1Active in maternal and child health project work efforts to improve the health level of women and childrenGangu County in Gansu Province, south of the Weihe River upstream exempted five towns and 10 townships, 405 administrative villages, four residents of the community, with a total population of 61.6 million people, of which the rural population of 56.9 million people, the vassal help poverty-stricken counties, maternal and child health services indicators, especially rural hospital delivery rate in the lower level of the province in the country .2000 county maternal hospital delivery rate of only 14.5%, while pregnant maternal and under-five child mortality rate of up to 124.9 / 100,000 and 24.5 in recent years to implement the national “reduce the maternal mortality rate, elimination of neonatal tetanus,” project as an opportunity, combined with the Public Health equalization maternal and child health services to carry out project work, women, children of service indicators have increased dramatically, and has reached the provincial, city 2010 final target acceptance. now specific practices, effectiveness, and experience are summarized below: Practice of maternal and children under the age of seven systems management are of equal access to public health services one, the focus of the work of women and children health care in the county, but also the difficulty in recent years, from the County Health Department to the county MCH maternal and child system management as the most important task. therefore, to develop a series of township, village-level health management system and work norms and training urge the township hospitals and village clinics and community to implement and promote the completion and improvement of the quality system management indicators. 1.1 to strengthen the network construction of women and children, strengthen government functions County Health Department developed organization and coordination of notice, the township, the community was established in the regions public health office, the competent mayor, hospitals Dean Fang Baoke as positive, deputy director of the Office of Public Health and Health Centers set up to undertake the work of public health in the area equipped with a full-time public health health workers and day-to-day administration. village and community to undertake specific work in the village or community public health, so the formation of a “vertical in the end, lateral-to-edge” Maternal and Child Health Network, and clear their respective functions, for the health management system, measures to effectively implement and laid the foundation. 1.2 to develop a series of health care management the supervisory assessment methods, specification maternal and child system management of the county public examination of the health systems in the county in 2005 to recruit 20 women and children designed dry, all female, preparation, wage relations under the county MCH jobs, specializing in maternal and 4child health work in the township hospitals, Maternal and Child Health Hospital with the County Health Department have developed a maternal and child health services Township bear county township, village-level performance appraisal and supervisory card, county MCH business training and technical guidance of the village-level health personnel, with the County Health Department, Health Authority quarterly equalization of the county public health maternal and child health services, maternal and child health work to conduct a comprehensive supervision and inspection for the presence of the main problem, and propose specific job requirements for the future rank briefing and supervision situation. The 1.3 take specific measures, so that women and children health services are implemented for the work carried out to ensure maternal and child health, maternal and child health hospital and taken a number of targeted measures, regular analysis of preventive health care for women and children in the county the status quo, discover existence the problem, suggest improvements, 5and the main problems for the weak link in the work, a planned organization of the township level Kanemura doctors and village health workers business knowledge training, thematic sessions convened system management work professionals do regular meeting held monthly, the equalization of public health maternal, child systematic management of rural card registered to exchange checks, and every one to make comments on a case-by-case basis, to fill in the card registered in a timely manner, and exchange good practice in the work, the advanced experience receive good results for further specification two cards of the fill, and current work in the presence of th