卫生状况报告（精选10篇）

卫生状况报告 篇1

南京

南京的徐亦诺和丁雅璐同学在新街口附近以及一些社区进行实地考察，发现了一些问题。社区附近的公共厕所修建完备，但是散发着异味 ，影响过往行人的心情。许多地方的基础设施的维护也并是太好，造成环境的压力，比如建筑废料的回收与处理，建筑方的疏忽导致周边环境脏乱差，与建筑内部形成鲜明对比。不过垃圾能够分类这一点倒是做得很到位。这样既保护了环境，又培养了路人分类垃圾的意识，并且垃圾桶附近的卫生状况还不错，没有残留垃圾溢出来。

无锡

XX市的朱羽佳同学近日在无锡XX区某小区附近的大众公园对基层卫生情况进行了相关的调查。该公园提供有健身器材、篮球场、小型足球场，公园里的绿化也很好，还有一个小湖。她了解到该公园里垃圾桶很多，定点有人来清理垃圾，并且会对公园的卫生（地面及厕所等）进行清扫，然而朱仍在草丛边发现一些白色垃圾，且小湖上有很多枯树叶，这可能是公园管理人员清扫时疏忽的地方。对此，我们的组员一致认为公园管理人员应多注意容易被忽略的地方，并在公园中设立一些标牌提醒人们不要随手乱扔垃圾。

盐城

XX市的冯玥同学利用暑期时间在江苏省XX市进行了实地考察，具体考察内容为基层卫生状况，具体考察地点为XX市某辆公交车。考察基层公交车卫生状况时，我们主要针对公交车的地面，座椅，车窗，车内垃圾桶等进行观察，并辅助调查问卷形式进行考察。就具体情况来看，盐城公交车卫生状况基本良好，公交车内地面整洁，无垃圾纸屑，工作人员有经常拖扫地面；车内座椅干净，车窗明亮整洁，车内垃圾桶清理及时。通过几个乘客对调查问卷的填写，我们发现公交车常年都是卫生状况良好，市民们都很满意。

江阴

无锡江阴的陈波同学在当地进行了调查。由于近几日的连续高温天气，基层卫生情况也备受关注。她来到了XX市霞客镇南苑新建社区卫生服务站，进行实地考察。首先观察到地面卫生情况，没有纸屑等物，没有污垢比较干净。办公桌上没有灰尘，物品摆放比较整洁。垃圾桶内垃圾不多，可以看出是及时更换垃圾袋的。而供挂水者休息的病床上，换上了凉席，被子是干净并且叠放整齐的。由此看来，基层卫生状况较为良好。

通过这次实践活动，我们发现社会才是我们永远的学校，大学生应该通过接触社会了解更多外面的世界，在实践中不断地磨砺自己，丰富自己的人生，为以后的工作积累经验，实现人生价值。

卫生状况报告 篇2

根据旗人大常委会年工作安排，经主任会议研究决定，于年5月中旬至6月中旬，对全旗卫生工作进行了评议。

评议工作以监督法为依据，以调查研究为基础，坚持实事求是、民主公正、讲求实效的原则。目的是通过评议，保障与卫生工作相关的法律、法规、政策在我旗得到全面贯彻实施，促进卫生部门依法行政，提高服务质量，深化医药体制改革。

评议组在多方调查研究的基础上，充分肯定了近年来我旗卫生工作取得的显著成绩，指出了存在的困难和问题，提出了整改意见。旗政府及卫生部门积极配合，主动接受评议，认真开展自查自纠，评议工作进展顺利，取得了较好的效果。

一、评议工作的基本情况

这次评议是在旗人大常委会领导下进行的。成立了由我任组长，教科文卫工作委员会王福成主任、民族工作委员会赵文生主任和财经工作委员会张领全主任为副组长的评议工作领导小组，共有13名旗人大常委会组成人员参加了评议调研工作。整个评议工作分四个阶段进行：

（一）准备阶段。工作评议对象确定为卫生工作后，常委会办公室及时与旗政府及相关部门通报信息、沟通情况，于5月14日制定并下发了《人大常委会关于组织旗人大代表评议卫生工作实施方案》，拟定了评议工作流程表。召开了评议小组会议，统一思想，学习相关法律法规、政策和评议方案，为依法有效开展评议打下了良好的基础。5月20日评议领导小组组织召开评议工作动员大会。会上，我代表旗人大常委会作了动员讲话，旗卫生局作了接受评议并积极配合的表态发言。

（二）调查研究阶段。按照评议工作实施方案，在评议工作动员大会之后，评议组分四个小组，分别深入到全旗21个苏木乡镇办事处及相关部门进行调查走访。调查组采取听汇报、召开座谈会、查看相关资料、个别谈话、实地入户走访等方式，对年以来全旗贯彻相关法律法规、完成各项卫生工作任务等情况进行了调查。调查阶段，共召开座谈会21场次，实地走访了19所基层卫生院，征求了80余名旗乡两级人大代表的意见和建议，与30位卫生局机关干部进行了个别谈话，到旗审计局、旗监察局、旗计生局、旗药监局等相关单位了解了情况，征求了盟卫生局的意见，与旗政府分管卫生工作副旗长沟通了情况。评议期间，共发放民主测评表296份，收回296份，其中对卫生局的综合评价优秀为271份，比较优秀为20份，一般为4份，较差为1份，有33份测评表提出了意见和建议。

（三）评议阶段。调查工作结束后，评议组先后召开了三次小组会，两次碰头会，对调查了解到的情况进行认真梳理和综合分析，并经人大常委会主任会议审议，形成了评议意见。6月13日评议卫生工作评议大会召开。会上，卫生局代表旗政府报告了近两年来我旗卫生工作情况，我代表评议组发表了评议意见，旗卫生局针对评议意见作了表态发言，分管卫生工作的刘丽华副旗长代表旗政府讲话，要求全旗卫生工作者以评议工作为契机，锐意改革，进一步做好卫生工作，全面落实评议意见。评议组全体成员、旗卫生局机关干部及所属三级单位负责人、各苏木乡镇办事处分管卫生工作领导和合管办负责人、各地卫生院院长，共120余人参加了评议大会。

（四）整改阶段。旗卫生局在评议过程中对发现的问题进行了自查自纠，做到了边接受评议，边对照检查，边整改落实。评议大会召开后，卫生局制定并上报了切实可行的整改方案，已经按照方案启动整改工作。

二、评议组对近两年全旗卫生工作的评价

年以来，我旗卫生工作形势呈现出良好的发展势头，与卫生相关的法律法规和政策得到了很好落实，新型农村牧区合作医疗工作全面扎实开展，基层卫生院建设取得突破性进展，各项工作成绩显著。年我旗被自治区政府评为“新型农村牧区合作医疗工作先进旗”；年旗疾控中心被兴安盟委、行署授予“全盟社会事业管理先进集体”，被盟卫生局授予“全盟卫生系统先进集体”荣誉称号；大石寨镇卫生院被盟卫生局授予“全盟卫生系统乡镇卫生院建设与管理先进集体”；旗卫生局领导班子多次被旗委、政府评为“实绩突出领导班子”；旗医院被旗委、旗政府授予“突出贡献奖”，结核病防治所、妇幼保健所、科尔沁镇卫生院、索伦中心卫生院、哈拉黑卫生院被旗委、旗政府评为先进集体。年全盟卫生工作年终考核我旗位列第二名。几年来，我旗卫生工作所取得的成绩具体体现在以下几个方面：

