摘要
目的：调查农村地区近5年来孕产妇保健情况，探寻孕产妇保健高质量广覆盖的策略。方法：选取甘肃、贵州、广西、陕西4省作为研究地点，以LivesSavedTool软件中的妇幼基本卫生保健标准为框架，编制基础问卷，在2012年9～12月对4省抽样地区采用一次性横断面抽样入户调查，收集妇幼个人信息数据。结果：孕产妇基本保健工作在我国中西部农村地区均已开展；孕产妇系统管理率、孕早期检查率、产后访视率上升，孕产妇微量元素补充率普遍较低，调查孕产妇选择在县及以上卫生机构分娩比例增加；乡镇卫生院的产检率和分娩率均呈明显下降趋势；医务人员在提供健康咨询方面，孕产妇个人卫生行为等均没有明显改善。结论：需要加强产科检查项目的系统性，尤其是规范较低技术含量的常规检查。增加孕产妇保健服务的可及性，加大基层健康教育力度，改善个人健康行为，依然是未来农村妇幼卫生发展的重要内容。
Objective： To investigate the maternal health care situation in rural area in recent five years, explore the strategies to improve the quality and coverage of maternal health care. Methods： Gansu province, Guizhou province, Guangxi Zhuang Autonomous Re- gion, and Shaanxi province were selected as study places, maternal and child health care basic criteria of Lives Saved Tool software were de- signed as the frame to compile basic questionnaire, an one -time cross -sectional household survey was conducted in the four study places from September to December in 2012 to collect maternal and child personal information data. Results： Maternal basic health care work had been conducted in rural area of central and western China; maternal system management rate, examination rate during the first trimester of pregnancy, and postpartum visit rate increased ; the supplementation rate of trace elements in pregnant women was generally low, the propor- tion of pregnant women choosing health care institutions at county level or above county level to give birth to their babies increased; the pre- natal examination rate and delivery rate in township health centers showed a significant decreasing trend; the health consultation provided by medical staff and maternal individual health behavior didnt be improved significantly. Conclusion ： The system of obstetrical examination i- tems should be enhanced, especially standardizing the routine examinations with relatively low technical content. Expanding the accessibility of maternal health care service, enhancing basic health education, and improving individual health behavior are still important contents of fur- ther rural maternal and child health care development.
出处
《中国妇幼保健》
CAS
北大核心
2013年第31期5101-5105,共5页
Maternal and Child Health Care of China
基金
UNICEF〔YH702H&N〕
WHO〔CHN-12-MCN-005007〕
国家博士后基金〔2012M510295〕联合资助
关键词
农村
生育妇女
孕期保健
Country
Woman of childbearing age
Antenatal care
