妇幼保健是实现 HFA/2000的突破口

Promotion of maternal and child health——the gap for reaching the goal of“Health for all by the year 2000”

采用“我国农村‘HFA/2000’评价标准”对30个初级卫生保健试点县进行调查,用单因素和多因素统计方法对数据进行分析.结果显示,达标县与未达标县的妇幼保健水平差异显著(P=0.0125)。妇幼保健指标与“HFA”规划目标的实现呈正相关,相关系数为0.645。在妇幼保健各项工作对达标的影响程度分析中发现,儿童保健工作对达标影响最大;在各项健康指标的分析中发现,孕产妇系统管理达标率对健康水平影响最大。妇幼保健难度大、影响广、易滑坡,妇幼保健指标又是最敏感的健康指标,现状分析和理论研究得出结论:妇幼保健是初级卫生保健的重点,妇幼保健是实现“HFA/2000”的突破口。

The result has showed that there exists a significance difference in the level of the materaland children care working quality between population tender-reaching counties and populationnon-tedner-reaching counties(p=0.0125).The“maternal and children care”indexes ap-peared positive correlation with the realization of the planning objective of“Health for all by theyear 2000”,whose correation coefficient is 0.645.In the cowrse of analyzing the effect on thetender-reaching by all kinds of work,it had been found that children care put the greatest ef-fect;in the cowrse of analyzing all kinds of health indexes,maternal mortality put the greatestinfluence on health standard.