Availability of school health staff and health equipment in primary and secondary schools in Jinan
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摘要:
目的 了解济南市学校卫生工作人员及中小学校卫生设备配置情况,为学校卫生工作人员队伍建设、卫生设备配备及相关政策的制定提供参考依据。 方法 根据学校卫生工作人员及卫生设施设备配备要求自编问卷,对济南市疾病预防控制机构和公办中小学校卫生工作人员及卫生设备配备情况进行普查。 结果 济南市各级疾病预防控制中心共有23名学校卫生工作人员,其中专职人员占26.1%。全市公立中小学校校医和保健教师总配备率分别为13.9%,74.7%,校医配备达标率为19.8%,92.2%的保健教师为兼职。寄宿制学校校医和保健教师总配备率分别为20.0%和66.7%,校医配备达标率为12.5%。16.8%的公立中小学校和23.3%的公立寄宿制中小学校没有校内在岗的校医和/或保健教师。全市27.6%的公立中小学校配备卫生室,70.8%配备保健室,10.3%的学校未配备卫生(保健)室。卫生(保健)室的基础设施和诊疗设备达标率均未达100%。 结论 济南市学校卫生工作人员及中小学校卫生设备配置情况与国家相关要求差距较大。应加强学校卫生工作重视程度和投入力度,合理配置和利用资源,保障中小学生健康。 Abstract:Objective To understand the situation of school health staff and the allocation of health equipment in primary and secondary schools in Jinan. Methods A questionnaire survey was conducted in CDC and public primary and secondary schools to describe the situation of the school health staff and health equipment in primary and secondary schools. Results There were 23 school health staffs in CDC, among which 26.1% were full-time. The total staffing ratio of school doctors was 13.9%, with the compliance rate of 19.8%. The total allocation rate of health care teachers was 74.7%, 92.2% of them were part-time. The total staffing ratio of school doctors in boarding schools was 20.0%, with a staffing compliance rate of 12.5%. The total allocation rate of school doctors and health care teachers in boarding schools was 66.7%. 16.8% of public primary and secondary schools and 23.3% of public boarding primary and secondary schools did not have any health staffs. 27.6% of public primary and secondary schools are equipped with infirmary, 70.8% with health rooms, and 10.3% without any. The configuration of necessary equipment in infirmary and health care rooms were less than 100%. Conclusion There is a serious shortage of school health staffs and health equipment in primary and secondary schools in Jinan. Attention and investment in school health should be strengthened, and resources should be rationally allocated to ensure the health of primary and secondary school students. -
Key words:
- Public health /
- Health personnel /
- Toilet facilities /
- Organization and administration
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表 1 济南市不同组别中小学校卫生工作人员配备和达标率
Table 1. Allocation rate and attainment rate of health staff in primary and secondary schools in Jinan
组别 选项 学校数 校医配备情况 配备保健教师学校数 无卫生工作人员学校数 配备学校数 校医配备比 达标数 地区 城区 333 74(22.2) 3 983∶1 17(23.0) 226(67.9) 56 郊县 394 27(6.9) 8 247∶1 3(11.1) 317(80.5) 66 学校类别 小学 513 39(7.6) 7 703∶1 13(33.3) 415(80.9) 76 初中 165 43(26.1) 4 255∶1 5(11.6) 109(66.1) 26 普通高中 29 11(37.9) 3 959∶1 0 13(44.8) 11 中等职业教育学校 14 6(42.9) 3 452∶1 0 5(35.7) 5 特殊学校 6 2(33.3) 219∶1 2(100.0) 1(16.7) 4 注:( )内数字为配备率或达标率/%。 表 2 济南市不同组别寄宿制中小学校卫生工作人员配备和达标率
Table 2. Allocation rate and attainment rate of health staff in boarding primary and secondary schools in Jinan
组别 选项 学校数 校医配备情况 配备保健教师学校数 无卫生工作人员学校数 配备学校数 校医配备比 达标数 地区 城区 32 10(31.3) 3 288∶1 2(20.0) 13(40.6) 11 郊县 88 14(15.9) 6 060∶1 1(7.1) 67(76.1) 17 学校类别 小学 16 2(12.5) 3 544∶1 2(100.0) 12(75.0) 2 初中 65 7(10.8) 8 285∶1 0 50(76.9) 12 普通高中 24 9(37.5) 4 322∶1 0 13(54.2) 8 中等职业教育学校 13 5(38.5) 3 625∶1 0 5(38.5) 5 特殊学校 2 1(50.0) 135∶1 1(100.0) 0 1 注:( )内数字为配备率或达标率/%。 表 3 济南市不同组别中小学校卫生设施设备配备和达标率
Table 3. Allocation rate and attainment rate of health facilities in primary and secondary schools in Jinan
组别 选项 学校数 卫生室 保健室 无卫生/保健室学校数 配备学校数 面积达标数 基础设施达标数 诊疗设备达标数 配备学校数 面积达标数 基础设施达标数 诊疗设备达标数 地区 城区 32 111 64(57.7) 83(74.8) 43(38.7) 228 212(93.0) 166(72.8) 172(75.4) 19 郊县 88 90 34(37.8) 58(64.4) 37(41.1) 287 271(94.4) 185(64.5) 200(69.7) 56 学校类别 小学 16 116 33(28.4) 75(64.7) 40(34.5) 381 352(92.4) 254(66.7) 270(70.9) 58 初中 65 53 35(66.0) 43(81.1) 30(56.6) 116 113(97.4) 85(73.3) 88(75.9) 10 普通高中 24 21 20(95.2) 16(76.2) 8(38.1) 12 12(100.0) 7(58.3) 9(75.0) 2 中等职业教育学校 13 9 9(100.0) 6(66.7) 1(11.1) 5 5(100.0) 4(80.0) 5(100.0) 2 特殊学校 2 2 1(50.0) 1(50.0) 1(50.0) 1 1(100.0) 1(100.0) 0 3 注:( )内数字为达标率/%。 -
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