中国五省农村地区妇幼卫生状况指标的综合评价

Synthetical Evaluation of Maternal and Child Health Indexes for Rural Areas in Five Provinces of China

目的 通过综合指标定量反映某一类别地区的整体水平,对不同地区妇幼卫生状况进行综合评价和比较。方法 利用我国五省114个县的农村妇幼卫生服务现况调查资料中10个有代表性的指标进行归一化处理,对处理后的指数值作Q型聚类分析及平均指数法分析。结果 样本县的妇幼卫生情况波动范围较大。聚类后三个类别的平均指数和五省的平均指数较好地反映了样本地区妇幼卫生状况总体水平。结论 本研究所用的综合评价方法不仅可进行组间的地区比较,还可作组内的指标比较,并针对不同地区的重点内容提出了改善农村妇幼卫生状况的合理建议。

Objective To compare and evaluate maternal and child situation of various rural areas with a synthetical index. Methods Ten original indexes from the existed data of rural maternal and child health cross - sectional survey in 114 counties of five provinces were first standardized.Q- cluster analysis and average index analysis techniques as synthetical evaluation methods were used to analyze the standardized indexes.Results Maternal and child health situations were various in the sample counties.The average indexes of five provinces and clustered three areas made well known the overall level of maternal and child health situation in sample counties.Conclusion Synthetical evaluation method can do comparison not only between areas, but also within one area.Besides, it can also be used to raise the suitable suggestion to improve maternal and child health situations in different areas.