关键词: 社区卫生服务中心；儿童保健服务；社区卫生服务；卫生保健设施, 人力和服务

Abstract: Background　The implementation of universal two-child policy has brought a significant increase in the number of children in China. The needs of childcare services are increasing rapidly，but the capability of community health centers（CHCs） to provide such services is still unclear. Objective　To investigate the capability of CHCs in some cities of China to provide childcare services. Methods　In April 2020，by use of multi-stage stratified sampling，we selected 35 CHCs in 14 cities of China，and conducted two online surveys using self-developed questionnaires，one with administrators of the CHCs for investigating the general status，personnel，equipment and facilities allocation，and implementation regarding childcare services，and one with childcare staff of the CHCs for investigating their knowledge regarding childcare services and job satisfaction. Results　The survey included 35 community health service centers in 14 cities across the country，and the total number of health technicians in the sample center was 8 009. Among the health technicians，191（2.38%） were pediatricians（including licensed physicians and assistant physicians with pediatrics included in their scope of practice），154 of them（80.63%） had a bachelor degree or above，and 112（58.64%） had intermediate or above professional title；488（6.09%） were general practitioners（received post-shift training with pediatrics before being a childcare provider），293 of them（65.37%） had a bachelor degree or above，and 355（79.30%） had intermediate or above professional title；320（4.00%） were pediatric preventive healthcare physicians，and more than 80.00% of them had the national physician license and pediatric training certificate. A total of 999 people accepted the survey of satisfaction and knowledge level. The job satisfaction level of the childcare providers and the accuracy of the pediatric knowledge test performed by them was（61.38±9.11）%，and （50.40±21.93）% on average，respectively. The pediatric consulting room accounted for less than 1% of the total consulting rooms of the CHCs on average. More than 90% of the CHCs were equipped with 8 kinds of common equipment and facilities for providing childcare services. More than 50% of the CHCs were equipped with less than 7 kinds of common pediatric diagnostic and therapeutic equipment and facilities. Only 10 of the 23 common pediatric medicines could be accessible in more than 50% of the CHCs. In 2019，the number of visits of children to the CHCs accounted for 2.91% of the total visits. And the number of admissions of children to the CHCs accounted for 1.48% of the total admissions. Over 85 percent of the national essential public health projects have been carried out. Simple obese children accounted for the highest number of children receiving management while those with congenital dislocation of the hip accounted for the lowest. Conclusion　Overall，the number of childcare providers in the CHCs was insufficient，with relatively high education level and professional title，but unsatisfactory level of pediatric knowledge，and low job satisfaction. The CHCs were equipped with insufficient equipment and facilities as well as pediatric drugs. The spatial distribution of children's health service level was not balanced. To improve the capability of CHCs to provide childcare services，it is suggested to strengthen guidance and training to improve the ability level of primary childcare providers，establish an effective performance assessment mechanism to improve their job satisfaction，increase types and quantity of pediatric drugs，and reasonably allocate pediatric diagnostic and therapeutic equipment and facilities.

Key words: Community health service center；Child health services；Community health services；Health care facilities, manpower and services