（一）卫生局班子团结，勤奋务实，具有很强凝聚力和战斗力。近年来，随着国家对卫生工作重视程度的提高，对卫生事业投入的加大，卫生系统职责不断增多，工作任务越来越重。在这种情况下，卫生局领导班子，团结一心、开拓进取，不断探索在新形势下如何抢抓机遇、迎难而上，采取多项有效措施，使我旗卫生事业有了一个质的飞跃。正是在卫生局班子强有力的领导下，卫生系统广大干部职工，团结一致、奋力拼搏，一心一意谋发展，扎扎实实干工作，出色完成了各项艰巨的卫生工作任务，得到了旗委政府和上级主管部门的一致认可。在与卫生局机关干部的个别谈话中，绝大多数同志认为班子成员工作能力强，工作作风扎实，工作成绩显著。近两年来，卫生局还完善了基层领导干部公开选拔机制，28名年富力强、勤奋敬业、业务水平高、有丰富临床经验和较强管理能力的干部，充实到三级单位和基层卫生院，三级单位和基层卫生院班子建设得到有效加强，全旗卫生系统整体领导水平又上了一个新的台阶。

（二）加大投入，公共卫生基础设施建设发展迅猛。自年起，我旗抢抓机遇争取到国家拉动内需项目资金1395万元，地方配套1755万元，争取到中央财政预算内用于农村牧区卫生服务体系苏木（乡镇）卫生院专项建设资金360万元，地方配套70万元，争取到自治区政府投资卫生院专项资金113万元，用于新址旗医院建设和各苏木乡镇办事处卫生院基础建设。两年多来，旗新址医院和基层卫生院基础设施建设取得突破性进展。全旗各苏木乡镇办事处的卫生院，在基础设施建设和添加诊疗设备上的投入均超过50万元，大石寨镇卫生院达300余万元。现各基层卫生院外部环境和诊疗设施大为改善，b超机、x光机、心电图机等大部分旧的诊疗设施得到更新，有的还添置了彩超仪、万能手术台、胃镜等先进设备。纵向比较起来，有的卫生院条件可以说是发生了天翻地覆的变化。基础设施和诊疗条件的改善，为全面落实新型农村牧区合作医疗制度创造了条件，基层卫生院充分发挥地缘和政策优势，患者数量大幅上升，效益都不同程度有所增长。

（三）扎实推进，新农合工作取得显著成绩。全旗新农合工作开展得比较扎实，有效缓解了农牧民无钱看病、因病致贫、因病返贫等问题，群众满意度很高。一是参合率逐年上升。年参合率为86.72%，年参合率为91.48%，、年参合率均达到了96%以上，有部分乡镇达到了100%。二是核销手续逐年简化。参合农牧民在盟内定点医院就医，实现了现场核销。三是核销比例和补偿资金额度逐年增长。自年实施新农合制度至今，先后两次对管理办法部分条款进行调整。降低了起付线，封顶线由初的10000元提高到了45000元；提高了补偿比例，乡级、旗级、旗外各段分别提高了15%，10%，5%；提高了阑尾炎、剖腹产等5种单病的补偿标准，把尿毒症、肺结核2种慢性病列入大病补偿范围，扩大了受益面。

（四）加强管理，公共卫生服务水平有效提升。一是旗医院加强人才培养，有效提高了管理和服务质量。旗医院在地区处于夹缝中生存的状态，每年财政拨款只有300万元，只占人员工资的21%。在这种情况下，旗医院不等不靠，自筹资金购置先进诊疗设备，同时积极筹措资金加强基础设施建设。旗政府新址医院的住院、病房、医技楼正在紧张施工中，预计今年10月份竣工使用。计划投资1080万元，在原旗医院旧址新建6000平方米的住院病房楼，缓解患者住院紧张的矛盾。二是基层卫生院诊疗水平大幅提高。各基层卫生院以“医院管理年”活动为契机，通过强化岗位职责，实施效益工资制度、单病种高限价制度、医德医风考核制度、公开服务制度，开展“礼仪培训”等方式，抓管理、提内力，服务水平和能力显著提高。三是医疗机构服务意识提高、服务方式改进。在实现现场核销基础上，部分基层卫生院通过先垫付后核销等办法，有效缓解了贫困参合群众的就医困难。如：大石寨镇卫生院，对五保户实施医疗救助，发放惠民手册减免检查诊疗费用，贫困群众由村干部担保可以挂账就医；保门卫生院开展了送医送药下乡活动；树木沟卫生院开展了为孤寡老人送医送药等活动。四是妇幼保健工作扎实开展，住院分娩率接近100%，开展了免费婚检业务，计划免疫工作得到很好落实。四是结核病控制成果得到了巩固。各医疗单位认真落实归口管理工作制度和国家对结核病人治疗的优惠政策。评议组所到各地，肺结核病例报告率均达到了100%，患者全部得到了妥善的管理或转移治疗

（五）严格执法，公共卫生安全保障能力明显加强。一是以学校食堂和食品加工、零售企业和摊点为管理重点，疾病预防控制和卫生监督职能得到强化。年对食品行业1992户、公共场所行业469户和餐饮食堂59户进行监督管理。对不合格食品、三无食品进行销毁处理，共销毁263公斤。对餐饮业实行季监督，有效提升了食品经营单位的服务水平，保证了食品安全，近几年我旗没有发生重大食物中毒事件。二是加大医疗市场的监督力度，打击各种形式的非法行医活动。年共出动监督员40人次，出动车辆20余台次，对各卫生院和286个村卫生室以及72户药店进行了全面的检查，对6起群众举报的非法行医行为进行了处罚。三是建立了高效、通畅的公共卫生事件应急体系，增强了突发公共卫生事件应对能力。为预防各种传染病爆发流行，卫生部门通过深入宣传，全面落实接种工作，改造病房属性等措施，有效防止了聚集性和爆发性疫情的发生。甲型h1n1流感、手足口病、布病、艾滋病、鼠疫等传染病得到了有效控制，较好地完成了计划免疫工作。

三、存在的困难和问题

（一）领导力量不足，专业技术人员缺乏。一是旗卫生局领导力量不足。旗卫生局承担着全旗医疗卫生事业和旗、乡、村三级公共卫生服务体系的规划、指导、监管和服务等各项职能，近几年又新增了新型农村牧区合作医疗、女性健康保健等工作，工作量大幅增加。现卫生局领导职数为一正两副，旗疾控中心（准局级单位）领导职数只有一人，领导力量明显不足。二是卫生系统专业人员紧缺，卫生事业发展缺少人才支撑。各地基层卫生院，由于受体制、待遇和工作环境等因素的限制，医疗技术人才极度匮乏，在职医务人员学历、职称不高。偏远乡镇卫生院和村卫生室医务人员年龄老化，部分卫生院靠外聘医生维持，人才断层情况严重。保健、结防等工作也急需配备专业人才。三是新农合工作人员紧张。随着新农合工作的不断深入，工作业务量不断增加，旗乡两级新农合工作人员都很紧张。新农合政策的实施是在乡镇机构改革之后，乡级合管办工作人员均由各苏木乡镇办事处自行调剂解决，多数是身兼数职，无法将全部精力投入到新农合工作中来。有的地方由大学生村官抓新农合工作，不符合选聘大学生村官的相关要求。

（二）经费不足，制约卫生事业发展。一是基层卫生院负债多。近两年来，我旗抢抓机遇争取到国家和自治区项目资金，各地卫生院基础建设力度都很大，但由于资金数额有限，地方配套资金不足，绝大多数卫生院都有欠债，部分卫生院负债超百万。二是财政对基层卫生院下拨经费少。据了解，旗财政年以前下拨卫生院的全部经费占人员档案工资的11.8%，年占21%，年占39.8%，虽逐年提高但仍低于盟里要求的60%。经费不足直接导致基层卫生院职工平均工资偏低，平均每月约为1300元，部分防保人员低工资只有每月600元，影响了从事公共卫生服务的医务工作者的积极性。三是新农合工作经费不足。旗合管办历年经费均没有达到标准，基层合管办年没有下拨经费，工作开展受到制约。各地卫生工作者和人大代表均反映，经费投入不足已经严重影响到我旗卫生事业的发展。

