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| Standardized evaluation of prevention and control process for birth defect in Hunan Province in 2019 |
| Zhou Jingtao, Li Yingzi, Hua Junjie, Ning Peishan, Hu Guoqing |
| Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China |
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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.
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Received: 11 February 2022
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| ［1］赵晓山，陈彩云，林威，等．不同职业育龄妇女预防出生缺陷知信行调查［J］．中国社会医学杂志，2021，38(6)：652-655．DOI:10.3969/j.issn.1673-5625.2021.06.015.
［2］郭红艳，董芝，夏银梅，等．2017—2019年青岛市出生缺陷现状研究［J］．华南预防医学，2021，47(6)：741-743．DOI:10.12183/j.scjpm.2021.0741.
［3］王慧莹．防控出生缺陷，需严守“三道防线”［N］．中国妇女报，2021-12-29(8)．
［4］谢琼，谭红专，秦家碧，等．湖南省2007—2016年以医院为基础的出生缺陷监测情况分析［J］．实用预防医学，2017，24(9)：1031-1036．DOI:10.3969/j.issn.10063110.2017.09.002.
［5］王倩．出生缺陷防治的“湖南智慧”［N］．健康报，2021-01-12(1)．
［6］谢霏，钟引，钟朝晖．中国出生缺陷三级干预综合评价指标体系的构建［J］．重庆医科大学学报，2017，42(8)：986-989．DOI:10.13406/j.cnki.cyxb.001330.
［7］廖洪，李春龙，徐龙，等．2013—2014年盐田区孕早期出生缺陷干预模式效果评价［J］．中国妇幼保健，2016，31(1)：12-15．DOI:10.7620/zgfybj.j.issn.1001-4411.2016.01.05.
［8］黄欢，孙丽洲．出生缺陷的现状、干预措施及分析［J］．中国产前诊断杂志(电子版)，2016，8(3)：1-8．DOI:10.13470/j.cnki.cjpd.2016.03.001.
［9］刘光河，张敬军，郭铭花，等．山东省出生缺陷流行病学调查研究［J］．中国优生与遗传杂志，2015，23(11)：89-91．DOI:10.13404/j.cnki.cjbhh.2015.11.041.
［10］杜其云，林爱云，唐赵丹．湖南省出生缺陷发生的动态分析［J］．中国妇幼保健，2007，22(31)：4417-4420．DOI:10.3969/j.issn.1001-4411.2007.31.032.
［11］唐萍，顾翼洋，孙晓艳．嘉兴地区2014—2017年度出生缺陷监测资料分析报告［J］．中国优生与遗传杂志，2018，26(7)：96-97．DOI:10.13404/j.cnki.cjbhh.2018.07.036.
［12］林虹．个体化孕产期保健管理在初孕妇新生儿出生缺陷三级预防中的应用［J］．中国医院统计，2018，25(2)：150-153．DOI:10.3969/j.issn.1006-5253.2018.02.024.
［13］罗灿，徐昊立，陈婷婷，等．广东2006—2015年围产儿出生缺陷监测分析［J］．中国公共卫生，2017，33(11)：1669-1672．DOI:10.11847/zgggws2017-33-11-33.
［14］李武鸣．辽宁省2010年2014年围产儿出生缺陷监测结果分析［J］．中国优生与遗传杂志，2017，25(5)：98-99．DOI:10.13404/j.cnki.cjbhh.2017.05.043.
［15］刘凤云，孙胜超．河南省焦作地区孕妇和婴幼儿碘缺乏现状调查与分析［J］．中国优生与遗传杂志，2014，22(1)：25-26．DOI:10.13404/j.cnki.cjbhh.2014.01.011.
［16］龙翔．湖南省碘营养状况研究［D］．长沙：湖南农业大学，2015．
［17］佚名. 出生缺陷防治宣传要常态化［J］．中国社区医师，2016，32(26)：176．
［18］顾晓鸣．完善妇幼卫生工作报表的计算机管理［J］．中国医院统计，2008，15(1)：45-47．DOI:10.3969/j.issn.1006-5253.2008.01.046. |
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