改善计划生育服务和提高避孕方法满意度干预研究的中期评估  

Metaphase Evaluation of Increasing Clients'Satisfaction on Currently Used Contraceptions and Im- proving Quality of Family Planning Service

作　　者：姚慧洁[1] 车焱[2] 丁永刚[2] 曾庆枝[1] 韩耀玲[2] 周维谨[2] 李红 刘鸿 周幸 王晋祥 李晓萍 杨维彬 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市计划生育科学研究所 [3]重庆市计划生育科学研究院 [4]四川省眉山市人口与计划生育委员会 [5]四川省洪雅县人口和计划生育局 [6]四川省眉山市计划生育药具管理站

出　　处：《中国计划生育学杂志》2006年第5期274-277,共4页Chinese Journal of Family Planning

基　　金：本研究为国家科技部"十五"攻关项目(2004BA709B06)

摘　　要：目的:评价成熟避孕方法的综合推广研究项目中期实施,了解干预后育龄妇女对计划生育服务和现用避孕节育方法满意度的影响。方法:2002年12月在重庆市和四川省分别选择一个经济和文化处于当地中等水平的县开展“成熟避孕方法的综合推广研究”,通过了解服务对象需求、服务提供、管理体制和避孕节育技术状况等内容,结合优质服务的理念,制订并逐步落实综合推广研究干预方案。2004年7月,进行研究现场中期评估。结果:干预后,育龄妇女对计划生育服务过程评价“较好”的比例从干预前的27．7％上升至61．0％;对现用避孕节育方法的满意程度从69．6％上升至79． 9％;现用避孕方法与意愿避孕方法的一致性从59．8％上升至84．2％。用多元Logistic回归调控潜在混杂因素后,育龄妇女对计划生育服务评价(OR=5．23,95％CI=2．95～9．29)、对现用避孕方法的满意程度(OR=1．98,95％CI=1．23-3．18)以及现用方法与育龄妇女意愿避孕方法的一致性均显著提高(OR=3．52,95％CI=2．14-5．79)。结论:干预措施能有效提高农村育龄妇女对计划生育服务和现用避孕方法的满意度,显著提高育龄妇女现用避孕方法与意愿避孕方法的一致性。Objective： To carry out metaphase evaluation to the effect of intervention measures on improving quality of family planning services and satisfaction of currently used contraceptions among reproductive aged women. Methods： Medium level counties in economy and culture each were selected from Chongqing municipality and Sichuan province. Intervening project was designed and implemented step by step based on demands and needs of women, offering service, management system and development of contraceptive technique and so on. A mid - term evaluation was conducted in July, 2004. Results： Proportion of women who were satisfied with family planning services rose from 27.7% to 61.0%. Proportion of women who were satisfied with their currently used contraceptions rose from 69.6% to 79.9%. Proportion of women whose cur- rently used contraceptions consisted with their expecting contraceptions rose from 59.8% to 84.2%. Multivariate Logistic Regression analysis indicated that clients＇ satisfaction for family planning service （ OR = 5.23, 95%CI： 2.95 -9.29） and current contraceptions （OR = 1.98, 95%CI： 1.26 -3.18）,as well as the consistency of currently used contraceptions with expecting contraceptions （ OR = 3.52, 95% CI： 2.14 - 5.79） were significantly increasing entirely after intervention. Conclusion： The intervening measures may significantly improve quality of family planning service and increase satisfaction for currently used contraceptions, and it can enhance consistency of currently used contraceptions with expecting contraceptions.

关 键 词：避孕方法 干预措施 计划生育服务 满意度 育龄妇女 

分 类 号：R169.1[医药卫生—公共卫生与预防医学] R169.41