广东省广州市人民政府


广州市农村接生员管理暂行办法
广州市人民政府



一、总则：
（一）农村接生员必须执行国家的卫生方针、政策、法规。发扬救死扶伤的社会主义人道主义精神，坚持实事求是的科学态度，树立良好的医德医风，努力学习业务，提高服务质量。
（二）农村接生员受乡镇政府及村委会领导，在业务上受乡镇卫生院及县妇幼保健院（所）领导。接生员应参加农村卫生协会，服从管理。
（三）农村接生员是农村基层卫生技术队伍的重要组成部分，是国家卫生保健政策的执行者，她们从事的妇幼保健与接生工作应当受到社会的尊重。
（四）接生员的基本任务：实行二十四小时应诊，负责正常孕妇接生工作，做好优生优育，节育知识宣传指导，协同有关部门做好妇女劳动保护及妇幼疾病防治，儿童计划免疫接种，托幼园所卫生保健指导等。
二、农村接生员的条件：
（一）热爱妇幼卫生工作，热心为群众服务，身体健康，具有初中毕业以上文化程度，年龄在五十岁以下。
（二）区、县卫生局批准的专业学习班学习和经过三个月以上的专业训练，并经区、县卫生局考核（基础理论与临床操作考试）取得合格证书。
（三）遵守《广州市农村接生员管理暂行办法》总则的要求，做好接生员本职工作。
（四）接生员必须做到“十会”：
1．会产前检查，测量骨盆外径线，量血压，听胎心音，辨别胎位，验小便旦白。
2．会做胎位矫正（胸膝卧位，针炙至阴）。
3．会指导孕期卫生保健。
4．会皮下、肌肉注射，会按照比例配制各种常用的消毒液和使用办法。
5．会做肛门检查子宫口开大情况，掌握正常分娩三程操作规程，严格消毒无菌操作。
6．会鉴别滞产及产前产后大出血、孕毒症等病理体微及时转院。
7．会二度会阴破裂缝合。
8．会产后访视，掌握正常产妇子宫收缩、恶露、会阴伤口愈合情况，并能为新生儿洗澡、换脐、观察新生儿一般情况，指导喂乳及产褥期母婴卫生指导。
9．会填写有关规定的各项登记表格。
10．会婴幼儿计划免疫接种程序及基本知识。
三、农村接生员经济报酬：
因地制宜，根据本地区实际情况制定，如：
（一）兼做乡村女医生的，按该乡的乡村医生待遇，其接生收入，按一定比例交乡镇卫生院作接生员管理基金。
（二）专职接生员可按收入的一定比例归已、和上交乡镇卫生院作接生员管理自筹资金解决。
（三）接生包布料、器械、药品更新添置，接生包消毒等，均由接生员自筹资金解决。
（四）接生费、住院费按各乡的经济水平，允许有一定差异。以富裕的乡可多收些，贫困的乡少收些为原则，由各区、县卫生局定。
（五）经济报酬要体现服务时间，难易程序，多劳多得。对接产、产前检查、产后访视等项工作实行有偿服务。
四、农村接生员的管理：
由乡镇政府牵头，妇女主任，计划生育干部，乡镇卫生院长，接生员代表等组成接生员管理小组，建立管理制度。
（一）例会制度：由乡镇卫生院负责每月（季）召开一次例会，汇报工作，布置任务，学习业务。凡开接生员例会、接生员未经批准无故缺席者罚款。
（二）检查评奖制：每年由管理小组组织一次接生员质量检查，评比、奖励先进。
（三）产包消毒制，严格按照产包装备接生包，定期更换消毒，统一由镇卫生院供应消毒产包，脐包，收回消毒费。
（四）接生员培训考核制：由乡镇卫生院负责每年复训一次，每次至少一周，并须考核。建立接生员技术管理档案，凡未经培训并取得合格证书而自行接生者作无牌行医论处。接生员自学或进修，不断提高业务技术水平，可参加乡村医生证书考试。
（五）管理基金制：基金来源主要是接生员上缴的管理费、罚款等，基金使用范围包括接生员例会伙食补贴，评奖，参观学习等，具体管理费及奖罚办法由各地自行规定。
（六）登记制度：产前检查，接产、产后访视。孕妇及围产儿、小儿死亡等均要按上级标准列册登记，有案可查，及时上报。用药有登记，不得使用未经批准生产的药品及过期失效，伪劣，变质药品。经济收支有帐目单据。各项记录保存三年以上。
（七）发放出生证制度，由接生员填写出生报告卡，向乡镇卫生院申报，由乡镇卫生院统一签发出生证。接生员不得自行印发出生证。违者由区、县卫生局制定行政及经济上的处罚规定给予查处，情节严重触犯刑律的要追究法律责任。
五、本办法自公布之日起施行。

