Rural Public Health Teams Building in Guizhou Province
|School||Guizhou College of Finance and Economics|
|Keywords||Guizhou Province rural public health Team construction|
Objective:to know the rural public health human resources (Centers for Disease Control, maternal and child health agencies, health oversight body), in guizhou in quantity, structure and distribution situation, analyses the rural public health teams and main problems existing in the construction of guizhou province, this paper discusses the reason to strengthen the construction of the contingent of rural public health strategies and measures for formulating relevant policies to provide the scientific basis for decision-making.Methods:use normative research and empirical analysis, combining qualitative and quantitative analysis, the literature research and combining the method of combining site investigation. Scene investigation location for Sansui county in guizhou.Results:As of the end of 2008, Entire province county, township, village public health personnel 49990 people. County level public health organization (illness sickness control center, mother and child care organization, sanitary supervision organization) 4990 people. Villages and towns Public health center personnel 19531 people. Village clinic personnel 25469 people. Average every thousand rural population county level public health organization disciple(assistant) doctor 0.61 person; Every thousand agricultural population Villages and towns Public health center personnel several 0.58 person, every thousand agricultural population Villages and towns Public health center disciple(assistant) doctor 0.34 person; Each village rural doctor and health worker 1.29 people, every thousand agricultural population rural doctor and health worker 0.78 person, every thousand agricultural population village clinic disciple (assistant) doctor 0.06 person. In 2006 entire province county, township, village public health personnel 51287 people.County public health agencies 6060 people. Township hospitals 18,639 people.26,588 village health of people.County-level disease prevention and control centers and health supervision to the young age structure of the main body,<25 years of age accounted for 30.73% of the total,25 to 34 years old accounted for 20.33%,35 to 44 years old accounted for 24.68%, accounting for 45 to 54 years 11.77%,55 to 59 years old accounted for 8.43%,>60 years old accounted for 4.06%. In the township hospitals,<30 years of age accounted for 26.3%,31 to 49 years old accounted for 58%,≥50years old accounted for 8.8%. Village clinic,<30 years old accounted for 31.6% 31 to 49 years old accounted for 47%,≥50years old accounted for 16.5%.In the Village clinic, the working age the subject was on the move,50 years old and above as high as 16.5%, above 50 years old accounted for only 7.31%. County-level disease prevention and control centers and health supervision institutions were being no higher title, by the Fu Gaozhi account for only 1.49% of the total, accounting for 23.30% intermediate grade, junior titles accounted for 58.78%, without any technical titles account for 16.43%, high, in the ratio of junior titles 1:15.64:39.45. Township hospitals, the senior titles accounted for 0.02%, accounting for 7.79% intermediate grade, junior titles accounted for 69.85%, without any technical titles account for 22.34%. In the Village clinic can not be optimistic even more titles. Those who received only 0.06% of the intermediate grade, junior titles accounted for 6.71%, did not receive any titles accounted for 93.23%. The main qualification to rural doctors, rural doctors to obtain qualifications accounted for 79.62%,5.25% accounted for assistant medical practitioners, health workers accounted for 15.13%. Centers for Disease Control and the county health inspection agencies and county educational structure compared to other health institutions with low academic qualifications, only 0.13% of postgraduate education, undergraduate education accounted for 14.68%, accounting for 39.60% of tertiary education, secondary education accounted for 34.88%, high school education accounted for 10.71% and below. Township hospital staff dominated secondary education, secondary education accounted for 51.90%,5.37% college degree, college education accounted for 25.73%, no education accounted for 8.91%. Village health education accounted for 0.15% of undergraduate, post-secondary education accounted for 4.22%, secondary education accounted for 49.97%, no education accounted for 44.15%.In addition, inputs in public health in rural areas of Guizhou Province and the amount of GDP and health expenditure is not increased in volume, the relative ratio decreased.2008 the province’s GDP reached 333.34 billion yuan, the province health expenditures 10.78 billion yuan, accounting for 3.23% of the province’s GDP, health expenditure to just 2.80% proportion of financial expenditure.Furthermore, countryside public health manpower training insufficiency. The public health personnel have training to account for 62.5% every year below 20 study periods, has 30% for the past two years not to accept nearly by the surveyor training.Conclusion:The public health team of Guizhou Province, in rural areas lack the overall quality team, total, record of formal schooling and title low low structure unreasonable, imbalance, the rural public health teams aging, the government public inadequate investment, financing mechanism imperfect, rural education lag and other factors continue to rural public health human resources construction, and the needs of the development of health cause exist certain disparity.Policy recommendations:a clear define of the government responsibility, give full play to the government leading role;To reshape the three-level prevention and health network functions; Increasing financial input investment and improve funding mechanisms; to deepen rural reform the personnel system of public health institutions; improve the working mechanism of rural public health personnel; Education reform and medical schools, improve educational content.