（三）管理体制和运行机制存在缺陷，行风建设有待加强。旗卫生局作为我旗卫生工作行政主管部门，虽然做了很多卓有成效的工作，但由于体制机制等方面的原因，在近两年的公民评政中名次仍然靠后。对此，评议组给予了重点关注。在调查期间，人大代表和群众对以下几个方面的反映比较强烈。一是卫生院药价高，看病贵；二是办理健康证程序繁琐、办理周期长，个别工作人员服务态度不好；三是新农合制度在保障慢性病、多发病的治疗上作用发挥不明显；四是部分群众对新农合大病救治基金提取额由5元调整到10元不理解、不认可。

在深入调查研究的基础上，评议组认为，卫生局在公民评政中名次靠后，很大程度上是由于医药卫生管理体制机制的影响，但自身管理和服务上存在的问题也不容忽视。一是医疗机构管理体制和运行机制存在缺陷。目前，基层卫生院属于差补单位，并不是完全的公益性医院，但却承担着计划免疫、妇幼保健、传染病防治等很多公共卫生服务职能，要维持日常经费开支，又要保证防保、后勤等人员的工资和养老保险等待遇兑现，还要解决自身生存和发展的经费，资金缺口很大。由于财政投入不足，这个资金缺口主要靠医疗卫生服务收入来弥补，形成了“以药养医”、“以医养保”的局面。加之医院实施效益工资，个别卫生院和医生为追求效益，导致高药价、“大处方”和“小病大治”现象的产生。二是药品和医用器材生产流通秩序不规范。与一些个体药店相比，由于卫生院购入药品和医疗器材的渠道和方式不同，药价中含有17%的税款等原因，药品的基础价格相对较高。三是群众对新农合工作的期望值很高。新型农村牧区合作医疗制度自年开始实施，国家和地方各级政策还没有定型，各项工作措施还处于不断摸索逐渐完善的阶段，基金提取比例、诊疗费核销比例、药品目录范围，历年均有不同程度变化，这给旗乡村三级经办机构在宣传上增加了很大的难度。新农合对于诊疗合理性的监督管理手段还不是很丰富，存在门诊基金沉淀现象。四是卫生部门行政审批程序和方式还不够优化，部门间协作机制还需加强，相关部门“朝九晚五”的作息制度还达不到方便群众的要求。

（四）其他困难和问题。一是旗内治疗结核病无场地。多年来，我旗没有自己的结核病防治中心，以租住场地勉强维持，已经引起了临近居民的迁移诉求。目前国家无此类项目资金可以争取，但验收要求却很高。二是发展面临窘境。我旗原有9个制剂厂，现只剩等5个制剂室，且多数不能达到相关生产要求。使在基层卫生服务体系中逐渐萎缩，牧区医务工作者和患病群众对此反应强烈。三是爱国卫生工作职责需进一步明确。以前卫生局有爱国卫生运动办公室，现在已经撤销，但卫生局仍然负有指导职责，与各地政府共同承担此项工作，导致工作责任主体不够明确，环境卫生脏、乱、差现象有复发倾向。四是新的《食品安全法》颁布后，旗政府没有按照相关规定对卫生、药监、工商、质监等部门进行重新分工，在管理、执法过程中存在职能交叉、管理缺位等现象。五是旗卫生监督所参照公务员管理工作尚未理顺，工作人员情绪不稳定，工作积极性受到很大影响。六是卫生监督和医政管理工作还需加强。据各地卫生院和计生部门反映，有个别旗外医疗机构，以发放治疗优惠卡片、免费体检、免费接送等诱导农牧民群众到其指定门诊就医，并通过虚夸病情，甚至是“无病治病”骗取高额医药费。部分群众不明真相，上当受骗时有发生。这些医疗机构不是新农合定点单位，导致医药费无法核销，引发了很多矛盾。另外，这些医疗机构还非法为育龄妇女摘取节育环，给计生部门准确掌握基础信息造成困难。虽然各地政府和卫生部门通过加强宣传引导等措施，竭力遏制此类事件发生，但其活动仍然很猖獗。

卫生状况报告 篇3

general health issues

a global strategy on occupational health was formulated， and country activities supported. guidelines and monographs were produced on such subjects as the health implications of occupational exposure to organic dust and sensitizing agents as well as selected metals， solvents and pesticides. since 1976 who has evaluated the health risks posed by exposure to some 200 industrial chemicals and other substances. an international collaborative oral health research initiative is being set up in collaboration with the international dental federation among others. an international action network was established on noma and other mutilating diseases and accidents of the face. significant progress was made in meeting the rehabilitation needs of the 35 million persons with disabilities in africa， using the community-based district health approach. who"s global data on blindness were updated. training and research in this field is supported by who jointly with ngos. quality standards were prepared for small-scale manufacturers of intraocular implants used in cataract surgery.

as a part of activities to promote healthy lifestyles， a school health education resource centre and databases were established as well as two regional networks of health promoting schools. the regions for health network in europe was expanded to include 20 regions. national tobacco control programmes are supported. recent winter olympic events have been smoke-free， thanks to collaboration between the international olympic committee and who.

who provides countries with information and guidelines on the organization of health systems based on primary health care. technical guidance is given on the formulation of new health policies and strategies and the reorganization of health care financing systems.

who promotes information exchange between countries in relation to the development of human resources for health. it has launched an initiative to determine optimum approaches to the training of health personnel under changing socioeconomic conditions. reviews of public health training and medical education are supported. fellowships are provided for training in many health and related fields. national， regional and interregional action plans for upgrading nursing and midwifery practice are being drawn up through a network of who collaborating centres.

in the field of pharmaceuticals guidelines for drug prescribing are being expanded. national systems for drug registration， surveillance and quality assurance are being established in a number of countries with who collaboration. the who model list of essential drugs is being revised and updated. working with bilateral agencies， other united nations bodies and ngos， who collaborates with 55 countries in framing national policies in such areas as drug selection and legislation. operational research is carried out on the rational use of drugs. guidelines， tools and training materials have been prepared on many aspects of drug management.

the who global commission on women s health has drawn up an agenda for action relating to women， health and development. under the auspices of the commission， a scheme to provide credit and banking facilities to the most vulnerable and disadvantaged is being implemented in africa. at the 1994 international conference on population and development in cairo， who played a key role in helping to reach a consensus and transcend political and religious differences. this was made possible by the organization s medical and ethical credibility and its inclusive approach to health.

together with undp， who promotes recognition of health and environment concerns in national plans for sustainable development and has given financial and technical support to six countries for this purpose. who has been designated task manager for the "health chapter" of the 1992 united nations conference on environment and development (unced). in collaboration with several united nations bodies it has prepared a progress report on health， environment and sustainable development， stressing the importance of reform with respect to community development， environmental health， national decision-making and national accounting. materials produced by who included guidelines on the operation of poisons control facilities， 15 health and safety guides， and over 200 international chemical safety cards providing basic information on the diagnosis and treatment of poisonings. training and research on the broad topic of health and environment are supported.

who worked with 26 countries in greatest need in planning and implementing health reforms as part of an overall effort for strengthening of national managerial capabilities. a third report on progress towards health for all by the year 2000 was prepared for submission to the who governing bodies in 1995. research on health futures was organized; and assessment of the global health situation and trends in priority diseases and conditions continued. a total of 184 nongovernmental organizations are now in official relations with who. the growing awareness among member states of the need to improve health care delivery systems， and a notable interest on the part of the world bank to promote improvements in the social sector， provided a timely opportunity to forge closer links between who， the bank and governments. collaboration was also strengthened with the five major regional development banks. the traditional good working relations with unicef， unfpa， fao， ilo and unesco continued.

who continues to strengthen national capacity for emergency preparedness and relief. technical expertise and emergency medical supplies were provided to a number of countries including afghanistan， angola， burundi， iraq， rwanda， somalia， sudan and some new independent states in 1994. who cooperated closely with the european union on assistance for the countries of former yugoslavia. ten joint missions were undertaken with wfp for the organization of food aid in support of human resources development.

