甘肃省会宁县孕产期保健服务利用情况分析  

Analysis of perinatal health services utilization in Huiningcounty

作　　者：王坤[1] 罗荣[1] 金曦[1] 石琦 郭素芳 焦少江 胡文玲[1] 汪金鹏[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100101 [2]国家卫生和计划生育委员会宣传司,北京100044 [3]联合国儿童基金会 [4]甘肃省会宁县卫生局,730700

出　　处：《中国妇幼卫生杂志》2015年第3期42-45,共4页Chinese Journal of Women and Children Health

基　　金：联合国儿童基金会资助项目(贫困家庭儿童健康促进试点项目;YH702 H&N)

摘　　要：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 investigate the perinatal health services utilization among pregnant women from poor family and non-poor family in Huining county,and to provide the basis for the development of maternal and child health care of local policies. Methods Six towns in Huining County of Gansu province were selected as the survey areas; pregnant women from poor family were selected as the respondents,and selected the same number pregnant women from non-poor family as control group. We obtain the respondents ’awareness rate and the utilization rate of maternal and child health care. Result We investigated 503 pregnant women from poor family and 511 pregnant women from non-poor family respectively. The rate of more than five times prenatal examination was 39. 2%and41. 7% respectively,and the average number of prenatal examination was 4. 1 and 4. 2 times. The rate of hospital delivery was95. 4% and 97. 3% respectively. There were 80. 7% and 78. 7% of the pregnant women received postpartum visit and more than 50%of pregnant women received at least one postpartum visit. Conclusion It is necessary to strengthen health education for pregnant women and the construction of medical institutions of village-level and township-level. The long-term cooperation mechanism should be established between health and civil affairs departments,which will helpsto promote the use of maternal and child health services between poor people and improve the health level.

关 键 词：孕产妇 0~3岁儿童母亲 贫困家庭 妇幼保健 服务利用 

分 类 号：R715.3[医药卫生—妇产科学]