附: 广州市农村接生室（妇幼保健室）设置标准要求：
一、房屋设置：要不少于以下房间
诊断室──可与待产室、产体室兼用。
分娩室──内设有洗生消毒处、应有防蝇防麈装备。
二、装备：
（一）产前检查设备：体温表、血压计、听诊器、胎心听筒、骨盆测量器、皮尺、体重计等。
（二）接生设备：产包、产订、缝合器械、吸痰器、氧气袋、照明灯、导尿管、会阴消毒器械、器械柜、台、手套等。
（三）药品：3％碘酒、95％及75％酒精，新洁而灭、过锰酸钾、红汞水、来苏、龙胆紫、肥皂、0．25％氯霉素眼药水、催产素、麦角新碱、洛贝林、可拉明、付肾上腺素、50％葡萄糖注射液、大小注射器等。
（四）消毒设备：高压消毒炉、脸盆、洗手刷、毛巾、浸手缸、长、短便用钳或卵园钳、棉花、纱布、紫光线灯。
（五）尿旦白测定：试剂和用具。
（六）其它设施：冬季取暖、夏季降温、污物处理设施、大胶垫（橡胶或塑料）婴儿保温箱、婴儿磅秤。
三、产包标准：
布类：大产单（双层）3尺×2．7尺 1张
大孔巾（双层）3尺×2．7尺 1张
裤腿（单层）2．5尺×2．7尺 1对
接产巾（单层）2．5尺×2．7尺 1对
隔离衣 10尺1件
纱布 5──7块
脐布卷 2个
器械类 弯盆 1个
血管钳 2把
剪刀 1把
吸痰器 1个
导尿管 1根
消毒棉枝 2根
镊子、持针钳、园针、角针、肠线、丝线、胶手套。
四、接生箱装备：
橡胶布或塑料布垫、口罩、帽子、肥皂、脸盆、洗■刷、便用钳、镊子、外阴消毒器械一套，缝补会阴器械一套、肠线、丝线、血压表、听诊器、胎心筒、导管、肛查指套、大小注射器、婴儿秤、体温表。
消毒产包、橡皮手套。
药物：95％、75％酒精、3％碘酒、新洁而灭、来苏水、催产素、麦角、洛贝林、0．25％氯霉素眼药水、龙胆紫。




1989年7月28日
财政部


财政部关于对专有技术使用费减征、免征所得税的暂行规定(附英文)