handbooks and guidelines in different fields of health technology were produced. progress was made in developing portable laboratory instruments， solar-run equipment and other types of appropriate technologies.

up-to-date， authoritative health information is provided to all member states through a large number of publications， a series of widely-distributed periodicals， electronic networks and library services. who facilitates access by countries to a number of databases containing information on such subjects as communicable diseases and hiv/aids. for many health workers in developing countries， who materials are often the only source of reliable information on health.

charting the future

by the end of the 20th century we could be living in a world without poliomyelitis， a world without new cases of leprosy， a world without deaths from neonatal tetanus and measles， a world without dracunculiasis. in 1993 measles killed nearly 1.2 million children and infected more than 45 million; poliomyelitis killed 5 500 children and as of that year 10 million people were disabled; leprosy killed 2 400 people and infected 600 000; neonatal tetanus killed 560 000 newborn babies; dracunculiasis infected 2 million people.

by the end of the century maternal mortality could be half what it was in 1993， when more than 500 000 women died in childbirth. infant mortality rates could be no higher than 50 per 1 000 live births. at least 70 countries had higher rates than this in 1993. by 2000 mortality of children under 5 years could be no more than 70 per 1 000 live births. at least 60 countries had higher rates than this in 1992. we could be living in a world where less than 10% of babies are born weighing under 2.5 kg. in 1990， 17% of babies were born below this weight. for babies born at the beginning of the 21st century life expectancy could be at least 60 years in every country of the world. in 1993， 50 countries were below this target.

in the year 2000 at least 85% of the world s population could be within one hour s distance of medical care. in 1993， about 1 billion people had no access to local health services within a one-hour journey. deaths from malaria could be cut by a fifth in at least 75% of affected countries; the number of deaths and new infections from tuberculosis could be substantially reduced; the number of new carriers of hepatitis b could fall by 80% as a result of childhood vaccination; deaths from heart disease in people aged under 65 could be reduced by at least 15%; all pregnant women could have proper care.

the year 2000 could see a world where malnutrition among children under 5 years will fall by 50%; where micronutrient deficiencies from vitamin a and iodine will be eliminated; where the prevalence of iron deficiency anaemia in women of childbearing age will be reduced by 33%; and where 85% of the population will have access to safe water and 75% to safe sewage disposal.

these are neither utopian goals nor na?ve wishes for a perfect world. they are achievable - provided the world cares enough and the necessary resources are made available. who sees four main priorities for action in the future.

the first priority is to ensure "value for money" by using the available resources as effectively as possible and redirecting them to those who need them most. the aim is to create self-help environments in which men and women can solve their own problems， establishing and sustaining a development process that will ensure a brighter future for their children.

the second priority is poverty reduction through better health. investing in health saves money as well as lives. it must be accepted that expenditure on health is not a drain on national resources but a prerequisite for economic and social progress. poor health inhibits an individual s ability to work， reduces earning capacity and deepens poverty. poverty should thus be tackled on two fronts: one to meet people s basic minimum needs including access to health services， housing and education; the other to provide opportunities for people to earn their way out of poverty through better health and increased productivity. in addition to the economic aspect there is another side to poverty which must be corrected - social discrimination and low status for some groups， particularly women.

the third priority relates to public health policy， which in the decade of the 1990s has been influenced not only by the health-for-all movement， with its emphasis on equity， but also by political and economic changes in the world at large. at the same time it is recognized that ensuring equal access to health care， a traditional goal of public health authorities， will not necessarily reduce gaps in health status insofar as disease is determined by individual behaviour and by the working and living environment. any genuine improvement in health will thus call for integrated， intersectoral action in addressing all the determinants of ill-health. the training of health professionals will have to be reoriented accordingly.

the fourth priority is to strengthen national capabilities for emergency relief and humanitarian assistance in the health sector. the new policy of "emergency management for sustainable development" will provide a bridge between relief work and development proper， the aim being to reduce human suffering and economic loss due to epidemics， complex emergencies and mass population displacements.

the health problems of the future are awesome. yet much can be done to tackle them with what we know already. in order to succeed the world will have to care more， and try harder， but the situation is not hopeless. martin luther king， writing about the civil rights struggle in the united states in the 1960s， said:"we shall have to repent in this generation， not so much for the evil deeds of wicked people， but for the appalling silence of the good people".

today， as a new generation approaches a new century， it is time for the appalling silence over global health inequities to be broken.

the evolution of who

the first world health assembly， held in june 1948 and attended by 53 delegates from who"s 55 member states， approved a programme of work that listed its top priorities as malaria， maternal and child health， tuberculosis， venereal diseases， nutrition and environmental sanitation.

today， 47 years later， in spite of significant improvements in human health， great burdens of suffering and disease are still with us. half a century of lessons learned in eradicating and controlling diseases， expanding health care coverage and making the best use of available resources have guided the world community， including who， on the way to further progress.

the need for a world health organization

at the end of the second world war the majority of the world"s people were still living in extreme poverty and suffering from chronic malnutrition， communicable diseases and parasitic infections to name a few. many existing health services were severely disrupted and huge segments of the population were excluded from them. the imperative need was therefore recognized for a new world body capable of grouping resources for health， concerting health goals and providing a forum for the exchange of health information. the result was the setting up by the united nations of a specialized agency to fulfil that need - the world health organization.

declaring war on disease

who"s first two decades were dominated by mass campaigns to control diseases such as leprosy， malaria， smallpox， syphilis， tuberculosis and yaws. between 1950 and 1965， for instance， 46 million patients in 49 countries were successfully treated with penicillin against the tropical disease yaws， making it no longer a significant public health problem in most of the developing world. by 1955 the number of malaria cases worldwide had dropped by at least one-third; but by 1970 eradication of the disease was seen to be impracticable.

the same was not true of smallpox. an eradication campaign that began in 1966， when up to 2 million people a year were dying of smallpox， ended in 1980， when the disease had disappeared from the face of the earth.

these mass campaigns against single diseases gave way to who"s expanded programme on immunization aimed at protecting by the year 2000 all children against six vaccine-preventable diseases - measles， diphtheria， pertussis， tetanus， poliomyelitis and tuberculosis. global coverage with the vaccines reached its peak in 1990， when the goal of immunizing 80% of all children by the age of 1 year was achieved. the long-term goal of the multiagency children s vaccine initiative， launched in 1990， is to achieve a world in which all people at risk are protected against vaccine-preventable diseases， if possible by means of a single procedure.

health for all

in 1979 the world health assembly unanimously endorsed the declaration of alma-ata， which stated that primary health care was to be the key to attaining the goal of health for all by the year 2000.

consequently global targets for health were established and have since been the norms against which all health development efforts have been measured. the strategy of health for all has been endorsed at the highest political level， but a gap remains between what is preached and what is practised.

setting the standards

the establishment of standards in such fields as vaccines， drugs and laboratory tests has been a permanent part of who"s work. the who expert committee on biological standardization has met every year since 1951 to formulate standards which are recognized worldwide. the scientific credibility of who provides a guarantee that everyone accepts.

training physicians， raising the standards of medical schools in developing countries and helping countries organize schools for nurses and midwives has also been a permanent feature of who"s work. the concept of primary health care has switched much of the emphasis to training directed towards a wide range of health care workers at community level， particularly in developing countries， rather than towards health professionals as such.

the way ahead

who"s general programmes of work， now covering periods of six years， set out principles and policies for the functioning of the organization. they also provide a framework for detailed workplans and budgeting. over the years the programmes have responded to， and often anticipated， the major health concerns of member countries. the ninth programme (1996-2001) fixes goals and targets for who"s global health action. it focuses on lessening of inequities in health， control of rising costs， the eradication or elimination of selected infectious diseases， the fight against chronic diseases， and the promotion of healthy behaviour and a healthy environment.

the challenge for the future is to mobilize who"s member states to adopt policies and plans that will guarantee the provision of comprehensive integrated health services for all.

