摘要
对“改善农村生育卫生服务项目”的4个项目县的住院分娩现状及其影响因素进行研究。结果显示:4县住院分娩率极低,1997年4县住院分娩率平均为14.5%。其主要影响因素是:(1)基层卫生人员技术水平差;(2)农村妇女文化水平低,自我保护意识薄弱;(3)住院分娩收费高且医护人员服务态度差;(4) 生育健康教育开展少,群众几乎没有获得妇幼保健知识的途径;(5)住院分娩服务可得性差。研究者认为只有针对阻碍住院分娩的因素提出切实可行的干预措施并加以认真贯彻落实,才能提高住院分娩率,从而降低孕产妇、围产儿和婴儿死亡率,保障母婴安全。
Base on the data of 4 counties in the program of improving reproductive health services in poor rural China, this study shows that the average hospital delivery rate was 14.5% at extremely low level in 1997. The impact fetors of safe delivery include health providers' skills , awareness of self-care of women. Lack of health education, poor material and child health funds, it is suggested that comprehensive intervention, including health promotion, more training of safe delivery skills for survice providers and enlarging reproductive health inputs and so on, should be carried out in poor rural China areas.
出处
《中国初级卫生保健》
2000年第9期51-52,共2页
Chinese Primary Health Care
关键词
妇幼卫生
安全分娩
影响因素
贫困地区
maternal and child health, safe delivery, impact factors, strategies