Abstract：Objective To evaluate the implementation status of standardized evaluation of prevention and control process for birth defect in Hunan Province, and to provide basis for promoting the standardization of prevention and control of birth defect. Methods A self-developed standardized evaluation questionnaire for the prevention and treatment of birth defects was used to evaluate the standardization of the prevention and control process of birth defects in 123 districts/counties of 14 cities /prefectures in Hunan Province in 2019. The standardization of prevention and control process for birth defect includes 9 second-level indicators and 49 third-level indicators. The proportion was used to reflect the development of each index, and the standardized comprehensive score of prevention and control process for birth defect was calculated to reflect the degree of standardization of prevention and control process for birth defect in Hunan Province. Results The median score of standardized comprehensive evaluation of prevention process for birth defect in 123 districts and counties of Hunan province was 89.1 (IQR=6.7), and the scores of 7.3% of districts and counties were below 80. And 85.7% of the projects related to the prevention and control of birth defects in 123 districts and counties, were carried out at least 90%, and the free pre-marital medical examination services, the establishment of health management files, free pre-pregnancy healthy birth examination services and prenatal screening services reached 100%. The median coverage ratio of prevention and treatment measures was 95%, accounting for 70.97% (22/31), among which, the proportion of healthy birth consultation among key groups, and the pregnancy termination rate of pregnant women with unfavorable fertility and high risk varied greatly between counties (IQR=72.8%, 97.6%). There were also differences in the implementation of different indicators, and only 4.9% of people of childbearing age and infants in iodine-deficient areas were given scientific iodine supplements. Conclusion At present, the prevention and control process of birth defects in Hunan province is relatively standardized, but there are still some differences in the development process of different districts and counties and different prevention and control measures. In the future, targeted measures should be taken for weak links and regions to promote the standardization of the prevention and control process of birth defects in Hunan Province.
周景涛，李影子，华俊杰，宁佩珊，胡国清. 2019年湖南省出生缺陷防治过程规范化评价[J]. 中国医院统计, 2022, 29(1): 7-13.
Zhou Jingtao, Li Yingzi, Hua Junjie, Ning Peishan, Hu Guoqing. Standardized evaluation of prevention and control process for birth defect in Hunan Province in 2019. journal1, 2022, 29(1): 7-13.