卫生状况报告 篇4

农贸自由市场又称农贸市场，或自由市场，是指在城乡设立的可以进行自由买卖农副产品的市场。

国以民为本，民以食为天，食以安为先。 随着人们生活水平的不断提高，食品种类的多样化，食品数量的不断增加，食品安全问题就显得尤为重要，农贸市场则是人们获取食物的重要场所，农贸市场和里面的各类蔡的卫生状况直接影响人们的身体健康。所以我们食品安全宣传实践服务 健康卫士 就对方家村农贸市场进行了一次实地调查!

方家村农贸市场所在地方家村社区基本情况

方家村始建于1930年8月1日，占地面积2平方公里，社区xx年5月14日被区政府批准为方家村社区居民委员会。它位于国家级开发区 西安经济技术开发区 北部，省重点工程 高教园区 西侧，西安绕城高速公路南面。西安商业街交通便利，居民与学生流动量日趋增大，有学在方村，立于方村之称。西侧紧连西安市政府规划落实的1.73平方公里大型居住区(经济适用房)，居住人口约9万余人，东邻陕西省最大的高教基地，面积10.29平方公里，教职员工、学生15万余人。黄金地段属西安市副城区之一，规划人口65万余人，市场前景广阔。而方家村农贸市场则位于方家村社区的南部!

方家村农贸市场的设施情况

方家村农贸市场始建于xx年，当时农贸市场的设施比较简陋，摊位也比较少，农贸市场外没有现在的各种食品店面。据我们从农贸市场管理人员处了解到，当时农贸市场的卫生设施也没现在的好，来买菜的多数是本地人。

但20xx年时，按西安市农贸市场提升改造的要求，方家村社区投入资金100多万元对农贸市场进行了升级改造，改造之后的方家村农贸市场宽敞明亮，大大改善了顾客的购物环境，原来简陋的棚架不见了，取而代之的是一个个干净整洁的瓷砖柜台。全新的方家村农贸市场已于20xx年11月26号正式开门营业。我们采访了一位正在买菜的方家村居民，她表示新的农贸市场不仅更卫生而且更漂亮了，

有一种逛超市的感觉。

现在的方家村农贸市场共建有147个摊位，其中蔬菜摊82个，肉类摊30个，家禽摊3个，海鲜摊11个，冷冻摊8个，豆制品摊6个，干货摊4个，水果摊3个。还有其他店面72个。

另外，我们还在市场门口看到有检测室和称量室，通过与值班室人员的交流我们了解到，市民们如果买到一些食品后怀疑有卫生问题可到检测室进行检测，这样就对该农贸市场的食品卫生起到监督作用。

方家村农贸市场和其农副产品的卫生情况

正如我们采访的那位居民说的那样，现在在方家村农贸市场里买菜好像在逛超市一样。在方家村农贸市场里，同期设施建造得很好，空气较清晰，闻不到那些难闻的异味。走道基本都是干燥的，看不到瓜果菜叶等垃圾。农贸市场配有专门的灭蝇设施，抑制了病毒细菌通过苍蝇传播。

我们在市场入口处的电子 蔬菜农药残留检测结果公示表 上看到市场里的所有菜都已通过检测合格。我们在值班室里了解到各类菜的检测合格率为98%，而已经在市场里销售的菜市通过检测的。我们也观察到农贸市场里的瓜果蔬菜确实较为新鲜，一般畜肉食品的颜色气味外观都属于正常，但部分海产品还存在一些问题，主要是海产品本身带有一定鱼腥味加之天气较为炎热，招来苍蝇和蚊虫，不过许多商贩都采取了一定措施，都能保证海产品的安全合格。总体可得方家村农贸市场的卫生状况良好!

我们的建议

农贸市场的垃圾箱应及时清倒，以免带来异味，引来苍蝇。

农贸市场的管理人员应多去市场里检查检查，发现不卫生或过期的食品应及时消除。

农贸市场清洁工人应随时清除市场走道角落里的垃圾。

部分蔬菜摊位的残叶应及时清理。

部分海鲜摊位应及时更换水桶里的水。宰杀鱼后留下的鳞片等应及时清理干净。

部分家禽摊位应注意通风，定时检测家禽的情况。

总结：通过 健康卫士 一上午的调查可得，方家村农贸市场的卫生情况良好，农副产品卫生状况良好，无农药残留、食品过期等状况，在销售的产品都已经过检测并合格，市民可放心使用。

卫生状况报告 篇5

区创卫办：

为了解广大人民群众对市区卫生状况的客观评价，改善xx区人居环境，全面提高创卫水平。根据创卫工作要求，xx区统计局于近期20xx年11月20日至11月25日组织开展了20xx年城区卫生状况群众满意度调查。调查结果显示：95.22%的被访者对我区开展的创卫工作表示满意，另外4.78%的被访者表示基本满意，希望市区的环境卫生状况能有更大的提升。现将具体情况报告如下：

一、调查的组织实施

关于城市卫生状况群众满意度调查报告关于城市卫生状况群众满意度调查报告

为确保调查质量，区统计局按照抽样调查的相关要求制定了《xx区20xx年城市卫生状况群众满意度调查工作方案》。调查对象为城区10个样本社区(村)年龄在16周岁以上人口，样本量核定为500户。

本次调查全部采用问卷形式，以调查员入户、入单位、入宾馆组织填写问卷调查为主，辅以少量的随机拦截式现场发放问卷调查。要求由调查对象直接填写调查问卷后，再由调查员收回，对不便填写的`调查对象可采用调查员访问记录的办法进行。

调查主要包括如下几个方面的内容：市民对创卫的了解、支持情况，市民对城区环境、公共场所卫生、交通管理、食品卫生、城市绿化、除四害效果等各方面情况评价，市民对当前创卫工作的总体评价，市民对当前创卫的意见或建议等，共四大项，19小项。

二、调查结果

根据调查数据显示，市民群众对我区开展的创卫工作总体评价较高，95.22%的受访群众对我区的创卫工作表示满意，市民对创卫活动知晓度也很高，所有受访者都表示知道我们的创卫工作或对创卫工作有所了解，对创卫工作亦非常支持，支持率为94.4%。但群众对我市设立的卫生问题投诉热线知晓率偏低，有26%的受访对象表示不知道政府的卫生投诉热线，有关部门在这方面应加大宣传，让更多的群众能参与到我们的创卫工作中来。

从分项来看，市民对市区各方面环境卫生状况评价较高(满意或较满意)的为：健康教育宣传(96.8%)，饮水卫生(95.8%)，城市三化(95.6%)。市民对市容环境、除四害效果、公厕卫生、城郊卫生、市场卫生的总体评价也有了很大提升，满意率分别为：93.82%、93.63%、93.63%、91.83%、90.84%。受访者对交通状况、餐饮卫生和内河卫生状况满意程度相对较低，排在最后三位，满意率分别为：84.26%、85.46%、86.45%。市民希望政府能加强河道治理、交通秩序与车辆停放治理与餐饮店卫生监督、管理，营造更加良好的生活环境，使市民在日常休闲、饮食与通勤方面能有更加优越的体验。

根据调查结果，我们建议：

1、加强老大难问题的解决力度。内河整治与交通问题是市民关心的重点与难点。有关部门应加强执行力度，实行长期有效的整治。

2、加强对食品安全的监管。食品安全是民生之本，从源头开始就要严格把关。另外无证经营的小摊小贩也要加强监管力度。

3、继续加大对创卫工作的宣传力度，弘扬倡导文明行为，全面提高市民整体素质。

树立创卫不是一时应付，而是造福受益的观念。

卫生状况报告 篇6

一、高沙农贸市场所在地高沙社区基本情况

高沙社区原名高沙大队，始建于1930年8月1日，占地面积2平方公里，社区XX年5月14日被区政府批准为高沙社区居民委员会。它位于国家级开发区“杭州经济技术开发区”北部，省重点工程“高教园区”西侧，杭州绕城高速公路南面。高沙商业街交通便利，居民与学生流动量日趋增大，有学在下沙，生活在高沙之称。西侧紧连杭州市政府规划落实的1.73平方公里大型居住区（经济适用房），居住人口约9万余人，东邻浙江省最大的高教基地（杭州下沙高教园区），面积10.29平方公里，教职员工、学生15万余人。黄金地段属杭州市副城区之一，规划人口65万余人，市场前景广阔。而高沙农贸市场则位于高沙社区的南部！

