上海市闸北区宝山地段医院经过 4年探索 ,在社区形成了妇幼保健管理和社区服务互相促进的发展机制。建立了社区妇幼保健协管员和志愿者队伍 ,这支队伍成为强有力的社区妇幼保健支持组织。同时 ,利用社区综合卫生服务点开展妇幼保健服务 ,结合保健保偿实行电脑化管理 ,开设妇幼保健特色门诊 ,加强人才培养 ,使社区妇幼保健工作上了一个新台阶。 4年实践及其取得的显著成效说明 ,积极争取政府的领导和支持 ,动员各部门和社区群众广泛参与 ,实行条块结合 ,这是推进社区妇幼保健事业的首要条件 After four years of exploration at the Baoshan District Hospital in Zhabei District, Shanghai, a development mechanism has been formed to promote the mutual promotion of maternal and child health management and community services in the community. Community MCH facilitators and volunteer teams have been established as a strong community MCH support organization. At the same time, MCH services should be developed through community integrated health service points, and computerized management should be carried out in combination with health care compensation. Special MCH outpatient clinics should be set up to enhance personnel training so that MCH work in the community can reach a new level. Four years of practice and the remarkable achievements they have made indicate that actively seeking the leadership and support of the government, mobilizing various departments and the masses of the community to participate extensively and practicing the combination of both are the most important prerequisites for promoting MCH in the community