1982年12月13日，财政部

根据外国企业所得税法第十一条和外国企业所得税法施行细则第二十七条的规定，外国公司、企业和其它经济组织在中国境内没有设立机构，而提供在中国境内使用的专有技术所取得的使用费，应当缴纳20％的所得税（即预提所得税）。为了更好地贯彻国家引进技术的政策，鼓励外国公司、企业和其它经济组织向我国提供新技术、新工艺和先进的科技成果，特对专有技术使用费，给予减征、免征所得税的优惠。具体规定如下：
一、下列各项专有技术使用费（包括与转让专有技术使用权有关的图纸资料费、技术服务费和人员培训费，下同）可以减按10％征收所得税，其中技术先进、条件优惠的，可以免征所得税。
（一）在发展农、林、渔、牧业生产方面提供专有技术所收取的使用费，其中包括：提供改良土壤、草地，开发荒山，充分利用自然条件的专有技术；提供动植物新品种和生产高效低毒农药的专有技术；提供对农、林、渔、牧业进行科学生产管理，保持生态平衡，增强抗御自然灾害能力等方面的专有技术。
（二）为我国科学院、高等院校以及其他科研单位进行科学研究、科学实验或者同我国科研单位合作进行科学研究，向我方提供专有技术所收取的使用费。
（三）为我国开发能源、发展交通运输的重点建设项目提供专有技术所收取的使用费。
（四）在节约能源和防治环境污染方面提供的专有技术所收取的使用费。
（五）为我国开发重要技术领域提供下列专有技术的使用费。
1．重大的先进的机电设备生产技术；
2．核能技术；
3．大规模集成电路生产技术；
4．光集成、微波半导体和微波集成电路生产技术及微波电子管制造技术；
5．超高速电子计算机与微处理机制造技术；
6．光导通讯技术；
7．远距离超高压直流输电技术；
8．煤的液化、气化及综合利用技术。
二、下列各项所得，不涉及转让专有技术使用权的，不征收预提所得税（但对设有机构、场所从事承包作业，提供劳务的，应按设有从事营利事业的企业单位计算征收所得税）：
（一）对我国工程建设或企业现有生产技术的改革、经营管理的改进和技术选择、投资项目可行性分析以及设计方案、招标方案的选择等，提供咨询服务所收取的服务费。
（二）为我国院校、科研单位和企业、事业单位举办有关企业管理和生产技术应用等项业务知识和技术知识讲习班所取得的技术指导费、人员培训费和图书、图纸资料费。
（三）对我国企业现有设备或产品，根据我方在性能、效率、质量以及可靠性、耐久性等方面提出的特定技术目标，提供技术协助，对需要改进的部位或零部件重新进行设计、调试或试制，以达到合同所规定的技术目标所收取的技术协助费。
（四）对建筑工地和设备的制造、安装、装配所提供技术指导、土建设计和工艺流程设计以及质量检验、数据分析等所收取的技术服务费、设计费和有关的图纸资料费。
三、对引进技术所支付的专有技术使用费，凡是依照本规定第一条的规定可以给予减税优惠的，都应当事先由审批技术引进项目的主管部门提出意见，连同有关文件、资料送当地税务机关审核确定。其中技术先进、条件优惠需要给予免税的，应由省、市、自治区税务局会同有关部门审核提出意见，报经财政部批准。未经审核批准的，引进单位不得自行确定减税或免税。为了便于税收管理，对外签订的技术引进合同，都应将合同副本送当地税务机关备查。
四、本规定自一九八三年一月一日起执行。过去的规定与本规定有抵触的，应一律按本规定执行。在本规定实行前已经签订并经批准生效的合同，凡是已按当时规定作出征税、减税或免税处理的，在合同有效期（不包括延长合同期）内不再变动。

Interim Provisions of the Ministry of Finance Concerning theReduction of or Exemption from Income Tax on Royalties for ProprietaryTechnology

(Promulgated on 13 December, 1982)