二、高沙农贸市场的设施情况

高沙农贸市场始建于XX年，当时农贸市场的设施比较简陋，摊位也比较少，农贸市场外没有现在的各种食品店面。据我们从农贸市场管理人员处了解到，当时农贸市场的卫生设施也没现在的好，来买菜的多数是高沙本地人。

但xxxx年时，按杭州市农贸市场提升改造的要求，高沙社区投入资金100多万元对农贸市场进行了升级改造，改造之后的高沙农贸市场宽敞明亮，大大改善了顾客的购物环境，原来简陋的棚架不见了，取而代之的是一个个干净整洁的瓷砖柜台。全新的高沙农贸市场已于09年11月26号正式开门营业。我们采访了一位正在买菜的高沙居民，她表示新的农贸市场不仅更卫生而且更漂亮了，有一种逛超市的感觉。

现在的高沙农贸市场共建有147个摊位，其中蔬菜摊82个，肉类摊30个，家禽摊3个，海鲜摊11个，冷冻摊8个，豆制品摊6个，干货摊4个，水果摊3个。还有其他店面72个。

另外，我们还在市场门口看到有检测室和称量室，通过与值班室人员的交流我们了解到，市民们如果买到一些食品后怀疑有卫生问题可到检测室进行检测，这样就对该农贸市场的食品卫生起到监督作用。

三、高沙农贸市场和其农副产品的卫生情况

正如我们采访的那位居民说的那样，现在在高沙农贸市场里买菜好像在逛超市一样。在高沙农贸市场里，同期设施建造得很好，空气较清晰，闻不到那些难闻的异味。走道基本都是干燥的，看不到瓜果菜叶等垃圾。农贸市场配有专门的灭蝇设施，抑制了病毒细菌通过苍蝇传播。

我们在市场入口处的电子“蔬菜农药残留检测结果公示表”上看到市场里的所有菜都已通过检测合格。我们在值班室里了解到各类菜的检测合格率为98%，而已经在市场里销售的菜市通过检测的。我们也观察到农贸市场里的瓜果蔬菜确实较为新鲜，一般畜肉食品的颜色气味外观都属于正常，但部分海产品还存在一些问题，主要是海产品本身带有一定鱼腥味加之天气较为炎热，招来苍蝇和蚊虫，不过许多商贩都采取了一定措施，都能保证海产品的安全合格。总体可得高沙农贸市场的卫生状况良好！

四、 我们的.建议

1、农贸市场的垃圾箱应及时清倒，以免带来异味，引来苍蝇。

2、农贸市场的管理人员应多去市场里检查检查，发现不卫生或过期的食品应及时消除。

3、农贸市场清洁工人应随时清除市场走道角落里的垃圾。

4、部分蔬菜摊位的残叶应及时清理。

5、部分海鲜摊位应及时更换水桶里的水。宰杀鱼后留下的鳞片等应及时清理干净。

6、部分家禽摊位应注意通风，定时检测家禽的情况。

总结：通过我们“健康卫士”一上午的调查可得，高沙农贸市场的卫生情况良好，农副产品卫生状况良好，无农药残留、食品过期等状况，在销售的产品都已经过检测并合格，市民可放心使用。

这一次调查只是我暑假实践中一次小小的实践，我要做的还有很多，不过这些都不是最重要的，我相信我会在今后的实践工作中做的更好，相信自己的能力一定能够做到，这是最起码的，我相信我会在实践中学到更多！

卫生状况报告 篇7

为了解和掌握我县农村医疗卫生状况，研究解决存在问题和解决问题的办法，根据县委批转的《县政协x4年工作要点》安排，县政协教文卫生委员会组织部分委员和卫生、药监等部门领导，于x4年6月28日到30日对大桥、渣津、溪口、漫江、征村、西港6个乡镇的卫生院开展调研，通过听汇报、查资料、填表格和召开座谈会等形式进行了认真的了解，现将调研了解的情况报告如下：

一、农村医疗卫生状况改革开放二十余年来，我县农村医疗卫生事业在县委、县政府的重视和领导下，取得了一定的成绩：

㈠加强领导，建立了农村医疗卫生网络

一是加强了领导，职责分明。县委、县政府极为关注农村卫生工作，县政府在财政极其困难的情况下，拨专款50万元支持县二医院住院大楼建设。全县卫生工作实行局长负总责、副局长分线管理，乡镇卫生院推行竞聘上岗的"院长负责制，权责分明，管理严密，出现了何宗福、朱铭金等爱岗敬业，精于管理的卫生院负责人。各乡镇对农村卫生工作也抓得很紧。多数成立了乡（镇）长为组长，分管乡（镇）长、乡（镇）卫生院院长为副组长，乡（镇）卫生院、司法所、派出所、中、小学为成员单位的公共卫生工作领导小组，组织健全，联络制度完善。乡（镇）党政领导为建设农村公共卫生身体力行，献计出力，如大桥镇政府在有限经费中挤钱帮助医院购置医疗设备，溪口镇书记曹学进经过深入调查研究撰写发展溪口农村医疗卫生的调研报告，副镇长韩新苗在全镇推行“定时定点防疫”办法。一次次到陈坊、包家庄等偏远村动员……正是因为有了党政的重视支持，我县农村医疗卫生才有今天长足的发展。

二是层次明晰，网络较健全。基本形成了县人民医院、中医院为龙头，乡镇卫生院为枢纽，村级卫生所为

“大卫生”意识，改变“重治轻防”观念，增加卫生投入。

6、积极宣传，主动推行新型农村合作医疗

新型农村合作医疗是党中央、国务院以满足不同层次的医疗卫生要求，从整体上提高农民的健康水平和生活质量为目的，实践“三个代表”的重要举措，有利于加大农村卫生投入，发挥市场机制的作用，优化卫生资源配置，逐步缩小城乡卫生差距，它已在全国数个省市推行并取得了经验和成绩，得到广大农民的拥护，我县此项工作已经开始运作，请县委、县政府继续重视和加强领导，让农村新型合作医疗在我县开展起来。

卫生状况报告 篇8

调查对象：环城湖是我们聊城的一颗明珠。为了更好地保护环城湖，我们对环城湖卫生情况进行了调查。

调查时间：

调查地点：环城湖畔

调查人员：

调查内容：环城湖水面污染情况

调查过程：

下午三点，我们带好装备在张心辉家门口集合。我们首先来到环城湖西北角，沿着湖畔向南走去，湖面很干净，只是远处偶尔飘着几个饮料瓶或者塑料袋。我们走到金龙广场，又向东走向双拱桥。站在桥顶向湖面望去，湖面非常干净，没有看到垃圾，一些老人在湖边放风筝，一些小朋友在湖边追逐嬉戏，我们继续向东走，走到北关桥附近时，看到一个垃圾站，几名环卫工人正在处理垃圾，周围空气中充斥着难闻的气味。我想起平时我们上学时这里就总散发出难闻的气味，我们总是掩鼻匆匆而过。然后我们顺着前面的小路来到楼北大街路东几家饭店的后面，哪里堆放着一些垃圾。阿姨还发现了一个排向湖面的`排污口，湖面的角落里还漂浮着一些腐烂的垃圾，岸边石头缝里草也枯死了。我们对比了一下照片，这里和西北角的水的颜色就有很大差异。西北角的水清澈，泛着一点蓝色，而这里的水就略显浑浊，有一点发黑。

