甘肃省部分地区妇幼卫生年报中孕产妇保健服务指标数据质量研究

Data quality research of maternal health care service indexes in maternal and child health care annual reports of partial areas in Gansu province

目的:了解孕产妇保健服务利用情况,发现妇幼卫生年报中孕产妇保健服务指标数据的质量问题,并解释问题产生的原因。方法:采用多阶段随机抽样方法,抽取甘肃省1个县和1个区共313名在2009年10月1日～2010年9月30日期间有分娩活产史的妇女,对其孕产期保健情况进行问卷调查,采用均数、构成比、率等指标进行统计描述,使用卡方检验作统计推断。结果:孕早期产前检查率城市与农村地区分别为93.0%和94.3%,年报报告结果分别高估了6.0%和5.6%;5次及以上产前检查率城市与农村地区分别为80.3%和78.6%;产后访视率城市与农村地区分别为52.2%和93.7%,年报报告结果分别高估了86.8%和6.2%;孕产妇系统管理率城市与农村地区分别为45.9%和77.4%,年报报告结果分别高估了109.9%和27.0%。结论:妇幼卫生年报报告的孕产妇系统管理率等孕产妇保健服务指标数据存在一定程度的高估。

Objective： To understand the utilization of maternal health care service, find the problems of data quality of maternal health care service indexes in maternal and child health care （MCH） annual reports, solve the causes leading to those problems. Methods： Multi - stage random sampling method was used to select 313 women with the delivery history of live births from October 1st, 2009 to September 30th, 2010 in a county and a district of Gansu province, the situations of maternal health care were investigated by a questionnaire; the indexes including mean, constituent ratio, and rate were used for statistical description, chi - square test was used for statistical analysis. Results： The prenatal examination rates during the first trimester of pregnancy in urban area and rural area were 93. 0% and 94. 3%, respectively; the overestimate rates of annual reports were 6.0% and 5.6% , respectively; the prenatal examination rates for five times or more than five times in urban area and rural area were 80. 3% and 78.6%, respectively; the postpartum visit rates in urban area and rural area were 52. 2% and 93.7%, respectively, the overestimate rates of annual reports were 86. 8% and 6. 2% , respectively; the systematical management rates in urban area and rural area were 45.9% and 77.4% respectively, the overestimate rates of annual reports were 109.9% and 27. 0%, respectively. Conclusion： The data of maternal health care service indexes in annual reports of MCH are overestimated to a certain extent, such as maternal systematical management rate.