【摘要】 目的了解中西部地区农村公共卫生服务基本项目实际开展情况。方法采用焦点组访谈和现场调查的方式对中西部两省公共卫生相关人员和相关单位进行调查。结果研究提出总共27项涵盖了妇幼卫生保健、儿童卫生保健、重大传染病防治及慢性病管理等方面的农村公共卫生服务项目。服务项目总体开展情况尚可,个别亟待提高,大部分服务项目主要由个人付费。结论农村公共卫生工作中经费投入不足和缺乏技术支持等是关键阻碍因素,政府应该着力解决经费投入的长效性难题和进一步促进农村地区的健康教育。更多还原

【Abstract】 OBJECTIVE To analyze the implementation situation of rural essential public health services in two provinces of Midwest China.METHODS Focus group interview and field survey were employed to gather related information from the persons and institutions related to rural public health in both provinces.RESULTS We proposed a series of 27 public health service programs, including the fields of maternal and child health care, prevention and treatment for serious communicable diseases, management of chronic diseases.The overall implementation situation was good, however, some certain programs should be improved urgently.Most programs proposed should be paid out-of-pocket in both provinces.CONCLUSION Lack of financial and technical supports for rural public health were the crucial obstructive factors, therefore, the government should solve the problem of unstable financial support for rural public health and further promote the health education in rural areas.更多还原