非户籍妇女孕产期保健服务利用影响因素的定性研究

Qualitative study on the factors of maternal care service utilization in migrants

目的:了解非户籍妇女孕产期保健服务利用状况,并分析其影响因素,为研究孕产期保健服务的可及性和公平性提供依据。方法:通过个别深入访谈的方法,选择在上海市南汇区分娩的非户籍人口孕产妇进行调查。结果:非户籍妇女孕产期保健服务利用不足。社会经济地位、本人及她人既往分娩经历、妇女的角色与孩子的性别均不同程度影响非户籍妇女的孕产期保健服务利用。结论:应针对非户籍妇女进行形式多样的孕产期保健宣传教育,包括其家庭成员的教育,在城市建立流动人口平产分娩点对非户籍妇女孕产期保健具有积极意义,政府应支持多部门协作,对非户籍人口实行综合管理,同时在财政上予以支持。

Objective： To find out the utilization and its factors of maternal care service in migrants, so as to provide the basis for further study on the accessibility and utilization of maternal health services. Methods： In - depth individual interviews were carried out. The subjects were 13 migrant women delivered in Nanhui, Shanghai. Results： The utilization of pregnant and maternal care was inadequate. The inadequacy of pregnant and maternal care was because of their unstable and low incomes, their own and others＇ labor experiences, their status in family and the gender of their children. Conclusion： The health education and health promotion on pregnant and maternal are very importaut to improve the utilization of maternal care in migrants. The pro - poor low - price delivery system in Shanghai made maternal health services accessible to non -resident pregnant women. The health department should cooperate with the other management department, establis- hing maternal care network.