汶川地震对极重灾区妇幼信息系统的影响及其重建启示
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摘要
目的通过明确地震对于极重灾区妇幼信息系统的破坏程度,为重建和恢复妇幼信息系统指出工作重点。方法利用全国妇幼卫生监测办公室组织的对汶川地震10个灾区收集的定量及定性调查资料,根据妇幼卫生信息系统(Mater-nal and Child's Health Information System,MCHIS)运行特点,从三个层面去评估地震对MCHIS的影响,分别是地震对MCHIS结构性破坏、信息流的破坏,以及对数据本身质量的影响。结果地震对灾区MCHIS系统造成了结构性破坏,对MCHIS信息收集机制、数据的及时性和准确性均有很大影响。结论妇幼信息系统的重建应该更多的关注在基础设施建设,增加经费投入与工作人员的配置,灾区居民的有效管理,加强交流、质控与督导工作的开展等方面。
Objective To investigate the damage of Maternal and Child Health Information System(MCHIS)destroyed by earthquake to point out the key points of rebuilding and restoring MCHIS. Methods We collected both quantitative and qualitative research materials in 10 hardest hit areas of Wenchuan earthquake from National Maternal and Child Health Monitoring Office. Results The earthquake greatly damaged the structure of MCHIS,and had an impact on the information gathering system,the information flow and the quality of data. Conclusions In the rebuilding of MCHIS,we should focus on infrastructure construction,increasing financial input and staffing,the effective management of residents in disaster areas,and strengthening exchanges,quality control and supervision,etc.
Objective To investigate the damage of Maternal and Child Health Information System(MCHIS)destroyed by earthquake to point out the key points of rebuilding and restoring MCHIS. Methods We collected both quantitative and qualitative research materials in 10 hardest hit areas of Wenchuan earthquake from National Maternal and Child Health Monitoring Office. Results The earthquake greatly damaged the structure of MCHIS,and had an impact on the information gathering system,the information flow and the quality of data. Conclusions In the rebuilding of MCHIS,we should focus on infrastructure construction,increasing financial input and staffing,the effective management of residents in disaster areas,and strengthening exchanges,quality control and supervision,etc.
引文
[1]杨青.中国妇幼卫生监测工作手册[S].卫生部妇幼保健与社会卫生司,2005.
[2]WHO.Protocol for the evaluation of epidemiological surveillance sys-tem:evaluation of the capacity of the surveillance system[J].Gene-va,1997:33-36.
[3]Centers for Disease Control and Prevention.Updated guidelines for e-valuating public health surveillance systems:recommendations fromthe guidelines working group[J].MMWR,2001,50(RR-13):13-24.
[4]李小洪,任丹,温春梅,等.汶川地震对灾区乡村妇幼卫生信息能力的影响评估[J].中华流行病学杂志,2010,9(31):1068-1069.
[2]WHO.Protocol for the evaluation of epidemiological surveillance sys-tem:evaluation of the capacity of the surveillance system[J].Gene-va,1997:33-36.
[3]Centers for Disease Control and Prevention.Updated guidelines for e-valuating public health surveillance systems:recommendations fromthe guidelines working group[J].MMWR,2001,50(RR-13):13-24.
[4]李小洪,任丹,温春梅,等.汶川地震对灾区乡村妇幼卫生信息能力的影响评估[J].中华流行病学杂志,2010,9(31):1068-1069.
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