Whole Doc.
In accordance with the provisions of Article 11 of the Income Tax Law
of the People's Republic of China Concerning Foreign Enterprises and
Article 27 of the rules for its implementation, foreign companies,
enterprises and other economic organizations that have no establishments
in China and that receive royalties for the provision of proprietary
technology for use in China shall pay an income tax of 20 percent (a
withholding tax). In order to better carry out the state's policy of
importing technology and encourage foreign companies, enterprises and
other economic organizations to provide China with new technology, new
techniques and advanced scientific and technological achievements,
preferential treatment will be given to royalties for proprietary
technology in the form of income tax reduction or exemption. The concrete
provisions are as follows:
1. The following types of royalties for proprietary technology (here
as elsewhere below, including the fees for blueprints and information,
technical service fees and personnel training fees related to a transfer
of the right to use proprietary technology) may be subjected to income tax
at the reduced rate of 10 percent and, when the technology is advanced and
the conditions preferential, may be exempted from income tax.
(1) Royalties received for the provision of proprietary technology to
develop farming, forestry, fishery and animal husbandry, including:
proprietary technology provided to improve soil and grasslands, develop
barren hill areas, and fully utilize natural conditions; proprietary
technology for new animal and plant species and for the production of
highly effective and low-toxic pesticides; proprietary technology such as
that provided to advance the scientific control of farming, forestry,
fishery and animal husbandry production, to preserve the ecological
balance and to streng then the ability to control and resist natural
calamities.
(2) Royalties received for the provision to Chinese side of
proprietary technology to conduct scientific research and scientific
experimentation by Chinese science academies, universities and colleges
and other scientific research units or for the purposes of conducting
scientific research in cooperation with Chinese scientific research units.
(3) Royalties received for the provision of proprietary technology
for China's key construction projects to develop energy and expand
communications and transportation.
(4) Royalties received for the provision of proprietary technology
with respect to energy saving and prevention and control of environmental
pollution.
(5) Royalties received for the provision of the following types of
proprietary technology in order to develop China's important technological
fields:
(i) Production technology for major and advanced mechanical and
electrical equipment;
(ii) Nuclear technology;
(iii) Production technology for large-scale integrated circuits;
(iv) Production technology for photoelectric integrated circuit,
microwave semi-conductors and microwave integrated circuits and technology
for manufacturing microwave electronic tubes;
(v) Manufacturing technology for ultra-high speed electronic
computers and micro processors;
(vi) Photoconductor communications technology;
(vii) Technology for long-distance, ultra-high voltage direct current
power transmission; and
(viii) Technology for the liquefaction, gasification and
comprehensive utilization of coal.
2. The following types of income that do not involve the transfer of
the right to use proprietary technology shall not be subjected to the
withholding tax (but income tax shall be calculated and levied on an
enterprise or unit that engages in profitable business and has an
establishment or site to engage in subcontracting operations and provide
services):
(1) Service fees received for the provision of consulting services
such as those with respect to reform of China's development projects or
the existing production technology of Chinese enterprises, improvement of
operations management, selection of technology, feasibility analysis of
investment projects and selection of design and bid proposals.
(2) Technical instruction fees, personnel training fees and fees for
books and reference materials and blueprints and information received in
connection with holding business and technical seminars on such topics as
enterprise management and application of production technology for Chinese
educational institutions, scientific research units and other enterprises
or institutions.
(3) Technical assistance fees received for rendering technical
assistance with respect to Chinese enterprises existing equipment or
products, based on the specific technical objectives raised by the Chinese
side concerning such aspects as performance, efficiency and quality, as
well as reliability and durability, and for carrying out new designs,
adjustments or trial production with respect to sections or spare parts
and components that need improvement, provided they satisfy the technical
objectives set forth in the contract.
(4) Technical service fees, design fees and relevant fees for
blueprints and information received in connection with technical
instruction provided for construction sites and the manufacture,
installation and assembly of equipment, designs for construction projects
and technological process designs, as well as for quality inspection, data
analysis and the like.
3. In all cases where royalties paid for proprietary technology to
import technology may be given preferential treatment in the form of tax
reduction in accordance with Article (1) of these Provisions, the opinions
of the departments concerned that approved the technology import project,
together with the relevant documents and information, shall, in advance,
be sent to the local tax authorities for examination and determination. In
those cases involving advanced technology and preferential conditions that
require tax exemption, the tax bureau of the province, municipality or
autonomous region shall meet with the relevant department to examine the
case and put forward their opinions for submission to the Ministry of
Finance for approval. If the case has not been examined and approved, the
importing unit may not make a determination of itself as to tax reduction
or tax exemption. In order to facilitate tax administration, a copy of all
contracts for the import of technology signed with foreigners shall be
sent to the local tax authorities for reference.
4. These Provisions shall be implemented from January 1, 1983. Where
past provisions and these Provisions are in conflict, these Provisions
shall prevail. With respect to contracts that were signed, approved and
effective before these provisions came into effect, any contract that has
already been subjected to taxation, tax reduction or tax exemption in
accordance with the provisions then in effect shall not be handled in any
different manner during the effective term of the contract (not including
extensions of the contract tern).