调查总结和建议：

通过我们的调查，我们认为环城湖水面的环保工作做的总体很好，人们的环保意识也很高。建议对楼北大街的饭店和北关桥附近的垃圾站加强管理，给水城人民一个更加美好的环境。

卫生状况报告 篇9

根据区政协主席会议安排，8月上旬以来，区政协民主评议调研小组对区卫生局履行职能，加强政风、行风建设情况进行了专题调研。调研组集中听取了区卫生局综合情况汇报，查看了机关制度建设和行风建设档案资料，走访视察了荆州区人民医院、妇幼保健院、城关镇医院、马山镇卫生院、八岭山镇卫生院、马南村医务室，同10多名局领导班子成员和中层干部进行了个别座谈。调研组对区卫生局的工作和行风建设情况表示满意。区政协xx届十六次常委会听取了李成刚局长的工作报告，大家一致认为，近年来，区卫生局在区委、区政府和上级主管部门的正确领导下，坚持以“保健康、促发展”为中心，以全面推进医药卫生体制改革为抓手，以服务中心、服务基层、服务群众为宗旨，全面加强队伍建设，认真履行卫生部门职能，形成了班子团结、队伍精干、工作规范、服务快捷的良好局面，为我区经济建设和社会发展作出了积极贡献。

一、卫生血防工作成绩显著

1、加大了投入。三年来，区卫生局共争取卫生基础设施建设项目16个，到位资金8860万元。固定资产投入达到5898万元。一批卫生、血防建设项目落户我区，包括区人民医院建设项目1800万元，社区卫生服务经费200万元，公共卫生服务经费620万元等等。目前，区内50%的乡镇卫生院得了改建升级，区人民医院和30%以上的卫生院更换或配置了常用诊疗设备，有效提升了医疗服务水平。

2、健全了网络。目前我区辖直医院6家，乡镇卫生院9家，现已建成甲级村卫生室109家，区内建成3个社区卫生服务中心，15个社区卫生服务站；基层公共卫生体系逐步完善，全区医疗卫生机构开放床位987张，有卫生专业技术人员1008人，平均每千人拥有卫生专业技术人员1.6人。截止今年6月底，累计门诊6.4万人次，比去年同期增长7.7%，住院病人9200人次，比去年同期增长20%，医疗卫生机构累计业务收入达到5890万元，比去年同期增长7.9%。医疗卫生机构全年累计业务收入超过1亿元，实现了三年翻两番的目标。

3、主抓了健康。一是落实了建立居民健康档案等9类基本公共卫生服务项目。二是加强了重大疾病防控工作，完善了艾滋病、结核病、乙型肺炎等重大传染病防治措施，实施了食品“放心工程”建设。三是农民参合率稳步提升。xxxx年全区参合农民达27.06万人，占全区农业人口的100%，参合农民在区、乡镇卫生院住院门槛费下降，补偿比例提高，年度补偿封顶线提高，加大了对慢性病患者、大病患者的补偿力度。三年来，共对708人次大病患者实施了大病救助，发放大病救助资金224万多元。四是制定了药品进、销、存台帐，规范了药品采购计划审批程序，严格实行了药品质量全程监控体系和责任追究制度，药品让利农民208.2万元。五是查出有螺面积415.31万平方米，完成灭螺面积406.781万平方米，完成耕牛查病10400头次，查出病牛152头。对全区136名在册晚血病人进行了常规检查，收入住院治疗52人，开展了疫区中小学学生血防知识教育。已经完成1万座无害化厕所建设，计划淘汰耕牛19947头，目前，已在太湖、菱湖两个试点淘汰耕牛456头。

4、强化了医德。今年来，卫生局以治理回扣、“红包”、开单提成、开大处方、乱收费为重点，深入开展了“医德医风建设年”活动。制定实施了《荆州区医德医风教育培训规划》，组织开展了“医生职责是什么”等主题讨论活动，对《执业医师法》、《医疗机构管理条例》等重点法律法规学习。以区人民医院为试点，开展了创建“平安医院”和“医德医风示范医院”活动。在社区建立了社区卫生服务24小时值班、巡诊、出诊制度。6月中旬通过对1.3万名参合住院患者进行现场问卷调查，满意率达97.76%。目前，全区医德医风明显好转，医疗纠风投诉明显下降，上半年全区医疗卫生机构共涌现出“十佳医德医风标兵”23名，接到群众赠送锦旗68面，表扬信51封，62名医护人员拒收“红包”，金额达4.5万元。

5、完善了制度。建立健全了岗位目标责任制，积极推行和完善了“病人选择医生制度”、“医疗服务费用日清单制度”、“医疗服务知情签名制度”。对办事程序、服务项目、收费标准、医德医风要求和便民服务等进行了公示。设立了投诉箱、建议箱、意见簿，聘请了社会监督员，广泛听取社会各界对医德医风建设和卫生工作的意见建议。执行了医德医风考评奖惩制度，建立了医护人员医德医风档案，对医护人员实行医德医风量化考评，考评结果与晋职晋级、岗位聘用、评先评优、绩效工资、定期考核等直接挂钩。上半年共接到医疗服务投诉15件，办结满意率达100%。

6、赢得了荣誉。xxxx年荆州区被市委、市政府表彰为“农村卫生工作先进单位”；xxxx年荆州区纳入全省“整村推进”和“部省联动”血防综合治理项目，顺利通过国家血吸虫病疫情控制标准验收；xxxx年区卫生局被市委、市政府表彰为“创建省级卫生城市先进单位”，荆州区被市委、市政府表彰为“血防工作先进单位”，李成刚同志被表彰为全国血防工作先进个人，区卫生局被区委、区政府评定为实绩突出单位。

二、卫生血防工作中存在的困难和问题

1、财政扶持力度不够大。卫生血防工作是重要的社会公共事业，财政扶持力度应该随着经济的发展而逐年有所增长，以保障公共卫生事业发展的需要。医疗卫生单位每年人平经费2905元，区直医院医疗设备老化，医院无力添置和更新，当前有限的卫生经费与庞大的卫生机构相比，显得杯水车薪。

2、卫生执法体制不够顺。1999年市政府、市卫生局先后将卫生防疫和卫生监督执法职能上收，多年来的实践证明我区在卫生防疫、食品监督、卫生监督执法上的“责、权、利”失衡，公共卫生管理职能缺位、管理机制运行不畅，阻碍了公共卫生事业的发展。

3、人才引进机制不够活。卫生行业是技术密集型行业，发展关键在于人才。近几年来，卫生系统空编空岗现象是越来越严重，由于人才引进机制不活、基层医疗条件相对较差、社会保障机制不够健全等原因，出现了专业技术人员引不进、留不住、用不上，总量不足、结构不合理等突出问题，严重制约了卫生事业的健康发展。

4、公共卫生服务不够强。公共卫生服务事关民生及和谐社会建设，当前我区九大类基本公共卫生服务还有待加强，公共卫生服务均等化经费和社区卫生服务经费下拨迟缓。妇幼保健院履行公共卫生服务职能，进行孕妇艾滋病检测时，缺乏检测设备。

三、对卫生血防工作的几点建议

1、不断加大卫生事业投入力度。财政应切实加大对卫生事业的投入，同时要积极向上争项目、争资金，重点用于乡镇卫生院、村卫生所和社区卫生服务机构基础设施建设和医疗设备的购置，建议区财政将区直医院购置大型医疗设备经费纳入年度预算之中，为区直医院更新添置医疗设备缓解部分资金压力。

2、积极理顺卫生执法工作体制。就全区医疗卫生事业发展的现状而言，区内必须设立卫生防疫和卫生监督执法机构。建议区委、区政府向市委、市政府反映，将卫生防疫和卫生监督执法职能下放到区，以利于工作开展。

