【摘要】 目的以儿童疾病综合管理策略(IMCI)为指导,了解什邡市5岁以下儿童保健服务情况,5岁以下儿童看护人对疾病表现认识及其影响因素,为当地开展儿童保健服务提供相关数据和意见。方法通过自填式问卷和面对面访谈,对什邡市妇幼保健机构、5岁以下儿童看护人进行调查,并进行体格测量和血红蛋白测定。对收集数据进行统计分析。结果什邡市婴儿死亡率(IMR)和5岁以下儿童死亡率(U5MR)低于国家平均水平,但地震对儿童保健服务的继续开展增加了难度。农村地区儿童看护人对疾病表现认识不足。结论加强农村健康教育,开展IMCI是预防和降低儿童死亡率的有效方法和途径。更多还原

【Abstract】 Objective With the guidance of Integrated Management of Childhood Illness (IMCI), we made investigations about the present situation of the child health service for the children under 5, including the knowledge of child-watcher about the manifestations and the factors in order to provide data and opinions for the child health service. Methods By the way of self-fill forms and interviews, we investigated the maternal and child health service of Shifang and the child-watcher of under 5 children. Make physical examination and test of HGB. Then make statistics to the data with the SPSS.Results The Infant Mortality Rate and the Under 5 Mortality Rate of Shifang are lower than level of national average. However, it becomes more difficult because of the earthquake happened in Wenchuan. In rural areas, the knowledge of child-watcher about the manifestations of illness is not good enough. Conclusions It’s effective approach to against and reduces the mortality of children that enhance the health education of rural areas.更多还原