Implementation of basic public health service in urban areas

Objective To evaluate the implementation of basic public health service and to explore the problems during its execution.Methods The in-depth interview and questionnaire survey were conducted in 29 community health service institutions of Heilongjiang,Anhui,and Guangdong province to collect data.Results There were 51.72% of the communities with a government investment of 15 RMB yuan for one person for the basic public health service.In the three provinces,the average munber of public health workers for ten thousand population was 0.25,0.25,and 0.35,respectively,and the ratio of formal workers was only 44.15%.For the nine basic public health service items,the coverage rate of health records,health educaion,elderly care,and chronic disease management reached 100%.But chronic disease managment rate was only about 40% and the psychiatric management rate was below 10%.The neonatal visit rate,maternal former management rate,and postpartum visit rate were about 20%.Residents' awareness of basic public health service project was only about 20%.Conclusion Basic public health serveice project was unbalanced among the community health service institutions surveyed and the quality of the public health service needs to be improved.