银川市社区流动孕产妇及儿童保健服务提供现状的定性分析

Qualitative analysis on migrant pregnant women and migrant children health care services in communities of Yinchuan city

目的探究银川市社区卫生机构的流动孕产妇及儿童保健服务的提供现状,为完善流动孕产妇和流动儿童保健管理提供参考依据。方法采用个人访谈和问卷调查方式,了解社区流动孕产妇及儿童提供保健服务提供状况和存在的问题,流动人口的管理状况与部门间合作协调情况。结果银川市社区卫生机构为流动孕产妇和儿童与户籍人口同等内容和质量的服务,2014年流动孕产妇孕期保健率70.12%,产后访视率为92.27%。流动儿童预防接种率为151.44%,定期健康检查率为63.27%。银川市政府为流动人口基本公共卫生服务均等化工作提供政策支持,基本公共卫生经费按常住人口数拨付,且每年单独拨款用以流动人口服务管理,社区卫生机构的妇幼保健设备配置逐渐齐全。但是在人力资源方面目前尚未开展针对流动孕产妇健康管理的业务培训;在组织管理方面,流动孕产妇和儿童保健服务的开展缺乏考核与激励,流动孕产妇和儿童的信息获取与追踪困难,基层部门合作存在困难。结论银川市流动人口基本公共服务均等化工作尚未全面开展,服务量少,质量需提高,但流动孕产妇反应较好。流动人口基本公共卫生服务均等化工作缺乏基层指导性政策,人力资源不足,激励与考核制度未建立,不利于均等化工作的开展。

Objective To explore migrant pregnant women and migrant children health care services in community health service institutes of Yinehuan city, provide reference for improving health care and management of migrant pregnant women and migrant children. Methotis Migrant pregnant women and migrant children health care services in communities, existing problems, management and coordination among departments were surveyed based on face-to-face interviews and questionnaire investigation. Results Yinehuan community health service institutes provided the same quality of health care services to migrant pregnant women and migrant children and registered population, the rate of antenatal care among the migrant pregnant women in 2014 was 70. 12% , the rate of postpartum visit was 92. 27%. Vaccine coverage rate of migrant children was 151.44%, 63.27% of the migrant pregnant children accepted regular healthy examination. Yinchuan government provided policy support for basic public health care services among the migrant population, the fund was allocated according to the number of permanent resident population, Yinehuan government provided special fund for health care service management of migrant population, the allocation of maternal and child health care equipments in communities of Yinehuan city increased year by year, but specialized training of health management of migrant pregnant women had not yet been carried out, assessment and stimulation lacked, information retrieval and follow-up were difficult, departments cooperation was still a problem. Conclusion The equalization of public service of migrant pregnant women and migrant children in Yinehuan city is not yet fully developed, and the quantity and quality of services are still need to be improved, but the response of migrant pregnant women is good. The equalization of public service in Yinchuan city lacks grass-roots practice guidance policy and human resource, assessment and stimulation system is not established, which is not good for equalization work.