Background Since the National Essential Public Health Service Program was launched in 2009, various services have been commonly carried out across the country, and the implementation and progress of the program varies among provinces and cities due to their different levels of economic development. As a national economic center city and a national innovative city, Shenzhen is at the forefront of informatization technology in cities across the country.
Objective To sort out and summarise the implementation progress and trend of essential public health services in Shenzhen 2017-2022, and provide reference for further promoting the high-quality development of essential public health services in Shenzhen.
Methods From July 2022 to April 2023, collect 56 evaluation indicators of essential public health services in Shenzhen from 2017 to 2022, and analyse the trend of each indicator during the six-year period.
Results (1) The actual funding in place for the National Essential Public Health Service Program in Shenzhen had increased from 80.71 yuan in 2017 to 144.86 yuan in 2022, the total number of primary health workers had increased from 9 992 to 13 758, and the proportion of public health physician in the primary medical staff increased from 5.39% to 5.94%. (2) The average annual growth rates of the electronic health record filing rate, the newborn visit rate, the health management rate for children aged 0-6 years, the early pregnancy filing rate, the postnatal visit rate, maternal system management rate, the health management rate for the elderly, the standardised management rate for patients with severe mental disorders, the standardised medication rate for TB patients, and the rate of TCM health management services for the elderly and children aged 0-36 months, were respectively 6.27%, 0.32%, 2.61%, 1.06%, 0.07%, 0.62%, 8.34%, 2.11%, 0.51%, 9.53%, and 5.01%, while the rates of health record utilisation, standardised management of hypertensive patients, and standardised management of diabetic patients decreased from 77.40%, 72.48%, and 72.09% in 2017 to 36.58%, 64.14%, and 66.32% in 2022. (3) The average annual growth rates of health literacy rate, the proportion of people participating in physical exercise, and the rate of exclusive breastfeeding of infants within six months are 23.75%, 15.86%, and 5.35%, and the average annual growth rates of the neonatal mortality rate, the infant mortality rate, and the mortality rate of children under five years of age were -1.71%, -4.25%, and -1.63%. Respectively, the blood pressure control rate of the managed population and the blood glucose control rate of the managed population decreased from 70.84% and 67.41% in 2017 to 69.33% and 60.82% in 2022, and the average annual growth rates of the cesarean section rate, the incidence of birth defects, the low birth weight rate, the low weight rate of children under the age of 5, the prevalence of anaemia in children under the age of 5, and the obesity rate of children under five-years old were 0.74%, 1.87%, 3.97%, 3.85%, 11.03%, and 33.50%. The rate of public knowledge decreased from 86.26% to 68.77%, and the rate of resident satisfaction increased from 88.51% to 91.00% from 2018 to 2022.
Conclusion Shenzhen's essential public health services from 2017 to 2022 have achieved remarkable results: organization and management and financial expenditure have been strengthened, and the human resources continues to grow stronger; all types of populations have wide coverage, and the effect of health education has begun to show. However, the use of health records needs to be strengthened, and there is a need to further promote the "the elderly, the high pressure, and the diabetes" program management quality development, and constantly improve the knowledge rate and sense of access of the residents.
