省级层面“卫生健康发展规划”中的妇幼政策分析

Analysis of maternal and child policies in provincial-level“health and development plans”

目的明确各省(区、市)十四五卫生健康发展规划中与妇幼群体相关的政策要点,发现针对妇幼不同群体的政策侧重点,为之后的妇幼健康政策制定提供参考依据。方法借助Nvivo12质性研究软件的词频分析、编码分析和矩阵编码功能,对24份卫生健康发展规划中的妇幼相关政策进行解读。结果各省(区、市)卫生健康发展规划均重视妇幼健康工作,均关注对妇幼群体的保健服务(24个)和医疗服务(22个);对妇幼友好环境建设的重视程度相对不够,相关保障措施也需进一步完善。结论各省(区、市)及医疗机构在未来的规划中要重点关注育龄妇女的保健工作,重视妇幼友好环境建设,同时逐步完善保障体系,探索妇幼健康特色保障措施。

Objective To identify the key policies related to the maternal and child population in the 14th Five-Year Plan for Health and Development in each province(region,city)and to understand the policy priorities for different groups of women and children,providing a reference for the formulation of future maternal and child health policies.Methods Word frequency analysis,coding analysis,and matrix coding were conducted using Nvivo12 qualitative research software to interpret the maternal and child-related policies in 24 health and development plans.Results Health and development plans in all provinces(regions,cities)prioritize maternal and child health and focus on healthcare services(24)and medical services(22)for women and children.However,there is a relatively insufficient emphasis on creating a child-friendly environment,and related safeguard measures need further improvement.Conclusion Provinces(regions,cities),as well as healthcare institutions,should focus on the healthcare of women of childbearing age in future planning,prioritize the construction of a child-friendly environment,and gradually improve the safeguard system.It is important to explore characteristic safeguard measures for maternal and child health.