In Towns And Townships In Xinjiang Public Health Service Ability Research

Objective: to understand the present implementation situation of the public health service program in township hospitals, and to analyze the problems further to evaluate the service ability and to provide the suggestion and evidence for improvement. Methods: randomly choose 65 township hospitals from 6 rural towns in 89 and collect quantitative data, interview with the chief of 6 sanitary bureau, chairman of 18 township hospitals and 18 full-time and part-time public service staff, meanwhile collect the annual review of 65 hospitals.Results:1.basic information: there were 65 township hospitals in the 6 rural towns in 2013, and 18 township center hospital accounts for 27.27%, which operate public health service for 4 to 5 years;2.income and expenses: the special subsidy for public health service is around 317.31 o 5408.1 million, and health education average specific gravity accounts for 31.69% which ranks first, and second is the material and child hygiene making up 11.79%; all expenses are 2079.12 million yuan, and the expense of establishing the family health files takes up the most which is 5.79%~27.46%;3. the infrastructure: the average area of public health service is 529.65 ㎡, accounts for 30.54%, each township hospital owns 4.5 public health working room; 4. health human resources: there were 6996 health workers in 2013, and public health majors accounts for 2.80%; the number of full-time and part-time staff reached the standard, and except Ying Jisha town the full-time public health service staff of other hospitals do not reach the standard; 5.the public service ability: all the hospitals operate the 11 basic public health service, and achieved prospective goal. And the operation of health files establishment, health education, vaccination and Traditional Ethnic medicine management are good;6.comprehensive evaluation of public health service: expect the implementation rate of Traditional Ethnic medicine management, surveillance on drinking water and are lower than expected goal, others are higher than it. The comprehensive benefit of basic public health service and management in East township hospitals achieve the goal, and South and North are not; the overall service ability of East is better than South, which is better than North;7.interview review: the chief of health bureau, the chairman of township hospital and epidemic medical staff all mentioned that the imbalance distribution of health resource is inconvenient for the public health service, especially the lack of human resource, obsolete equipment, behindhand environment, inconvenient transportation and other problems;8. annual review: the health bureau and township hospital propose that it is important to enhance the human resource education and facility instruction, increase the investment, promote the maternal and health care and disease control.Conclusions: 1.with the government’s great attention, the implementation of public health program is very well;2.the shortage of medical staff is critical, and the education background should be comprehensive and practical;3.it should increase the infrastructure investment and utilization, which will enhance the efficiency;4.the township hospital should achieve the overall coverage of public health service, make full use of all departments to enhance the service ability;5. strengthen the understanding and awareness of public health service in all areas, and to realize the health equity.