CHEN Li Li;HUANG Wei Yong;OU An Hong;QIU Xiao Xia;CHEN Shu Zhen;HE Zhong Biao;Association of Eugenic and Superior Nurture;Health and Family Planning Commission;Executive Office of the Mediterranean Anemia Prevention;Maternal and Child Health Hospital;  

Objective By government directing and multisectoral corporation,Guangxi has established a new innovative premarital medical check-up mechanism called "Guangxi Marital Package Service"model through ten years' exploration. Beginning with the Mediterranean anemia prevention,Guangxi has improved its tertiary prevention system of birth defects. The new marital package service platform,which offering services like free premarital medical check-ups, marriage registration and health and family planning guidance,has shaped a marital service network covering all the population in Guangxi. Based on the establishing of marital package service platform,the tertiary prevention system of Mediterranean anemia prevention system has been established,which consists of Prenatal Diagnosis Center,Prenatal Diagnosis Sub-center and Prenatal Screening Laboratory. The system has its characteristics of multisectoral coordination and brings its advantages into the practice. In Guangxi,the premarital medical check-up rate has increased from 14. 34% in 2009 to 97. 54% in 2013,the birth defect rate has decreased from 20. 6‰ in 2009 to 11. 62‰ in 2013,reducing the birth defect of more than 30 thousand of cases including 5552 cases of severe Mediterranean anemia. The marital package service model and tertiary prevention system of birth defects have resolved the problems of low premarital medical check-up rate and high birth defect rate,whose experience can provide evidence for the national premarital medical check-up and birth defect prevention policy making.

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