我国村级计划生育服务室避孕服务模式及地域分布

Patterns and geographical distribution of contraceptive services in villages in rural China

目的:探讨我国村级计划生育服务室避孕服务模式和地域分布。方法:运用潜在类别分析方法,对2001年全国计划生育/生殖健康调查所得村级社区问卷资料进行分析。结果:我国村级计划生育服务室可分为能够有效提供多种短效避孕药具的"多品种型",重点提供口服避孕药、避孕套和避孕咨询的"侧重常用型",以及仅提供避孕咨询、宣教和避孕套的"品种稀疏型"3种模式,分别占整体的49.3%、38.7%和12.0%。3种模式的分布存在较大的地域差异。结论:应针对我国村级计划生育服务室避孕服务地域分布差异制定适宜的管理政策。

Objective ： To explore patterns of contraceptive services in villages in rural China and difference of their geographical distribution. Methods ： Latent class analysis was used to identify the patterns. Geographic information system was adopted to show regional differences of the contraceptive service patterns in villages across China. Results ： Contraceptive services in villages were classified into three categories. Service stations in the first category were effective in provision of oral pills, con- doms, spermicides and contraceptive counseling and moderate in provision of visiting pills, informed choice and drugs of pre- venting side - effects of oral pills. Service stations in the second category emphasized on provision of oral pills, condoms and contraceptive counseling, but were poor in other contraceptive services. Those in the third category poorly provided contracep- tive counseling, informed choice and condoms and were rare in other services. The three patterns of contraceptive services in villages accounted for 49.3%, 38.7% and 12.0% of the total number, respectively. Geographic information system showed that the service patterns in villages varied between regions of China. Conclusion： Contraceptive services in villages in rural China can be classified into three categories. Their distribution varies between geographical regions across the country.