以社区为基础的外来孕产妇管理模式初探及成效  

Exploration and effect of community based maternal management mode in floating population

作　　者：朱丽萍[1] 谭晶[1] 秦敏[1] 杜莉[1] 施红[1] 董晓超[1] 金辉[1] 

机构地区：[1]上海市妇女保健所同济大学附属第一妇婴保健院,200040

出　　处：《中国妇幼保健》2010年第1期10-12,共3页Maternal and Child Health Care of China

基　　金：上海市公共卫生学科优秀带头人培养计划;上海市公共卫生新三年行动计划项目

摘　　要：目的:探索外来孕产妇管理模式,提高孕产妇保健覆盖面,体现保健公平性。方法:采用现场研究方法了解服务接受方与提供方对社区孕产期保健网络的需求及改进建议,在此基础上建立新的监测孕情及落实保健管理工作方案,再进行运行后的评估。结果:①建立社区为基础的孕情监测第四级网络,加强原有的妇幼三级网络的"网底"力量。监测孕情队伍的总人数为21716人,较以前增长了31.56%。②增加了孕情监测的渠道并提早了落实孕产期系统保健的时点,使本市户籍者的早孕建册率从92.71%上升到94.54%,外地户籍者从36.73%上升至46.65%。结论:以社区为基础的孕情监测网络的建立实施,有利于加强外来孕产妇保健管理,提高孕产期系统保健服务的覆盖面及提早落实孕产期保健服务,体现了"关口前移""重心下沉"及公平性与可及性。Objective： To explore the maternal management mode in floating population, increase the coverage of maternal health care and embody the equity of maternal health care. Methods ： The demands and suggestions of service recipients and providers about maternal health care network were surveyed by a questionnaire and focus discussion, and new maternal management mode of pregnancy surveillance and health care was established, assessment was conducted. Results： The community based maternal health care network at community level was established, and 21 716 personnel involved in the pregnancy surveillance, increased by 31.56%. The early registration rates increased from 92. 71% to 94. 54% for Shanghai residents and from 36. 73% to 46. 65% for immigrants, respectively. Conclusion： The establishment of community based pregnancy surveillance network is beneficial to the strengthening of maternal management in floating population, and increases the coverage of maternal health care and embodys the equity and accessibility of maternal health care early.

关 键 词：社区 外来孕产妇 管理 

分 类 号：R173[医药卫生—妇幼卫生保健]