摘要
目的:分析上海市闵行区和松江区流动孕产妇利用保健服务的障碍因素。方法:定量调查:以上海市闵行区和松江区各1个计划免疫门诊作为研究现场,调查当天3岁以下外来儿童的母亲共195名作为研究对象,通过自编问卷调查其孕产期保健状况。定性访谈:对流动人口特约分娩点4名医护人员、4名流动妇女和2名行政管理人员进行访谈。结果:56.4%的调查对象文化程度在初中及以下,家庭人均月收入在上海市最低工资水平以下的占40.0%,61.0%的调查对象参加了不同形式的国家基本医疗保障计划。产前建卡率为74.9%,产前检查率为97.9%,产前检查9次完成率为42.1%;孕期并发贫血的患病率为36.4%;住院分娩率为98.5%,但剖宫产率高达44.6%,低出生体重儿发生率为2.6%;合格产后访视率仅为18.5%。政府对流动人口孕产妇保健提出一系列优惠政策,但73.3%的调查对象对所有优惠政策都不知晓。结论:流动人口孕产妇接受保健服务的障碍因素:①流动人口孕产妇相对较低的文化水平导致保健意识较弱;②社会保障不足,政策宣传和实施不到位;③基层卫生人员缺乏,无法满足流动人口日益增高的卫生保健需求。
Objective： To analyze the barriers of maternal health care utilization of migrant pregnant women in Minhang District and Songjiang District of Shanghai. Methods ： Quantitative survey ： two outpatient clinics for planned immunization were selected from Minhang District and Songjiang District of Shanghai, respectively ; on the day of investigation, 195 migrant women with under - 3 - year children were selected as study objects, a self - designed questionnaire was used to survey their health status during pregnancy. Qualitative interview ： 4 health care providers from a designated - delivery hospital, 4 migrant women and 2 management staff were interviewed. Results： For educational level, 56.4% of the subjects were at junior secondary school level or below. For monthly income per capita, 40. 0% of the subjects were below minimum wage standard in Shanghai. 61.0% of the subjects participated in one of national basic health insurance schemes. The rate of pregnancy registration was 74. 9%. The rate of prenatal examination was 97.9%, and the finishing rate of 9 - time prenatal examination was 42. 1%. The incidence of anemia during pregnancy was 36.4% , the rate of hospital delivery was 98.5% , but the rate of cesarean section was 44. 6% , the incidence of low birth weight infants was 2. 6%. The rate of complete postpartum visit was 18.5%. Municipal government provided a series of policies for maternal health care of migrant pregnant women, but 73.3% of the subjects expressed complete ignorance of all policies. Conclusion： The barriers of maternal health care utilization of migrant pregnant women include： the low educational level of migrant pregnant women induces unconsciousness of health care ; low health insurance coverage and un - disseminated incentive policy, the shortage of health human resource at community level can not to meet the increasing health demand of migrant pregnant women.
出处
《中国妇幼保健》
CAS
北大核心
2011年第9期1291-1294,共4页
Maternal and Child Health Care of China
基金
上海市人口福利基金会
英国救助儿童会资助
关键词
流动人口
孕产妇保健
障碍因素
Migrant population
Maternal health care
Barrier
