, to strengthen the public health responsibility, outstanding community health care function, effectively implementing regional maternal and child health services.
(3) to strengthen the construction of service system. Local governments hold independent of maternal and child health services, promoting maternal and child health and family planning technical services integrated resource optimization. Full implementation of institutional standardization construction, ensure the basic business premises, basic medical equipment configuration, the implementation of the personnel and funds, equipped with professional and technical personnel, attaches great importance to the talent team construction, especially the midwife scarce talent training, etc. In-house departments set up standard, and gradually strengthen key specialty construction of women's and children's health.
(4) improve rules and regulations. Improve maternal and child health service management system, job specifications, technical standards, operation process, etc., a sound system of supervision and evaluation. Each related medical institutions to establish and perfect maternity, delivery room, pediatrics and new family planning technical service management system, standard work flow. Maternal and child health services strictly carry out the medical service of relevant laws and regulations, other maternal and child health services of medical institutions earnestly implement the work of maternal and child health care requirements, competent business departments at all levels to supervise the inspection system to carry out the situation.
(5) strengthen the daily supervision and management. Seriously implement the "maternal and infant health care" and "population and family planning law", the maternal and infant health care and family planning technical services included in the integrated supervision and law enforcement supervision and enforcement, strengthen the supervision and inspection, strict organization, personnel, and access to technology, standardize service behavior. Establish regular inspections and maternal and child health services is not regular sampling system, find the loopholes in management rules, report problems, strengthen internal management. Promoting informatization construction, improve the level of information management.
(6) improve service levels. To strengthen the business guidance of grassroots women's and children's health work, training and evaluation. Strengthen maternal and child health personnel training, to take a variety of ways to job training and continued medical education. Develop business districts maternal and child health personnel training plan and organize their implementation, strengthen the appropriate technologies and new technical training and market promotion. To carry out the satisfaction survey, to the masses as the goal, improve services, improve the service process, carrying out for the convenience of huimin service, convenient to the masses accept maternal and child health services, continuously meet the needs of the masses of maternal and child health services.
(7) to ensure the quality of service. Construction for emergency and severe cases of maternal and neonatal jurisdiction treatment center, improve the emergency treatment referral network, to ensure that the green channel unobstructed. Maternal and child health service agencies to establish the service quality and medical safety evaluation system, strengthen internal management and basic quality management, strengthen the key links and key areas, key personnel management, improve the service quality and ensure medical safety. Strictly implement the first option is responsible for, level 3 rounds, cases discussion, consultation of doctors, preoperative discussion, death case discussion, succession, such as core system, standardize medical record writing, promote the rational examination, the rational use of drugs, rational treatment. Reasonable control cesarean delivery rate, actively advocate breastfeeding.
(eight) fully accomplish the task. Reducing maternal mortality, infant mortality, children under the age of five mortality, improve the work of family planning technical service rate for free. Specification implementation of rural maternal hospital childbirth subsidy, the rural women cervical cancer breast examination, supplemental folic acid to prevent neural tube defects, the prevention of mother-to-child transmission of HIV, syphilis, hepatitis b, reduce maternal mortality and eliminating the newborn tetanus, poor areas children's nutrition improvement and neonatal disease screening for women's and children's major public health service project. Promote free pregnancy eugenics health check program, to carry out the maternal and child health management basic public health services, adjust measures to local conditions to carry out the women's and children's health and people's livelihood projects, the CRD to complete the project goals.
(9) actively accept social supervision. To the "medical institutions from personnel of course of conduct" as the key point, work hard to medical personnel professional moral and legal discipline education, to strengthen the construction of the enhancement, improve the level of medical ethics. To strengthen the health education of the masses, spread health knowledge, improve the health literacy. Fully implementing the maternal and child health service management system, by setting the suggestion box, a variety of forms such as hotline telephone and Internet mail box, clear complaint reporting channels, voluntarily accept supervision from all walks of life, constantly improve their work.
(10) to establish a good image industry. Carry forward the good professional ethics, sense of service and dedication spirit, provide the humanized service for women and children and humanistic care. Set up advanced type, to love and dedication, hard work, selfless dedication, advanced the publicity of the typical dynamics, especially promoting long-term roots, ethnic minorities and remote areas at the grass-roots level service the advanced deeds of the masses, to show the mental outlook, maternal and child health workers to shape a good image, positive energy.
Three, the implementation steps
Maternal and child health service demonstration project in county (city, area), encouraged to actively participate in the national women's and children's health around the quality service demonstration project.
Various counties (city, area) according to the job requirements and main points promoting women's and children's health service demonstration project work. Provincial and municipal family planning administrative department of public health, actively promote the demonstration project related work in the area under its jurisdiction county (city, area) to guide the inspection work. National health family planning organization for the provinces (autonomous regions and municipalities) quality maternal and child health services demonstration project to carry out the supervision of the situation.
Maternal and child health service demonstration project annual implementation. National health and family planning commission of demonstration project to carry out regular periodic summary, outstanding achievements and play an exemplary role to work of the county (city, area) for praise.
Fourth, organizational guarantee
Around the demonstrative project of maternal and child health service should be included in the government important agenda and the target management responsibility system, formulate feasible plans and measures, set up corresponding leading institutions, shall be fully guaranteed in such aspects as personnel, funds, coordinate various aspects strength, to organize and implement carefully. At the same time, the research to solve difficulties and problems existing in the work in time, strengthen the supervision inspection, strict appraisal assessment.
 
Attachment: maternal and child health service demonstration project priorities 

The national health and family planning commission
On July 2, 2014