深圳市流动人口生殖健康服务的绩效评价

Performance Appraisal of Reproductive Heath Service for Floating Population in Shenzhen

目的:综合评价深圳市计划生育系统开展流动人口生殖健康服务的成绩和效果,为完善和改进服务提供依据。方法:采用资料收集和问卷调查方法,了解流动人口基本情况、生殖健康服务内容、服务量、人员配备、经费投入等服务开展情况;流动人口接受服务情况及对服务的评价。结果:①近50%流动人口在本地接受过计划生育部门提供的生殖健康宣教服务,60%左右知晓目前流动人口计划生育政策和相关服务信息,80%知道两种以上避孕方法和艾滋病预防知识;②已婚妇女70%得到查环查孕服务,60%得到避孕节育知情选择指导及随访、可以领到免费的避孕药具,得到生殖健康检查尚不足50%;③75%的对象对服务质量各方面表示满意;④全市流动人口综合节育率达90.3%,计划生育率达90.8%。存在不足是基本服务投入不足,服务投入不均衡,技术服务效率有待提高,投入与服务过程指标存在正相关,而与结果指标(综合节育率、计划生育率)相关不明显。结论:深圳市初步实现了流动人口计划生育的基本服务和管理目标,但仍需适当增加投入,同时注重服务效率;对流动人口计划生育工作评价时,在注重结果的同时更要侧重过程指标的评价。

Objective： To evaluate synthetically the results and effects of reproductive heath service among the floating population in Shenzhen family planning institutions in order to provide basis for improving and perfecting the services. Methods：The data collection and questionnaire survey were used to explore the basic characteristics of the floating population, and the status of reproductive health services including the items, workload, personnel allocation and funding profile of the services provided, as well as the services acquired by the floating population and their evaluation on the services Results ： Nearly half of the floating population received the propaganda and education on reproductive health provided by the local family planning institutions ; about 60% of them were aware of the current family planning policy and related service information for floating population ; 80% of them were aware of two or more contraceptives and the knowledge of AIDS prevention. A total of 70% of the married women received the intrauterine device and pregnancy check - ups ; about 60% of them got the instructions for informed choices on contraception, follow - up survey, and free contraceptives ; less than half of them got reproductive health examination. Seventy - five percent of the floating population were satisfied with the services obtained. The total contraceptive prevalence rate was 90.3% and the policy fertility was 90.8%. The deficiencies existed included the basic service insufficiency, the service imbalance, the low efficiency in technical service, as well as the funding profile had the positive correlation with the indicators of service delivery process and little correlation with the outcome measurement （total contraceptive prevalence rate and the policy fertility）. Conclusions： The basic services of family planning for the floating population are provided and the goal for management has achieved in Shenzhen. The investment should be increased and the efficiency in the service delivery should be improved. The emphasis should be put particularly on the appraisal of the indicators of service delivery process in the performance appraisal of the family planning services for floating population.