3、努力拓宽专业人才引进渠道。对医疗卫生部门实行编制总量控制，采取因事设岗，以岗配人，合同管理，建立长效的卫生专业技术人员的聘用机制。采取更加优惠的政策，鼓励卫生技术人员到农村工作，大专以上医学院校毕业生和部分紧缺的专科、辅助学科专业人员可直接入编入岗，缺编乡镇卫生院经公开考试或考核，应优先录用已经取得执业医师（包括助理医师）和执业护士以及其他相应资格的乡镇卫生院临聘卫生技术人员。

4、统筹解决社区卫生业务用房。全区16家社区医疗机构除2家业务用房为公用房外，其余14家单位业务用房均为租用，全区社区卫生服务用房租金每年就达25万元。建议对新建或新开发的居民小区必须按照省政府[2006]51号文件要求，必须配套建设社区卫生服务机构业务用房，由政府按综合成本价购买并统一调配使用，交付社区卫生服务机构使用。

5、切实加强卫生系统队伍建设。一是要配强领导班子。通过减少现有班子成员职数，增强班子凝聚力和战斗力。二是要提高人员素质。通过学历教育、短期培训、专题讲座、岗位培训等形式，提高学历和技术水平。三是要强化服务意识。努力创造为人民群众多办事、快办事、办好事的服务环境，树立起机关勤政、廉洁、务实、高效的良好形象。四是要狠抓行风建设。要进一步健全和完善医疗服务投诉制度，强化医务人员的职业道德、职业责任、职业规范和职业纪律意识。对医药购销和医疗服务中收受“红包”、回扣等违纪行为，要给予重罚并追究相关领导责任。要为广大人民群众送医送药、排忧解难。

卫生状况报告 篇10

the world"s biggest killer and the greatest cause of ill-health and suffering across the globe is listed almost at the end of the international classification of diseases. it is given the code z59.5 - extreme poverty.

poverty is the main reason why babies are not vaccinated， why clean water and sanitation are not provided， why curative drugs and other treatments are unavailable and why mothers die in childbirth. it is the underlying cause of reduced life expectancy， handicap， disability and starvation. poverty is amajor contributor to mental illness， stress， suicide， family disintegration and substance abuse. every year in the developing world 12.2 million children under 5 years die， most of them from causes which could be prevented for just a few us cents per child. they die largely because of world indifference， but most of all they die because they are poor.

in the time it takes to read this sentence， somewhere in the world a baby has died it its mother s arms. for that mother， the message that her neighbour"s infant will live is no consolation. it does not stem her grief to know that 8 out of 10 children in the world have been vaccinated against the five major killer diseases of childhood， or that globally since 1980 infant mortality has fallen by 25%， while overall life expectancy has increased by more than 4 years， to about 65 years.

beneath the heartening facts about decreased mortality and increasing life expectancy， and many other undoubted health advances， lie unacceptable disparities in health. the gaps between rich and poor， between onepopulation group and another， between ages and between the sexes， are widening. for most people in the world today every step of life， from infancy to old age， is taken under the twin shadows of poverty and inequity， and under the double burden of suffering and disease.

for many， the prospect of longer life may seem more like a punishment than a gift. yet by the end of the century we could be living in a world without poliomyelitis， a world without new cases of leprosy， a world without deaths from neonatal tetanus and measles. but today the money that some developing countries have to spend per person on health care over an entire year is just us $4 - less than the amount of small change carried in the pockets and purses of many people in developed countries.

a person in one of the least developed countries in the world has a life expectancy of 43 years according to 1993 calculations. a person in one of the most developed countries has a life expectancy of 78 - a difference of more than a third of a century. this means a rich， healthy man can live twice as long as a poor， sick man.

that inequity alone should stir the conscience of the world - but in some ofthe poorest countries the life expectancy picture is getting worse. in five countries life expectancy at birth is expected to decrease by the year 2000， whereas everywhere else it is increasing. in the richest countries life expectancy in the year 2000 will reach 79 years. in some of the poorest it will go backwards to 42 years. thus the gap continues to widen between rich and poor， and by the year 2000 at least 45 countries are expected to have alife expectancy at birth of under 60 years.

in the space of a day passengers flying from japan to uganda leave the country with the world s highest life expectancy - almost 79 years - and land in one with the world s lowest - barely 42 years. a day away by plane， but half a lifetime s difference on the ground. a flight between france and c?te d"ivoire takes only a few hours， but it spans almost 26 years of life expectancy. a short air trip between florida in the usa and haiti represents a life expectancy gap of over 19 years.

the purpose of the report is to highlight such inequities and to tackle the wider question: what are the global health priorities? it also tries to answer other crucially important questions. which are the major diseases， the major causes of death， handicap， disability and diminution of the quality of life? which conditions cause most misery， although they may not be fatal? which countries， or communities within countries， have the greatest health needs? where should health resources be targeted?

the report， for the first time， has attempted to examine the burden of ill-health not just by disease， but also by age， as the impact of illness differs across the age spectrum. where possible， the analysis of health status has been carried out for infants and children， adolescents， adults and the elderly. on the basis of the data available and considered to be reasonably reliable， ten leading causes of death， illness and disability have been identified. there is also an explanation of what who is doing to bridge the gaps in health， an attempt to assess health trends in the coming years， and an effort to chart a health future for mankind - a future in which a baby lives， not dies， in its mother"s arms.

child health

the number of children under 5 years who died in 1993 - more than 12.2 million - equals the entire populations of norway and sweden combined. of such deaths in the developing world， the great majority could have been avoided if those countries enjoyed the same health and social conditions as the world s most developed nations. the gap between the developed and the developing world in terms of infant and child survival is one of the starkest examples of health inequity.

the estimated global figure for mortality among children under 5 years in 1993 was 87 per 1 000 live births， an encouraging fall from rates of 215 during the period 1950-1955 and of 115 in 1980. yet in parts of the developed world only 6 out of 1 000 liveborns die before reaching age 5， whereas in 16 of the least developed countries the rate is over 200 per 1 000， and in one country it is 320 per 1 000.

infant mortality - deaths of children under 1 year - varies from 4.8 per 1 000 live births to 161 - a 33-fold difference. the gap in infant mortality between developed and developing world narrowed by 50% during the years 1960-1993， from 113 to 54 per 1 000 live births. but at the same time the gap widened between least developed and developing countries.

malnutrition contributes substantially to childhood disease and death but often goes unrecognized as such. in 1990 more than 30% of the world s children under 5 years were underweight for their age. as many as 43% of children in the developing world - 230 million - have low height for their age. micronutrient malnutrition is estimated to affect at least 2 billion people of all ages， but children are particularly vulnerable. as a result of iodine deficiency - a public health problem in 118 countries - at least 30 000 babies are stillborn each year and over 120 000 are born mentally retarded， physically stunted， deaf-mute or paralysed. a quarter of all children under age 5 in developing countries are at risk of vitamin a deficiency.

there have been improvements in child health， and 1993 saw the number of children dying from vaccine-preventable diseases reduced by 1.3 million compared to 1985 - equal to the population of trinidad and tobago. nevertheless， around 2.4 million children under 5 years are still dying every year from such diseases， particularly measles， neonatal tetanus， tuberculosis， pertussis， poliomyelitis and diphtheria. there are also worrying signs that recent immunization gains are being eroded or even reversed by economic and social conditions.

every year in the developing world acute respiratory infections， particularly pneumonia， kill more than 4 million children under 5 years - one death every 8 seconds - and are a leading cause of disability. they account for 30-50% of visits by children to health facilities everywhere. significant reductions in mortality could be achieved by treating the underlying bacterial infections with low-cost antibiotics for a few days.

diarrhoeal diseases， resulting from unsafe water and poor sanitation coupled with poor food-handling practices， are responsible for a further 3 million deaths a year among children under age 5 in the developing world - one every 10 seconds - and are a graphic example of the deadly synergy of poverty and lack of knowledge. worldwide there are an estimated 1.8 billion episodes of childhood diarrhoea annually. many of the deaths from diarrhoea could be prevented by using oral rehydration salts， which cost just us $0.07 on average.