重庆市农村计划生育/生殖健康适宜技术推广应用现状调查

Status Survey on the Application and Generalization of Appropriate Technology of Family Planning and Reproductive Health in Rural Areas of Chongqing Municipality

目的:了解重庆市农村计划生育/生殖健康适宜技术推广应用的现状,为适宜技术的筛选提供依据。方法:采取整群抽样方法,问卷调查项目县的147名技术服务人员、机构管理人员13名、个人深入访谈28人。结果:县级服务机构服务量前3位的项目为人工流产术、生殖道感染诊治和产科住院分娩;5个县级服务机构近5年平均引入技术5.8种,10个乡镇服务站近5年平均引入技术2.1种;服务机构技术引进的途径主要有:政府组织的项目、文献查阅、同行交流及产品企业活动;技术可操作性、安全性,使用单位的条件、经济效益,人员专业基础是影响适宜技术推广使用效果的主要因素。结论:适宜技术的筛选应满足群众需求,适应机构条件和人员素质,适宜技术的应用需要规范,以提高应用效果和服务质量。

Objective： To evaluate the current situation of the application of appropriate technology of family planning and reproductive health in rural areas of Chongqing, and provide evidences for selecting suitable technology. Methods： Cluster sampling was adopted, and 147 technical providers, 13 administrators, as well as 28 in - depth interviewees were investigated by questionnaires. Results： The top 3 projects performed in county service agencies were induced abortion, diagnosis and treatment of genital tract infection, and delivery in hospitals. An average of 5.8 kinds of technologies was introduced to 5 county service agencies, and 2. 1 kinds were introduced to 10 town service stations in recent 5 years. The main ways used for technology introduction included programs developed by government, literature inspection, communication in peers and business activities. The feasibility and safety of technology, conditions and cost - effectiveness of agencies, and the professional basis of technical providers were the main influencing factors of the popularization of appropriate technology. Conclusion ： The appropriate technology should meet the needs of rural population, the fit the agency conditions, personnel quality as well as the standards of technology application in order to improve the application effects and quality of service.