目的 针对2012年儿童保健情况进行综合评价,横向对比分析全国31省区市儿童保健工作质量,为政策制定提供参考依据。方法 选用评价儿童保健情况的相关指标:出生体重〈2 500 g婴儿比重、围产儿死亡率、新生儿破伤风发病率、新生儿破伤风死亡率、5岁以下儿童中重度营养不良比重、新生儿访视率、3岁以下儿童系统管理率、7岁以下儿童保健管理率。运用秩和比(RSR)法综合分析儿童保健工作质量。结果 秩和比法分档排序后评价为“优”、“良”的大多数为东部经济较发达的省份,评价为“一般”、“差”的大部分为中西部经济差的地区。结论 儿童保健的工作质量水平与经济发展水平有关,政府应重视中西部地区基本公共卫生服务特别是妇幼儿童保健工作的财政投入及政策偏向。
Objective To comprehensively evaluate child health care status in 2012, horizontally compare and analyze the quality of child health care work in 31 provinces, autonomous regions and municipalities in China, provide reference basis for making policies. Methods The indexes used to evaluate child health care status included the ratio of infants with birth weight〈2 500 g, perinatal mortality, the in- cidence rate and mortality of neonatal tetanus, the ratio of children under five years old with moderate to severe malnutrition, visit rate of neo- nates, systematical management rate of children under three years old, and health care management rate of children under seven years old. RSR method was used to comprehensively analyze the quality of child health care work. Results East developed regions had high score of rank sum ratio, while middle and west undeveloped regions had low score of rank sum ratio. Conclusion The quality of child health care work is related to the level of economic development, the government should attach importance to basic public health care services in the central and western regions, especially financial investment and policy bias of maternal and child health care work.