四川省贫困山区妇女孕产期卫生保健服务利用情况调查

SURVEY ON MATERNAL HEALTH CARE UTILIZATION IN POOR AREAS IN SICHUAN PROVINCE

[目的]了解四川省贫困山区妇女孕产期卫生保健服务利用及其影响因素,为促进贫困山区妇幼卫生工作,提高其健康水平提供参考依据。[方法]采取分层整群抽样的方法,对四川省8个贫困县的24个乡,72个村的482妇女进行了问卷访谈。[结果]30.3%的妇女利用过孕前保健服务,产前检查率为85.5%,孕12周及以前检查率为48.3%,大于等于5次产前检查率为28.2%,住院分娩率为61.4%,18.8%的调查对象进行了产后42d健康检查。影响贫困地区妇女利用各期孕产期卫生保健服务的因素主要包括年龄,文化程度,是否建立孕产妇系统保健管理手册/卡,产检次数,是否利用过孕前保健服务等。[结论]孕产期卫生保健服务利用不断提高,但规范程度较低。可通过加强健康教育,加强乡镇卫生院建设,加强妇女对各期孕产期卫生保健服务的利用来提高整体孕产期保健服务利用程度。

[ Objective ] Through learning about rnatemal health care utilization in poor areas in Sichuan province and its influential factors, to supply some reference for advancing maternal and children health care. [ Methods] With the stratified and cluster sampling method, we interviewed 482 women face to face in 72 villages, 24 townships, 8 poor counties in Sichuan province. [ Results] The proportion of pre-pregnancy care visit was 30.3%. Tile proportion of prenatal care visit was 85.5%. The proportion of first prenatal care visit before 13-week was 48.3%. The proportion of frequency of prenatal care visit that was 5 and above was 28.2%. The proportion of hospital delivery was 61.4%. The proportion of 42-day postnatal care visit was 18.8%. The influential factors of maternal health care utilization mainly included age, education, whether establishing maternal health care card, frequency of prenatal care visit, whether utilizing pre-pregnancy care. [Conclusion] The maternal health care utilization in poor areas in Sichuan province has been improved, but it still does not meet the standard. The whole maternal health care utilization could be improved through reinforcing health education, advancing the health service ability of township health center and encouraging women to use maternal health care at different stages.