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目的掌握甘肃省会宁县贫困和非贫困家庭孕产妇/0~3岁儿童母亲孕产期保健服务利用情况,为制定本地区妇幼保健相关政策提供依据。方法在会宁县抽取6个乡镇作为调查地区,选取贫困家庭孕产妇/0~3岁儿童母亲作为调查对象,同时选取同样数量的非贫困家庭孕产妇/0~3岁儿童母亲作为对照,通过问卷调查和访谈的方式获得调查对象妇幼保健服务知晓和利用情况。结果共调查贫困家庭和非贫困家庭孕产妇或0~3岁儿童母亲503人和511人,贫困家庭和非贫困家庭进行5次以上产检的孕产妇所占比例分别为39.2%和41.7%,平均产检次数分别为4.1次和4.2次,孕产妇住院分娩率分别为95.4%和97.3%,两类家庭分别有80.7%和78.7%的孕产妇接受了产后访视,50%以上的孕产妇至少接受过1次产后访视。结论应加强对孕产妇的健康教育,加强乡村两级医疗机构建设,卫生和民政部门应建立合作的长效机制,共同促进贫困人口对妇幼保健服务的利用,提高健康水平。
Objective To understand the utilization of maternal health care services of pregnant and non-poor mothers in 0-10-year-olds in poor and non-poor families in Huining County, Gansu Province, and to provide the basis for formulating the relevant maternal and child health policies in this area. Methods Six townships in Huining county were selected as the survey area. The mothers of poor family maternal / 0-3 year-old children were selected as the survey subjects. Meanwhile, the same number of mothers of non-poor family maternal / 0-3 year-old children were selected as control. Surveys and interviews to obtain knowledge and utilization of maternal and child health care services. Results A total of 503 mothers and 511 mothers of pregnant women or 0-3-year-old children from poor families and non-poor families were surveyed. The proportion of pregnant women who took more than five birth tests among poor and non-poor families was 39.2% and 41.7% respectively, with an average of The number of births was 4.1 times and 4.2 times respectively. The hospital delivery rate of pregnant women were 95.4% and 97.3% respectively. Two types of families received 80.7% and 78.7% of the pregnant women receiving postnatal visits respectively. At least 50% of the pregnant women received at least After a postpartum visit. Conclusions Health education should be strengthened for pregnant women and pregnant women, strengthen the construction of medical institutions at both the village and the village level, establish a long-term mechanism for cooperation between the health and civil affairs departments and jointly promote the utilization of maternal and child health care services by poor people and improve their health.