吉林省部分社区围产保健工作服务能力及利用服务能力现状分析

The analysis of the service ability of part community around puerperal period health care work and the present situation of using service ability

为了了解社区围产保健工作服务能力及利用服务能力的现状，为妇幼卫生工作如何深入社区，走向家庭提供科学依据，进行了调查。方法：用分层随机整群抽样方法对吉林省磐石、辽源、白山３市９个乡、５２个村进行回顾性流行病学调查研究。结果：调研地区在围产保健工作服务能力上发展不平衡，且不同程度地与卫生部要求存在差距，群众利用服务能力普遍较低。结论：保证围产保健服务质量、提高服务能力、加强健康教育、普及科学知识、改变群众利用服务能力、改变围产保健工作的服务模式、面向社区、走入家庭是调研地区发展社区围产保健工作的关键，同时还提出因地制宜，分类指导。

Objective: To know community around puerperal period health care work service ability and the present situation of using service ability, provide scientifical evidences for MCH deeping into community and going in home. Methods: The review epidemiological investigation research in 9 countries 52 villgaes of Panshi, Liaoyuan, Baishan, Jilin province had been done by random chester sampling. Results: The around puerperal period health work service ability in the investigated areas had been developed out of balance and had had gaps to health ministration's require in different degrees. The people using service ability had gotten lower generally. Conclusion: Ensuring service quality, raising serice quality, strengthening health education, spreading scientifical knowledge, changing the people using service ability and the service model of around puerperal health care work,facing community, going in home were the key of developing community around puerperal period health care work in the investigated area. It was suggested suit measures to local conditions, guide classifically, develope community around puerperal health care service overall.