我国村卫生室基本服务能力干预效果评价

The intervention effect evaluation of basic service capability in rural village clinics in China

目的:评价"农村初级卫生保健项目"村卫生室基本服务能力干预措施的效果。方法:采用分层随机抽样方法在我国9省农村项目地区分别进行了基线和终线调查,用SPSS软件进行统计分析,统计方法选用χ2检验进行构成比和率的比较。结果:2001年基线调查和2005年终线调查政府为村卫生室村医提供固定补助经费的比例从2001年的37.0%上升到56.3%。村卫生室口服补液盐、高压消毒锅拥有率、使用一次性注射器的比例、统一购药率、门诊就诊登记和治疗开具处方的比例分别从2001年的22.7%、58.0%、69.9%、54.4%、46.1%、67.9%上升到2005年的42.4%、70.9%、91.3%、89.2%、84.5%和85.8%。村卫生室处方使用注射药品、抗生素和疾病的比例也分别从2001年的58.7%,58.6%和15.4%下降到2005年的18.8%,45.0%和0.6%。结论:项目干预措施使村卫生室的基本服务能力有了很大提高。

Objective： To evaluate the intervention effect of basic service capacity in village clinics. Methods： The baseline survey and end line survey was done during the July and August in 2001 and 2005. Proportion allocation stratified random sampling method was used to select the investigated rural village clinics in 9 provinces of China, and then the data were analyzed through biostatistics methods. Results： The pereentage of village clinics received subside regularly from local government was increased from 37. 0% in 2001 to 56. 3% in 2005. The rate of village clinic owned oral rehydration salt and sterilization autoclave, disposable syringe use, drug purchase unification, outpatient register and prescription prescribed was increased from 22. 7%, 58. 0%, 69. 9%, 54. 4%, 46. 1%, 67.9% in 2001 to 42.4%, 70. 9%, 91.3%, 89.2%, 84. 5% and 85. 8% in 2005. The percentage of using inject medicine, antibiotics and hormone was decreased from 58.7%, 58.6% and 15.4% in 2001 to 18.8%, 45.0% and 0. 6%. Conclusion： The basic service capacity of rural village clinics in China is improved by the project intervention measures.