秦巴卫生项目干预效果评价:对产前保健利用的影响  

Evaluation of Qinba Health Program: its impact on antenatal care utilization

作　　者：雷鹏[1] 段成钢[1] 吴擢春[1] 李川[1] 俞丽君[1] 励晓红[1] 徐玲[2] 刘岳[3] 刘茂伟[3] 刘运国[3] 高军[2] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]卫生部卫生统计信息中心,北京100044 [3]卫生部项目资金监管服务中心,北京100044

出　　处：《中国卫生资源》2010年第2期64-66,共3页Chinese Health Resources

基　　金：国家卫生部国外贷款办公室H8P/SP基金资助项目;项目编号:D4LY2006-07;欧盟第6框架基金资助项目;项目编号:015396;国家自然科学基金资助项目;项目编号:70903014

摘　　要：目的:分析秦巴卫生项目(卫生Ⅷ项目B部分)对项目地区产前保健服务利用的影响,为促进中国农村贫困地区孕产期保健提供具有实效的思路和建议。方法:利用卫生Ⅷ项目终末家庭调查数据库,选取2002-2006年期间有过活产的妇女的相关信息,从产前检查时间和产前检查次数两方面分析干预措施对项目覆盖的四川、陕西和宁夏3省产前保健的作用效果。结果:产前检查不少于5次的比例受项目干预措施、民族、受教育程度、收入、生育史、年份、到达医疗机构所需时间的影响,干预乡孕妇相对于对照乡妇女接受不少于5次产前检查的OR值为1.85(P<0.0001);孕早期检查率主要受产妇民族、受教育程度、收入和年份影响,是否项目乡并非孕早期检查率的显著影响因素。结论:秦巴卫生项目的实施促进了产前保健服务利用,但主要表现为产前检查次数的增加,干预措施对提高孕早期检查率,即提前产前检查时间无明显作用。秦巴地区妇女产前保健服务利用水平仍比较低,有待项目和配套政策的进一步支持。Objectives： To evaluate the impact of Qinba Health Program or the B part of China Basic Health Project （HgP/SP） on the prenatal care utilization and provide effective and practical thinking and recommendations. Methods： The household survey data of HSP/SP were used in the present analysis. The concerned information of those women who had live births during 2002 to 2006 was analyzed to evaluate the effects of the interventions from the aspect of timing and frequency of antenatal care respectively. Results： The proportion of antenatal visit less than 5 times was influenced by program interventions, women＇ s nationality, education, reproductive history, income, and the time to reach nearest medical institutions, the probability for the women from the intervention townships to receive at least 5 times＇ antenatal checkup was 1.85 times that for their counterparts from controlled townships. The proportion of women who had their antenatal checkup before 12 weeks of gestation was mainly affected by woman＇ s nationality, education, income et al. , and the impact of interventions was not found statistically significant. Conclusions： The implementation of the program promoted the prenatal care utilization to some degree, but the impact was mainly on the frequency of antenatal care visit but not on the timing of first antenatal visit.

关 键 词：秦巴卫生项目 卫生Ⅷ项目 产前保健 

分 类 号：R194[医药卫生—卫生事业管理] R715.3[医药卫生—公共卫生与预防医学]