The Implementation Situation of Health Management for Children Aged 0-6 Years：A Typical Study on the National Basic Public Health Services

Background: The national basic public health service is the main content of the new medical reform and the important component of the public health system construction in china. Health management of children aged 0-6 is one of the important content, and is provided by the government free of charge, but parents compliance is not very high, this study aims to Investigate the present situation and the reasons in order to improve the implementation of the government project.

Methods: A typical survey in a community health service center. We collected and analyzed the electronic health records data of the children aged 0-6 to understand the utilization situation of the children`s health management provided by the community health service institution.

Results: A total of 5344 children`s health records were investigated, of which male was 2707 and female was 2637, accounting for 50.7% and 49.3%, respectively. The percentage of hemoglobin in children aged 0-3 years, 4-6 years of hemoglobin and the proportion of children who had a hearing screening were 75.56%, 46.17% and 65.96%, respectively. During the follow-up period, the prevalence of the disease was filled out “no abnormal cases”. But there were 680 cases of abnormal conditions, and only two of the referral recommendations was given which were not required by the service specification. The content of health education guidance is stereotyped, mainly for the general content. Overweight and obese children accounted for 20%, but did not give relevant guidance.

Conclusions: In order to improve the level of children`s health, it is necessary to increase the utilization rate of the government`s free service through developing the knowledge and skills of medical staff in the community health service and the parents’ awareness of routine health care for children.