贵州省大方县对改善生育卫生服务的需求评估——参与性农村评估分析

A Participatory Rural Appraisal Analysis of Reproductive Health Service Needs Assessment in Dafang County, Guizhou Province

抽取了贵州省大方县经济状况中等的3个村应用PRA进行生育卫生服务需求评估调查。结果表明:(1)农村妇女孕产期产前检查、住院分娩的比例偏低,产后访视的比例尽管较高,但次数不够,农村贫困家庭生育卫生服务利用率低;(2)村民对孕产期保健、生殖道感染疾病、计划生育等方面的知识了解甚少,受传统观念和旧风俗习惯的影响较深;(3)妇女生殖道感染问题比较严重,且大多数男性均不关心妇女健康。基于以上发现,课题组建议推广适应村医和接生员主要职能需要的技术培训,积极开展健康教育,提倡男性参与。

PRA was applied to identify the needs of reproductive health service in 3 villages.The results showed that: (1)u-tilization of heath services was inadequate in poor rural village. The rates of prenatal care and hospital delivery were low and the number of postnatal care was inadequate. (2)people knew little about prenatal care,reproductive tract infections (RTIa) and family planning.They were deeply effected by traditional belief and practice; (3)RTIs infections in local women were serious, however, many husbands didn't care for their wives.The priorities of reproductive health services include to improve the competence of the health service workers in rural village,actively develop the health education and advocate male's participation.