国家基本公共卫生服务项目妇幼健康管理贵州省2009-2015年执行情况及实施效果分析
发布时间：2018-07-20 22:06
【摘要】：目的了解贵州省2009-2015年国家基本公共卫生服务项目妇幼健康管理服务(0~3岁儿童和孕产妇)执行情况以及实施效果,为加快推进基本公共卫生服务均等化提供参考。方法采取多阶分层随机抽样的方法在72县(区)144个乡镇(社区)进行问卷调查,运用熵权TOPSIS法分析孕产妇和3岁以下儿童健康档案的真实性、规范性、健康管理服务满意度等服务指标,综合评价贵州省各年度对项目执行的优劣情况。采用2009-2015年全省妇幼卫生年报数据,分析孕产妇系统管理率、3岁以下儿童系统管理率等服务指标以及婴儿死亡率、孕产妇死亡率等核心指标变化情况,采用卡方趋势性检验统计推断。结果 2012-2015年全省共调查4 400户,有效调查问卷3 610户,各年度TOPSIS综合排序依次为:2015、2014、2013、2012年。0~3岁儿童、孕产妇真实性档案率,规范性档案率及服务对象满意度均呈上升趋势。城乡婴儿死亡率、5岁以下儿童死亡率及孕产妇死亡率均呈下降趋势,且农村显著高于城市,孕产妇系统管理率、住院分娩率,3岁以下儿童系统管理率等均呈上升趋势,且城乡差距逐年缩小。结论贵州省国家基本公共卫生服务项目实施5年来,有效提升了妇幼保健服务利用度,促进了妇幼健康水平的提高。
[Abstract]:Objective to investigate the implementation and effect of maternal and child health management service (MCH) in the National basic Public Health Service Project (2009-2015) in Guizhou Province, so as to provide a reference for accelerating the equalization of basic public health services. Methods A questionnaire survey was conducted in 144 villages and towns (communities) in 72 counties (districts) by multi-level stratified random sampling. The authenticity and standardization of maternal and child health files under 3 years of age were analyzed by entropy weight TOPSIS method. Health management service satisfaction and other service indicators, comprehensive evaluation of the implementation of projects in Guizhou province in each year. Based on the data of the annual report on maternal and child health in the province from 2009 to 2015, the changes of service indicators, such as system management rate of pregnant women and children under 3 years of age, and core indicators such as infant mortality rate, maternal mortality rate, and so on, were analyzed. The statistical inference of chi-square trend test was used. Results A total of 4,400 households were investigated in the province from 2012 to 2015, and 3 610 effective questionnaires were investigated. The order of TOPSIS in each year was: 1: 2015 / 2014 / 2013, and in 2012, 0 ~ 3 years old children. The truthfulness file rate, normative file rate and satisfaction degree of service objects were all on the rise. The infant mortality rate and the maternal mortality rate of children under 5 years old in urban and rural areas were both decreasing, and the rural areas were significantly higher than those in urban areas. The system management rate of pregnant and lying-in women, the rate of in-hospital delivery and the system management rate of children under 3 years of age were all on the rise. And the gap between urban and rural areas narrowed year by year. Conclusion the state basic public health service project in Guizhou province has effectively promoted the utilization of maternal and child health care services and the improvement of maternal and child health level since the implementation of the basic public health service project in Guizhou province 5 years ago.
【作者单位】： 贵州省疾病预防控制中心妇幼保健所儿童保健科;贵州省疾病预防控制中心;贵州省卫生计生委基层卫生处;
【基金】：贵州省基本公共卫生项目妇幼健康管理实施现状及对策研究 贵州省卫生计生委科学技术基金项目(gzwjkj2015-1-005)
【分类号】：R172
[Abstract]:Objective to investigate the implementation and effect of maternal and child health management service (MCH) in the National basic Public Health Service Project (2009-2015) in Guizhou Province, so as to provide a reference for accelerating the equalization of basic public health services. Methods A questionnaire survey was conducted in 144 villages and towns (communities) in 72 counties (districts) by multi-level stratified random sampling. The authenticity and standardization of maternal and child health files under 3 years of age were analyzed by entropy weight TOPSIS method. Health management service satisfaction and other service indicators, comprehensive evaluation of the implementation of projects in Guizhou province in each year. Based on the data of the annual report on maternal and child health in the province from 2009 to 2015, the changes of service indicators, such as system management rate of pregnant women and children under 3 years of age, and core indicators such as infant mortality rate, maternal mortality rate, and so on, were analyzed. The statistical inference of chi-square trend test was used. Results A total of 4,400 households were investigated in the province from 2012 to 2015, and 3 610 effective questionnaires were investigated. The order of TOPSIS in each year was: 1: 2015 / 2014 / 2013, and in 2012, 0 ~ 3 years old children. The truthfulness file rate, normative file rate and satisfaction degree of service objects were all on the rise. The infant mortality rate and the maternal mortality rate of children under 5 years old in urban and rural areas were both decreasing, and the rural areas were significantly higher than those in urban areas. The system management rate of pregnant and lying-in women, the rate of in-hospital delivery and the system management rate of children under 3 years of age were all on the rise. And the gap between urban and rural areas narrowed year by year. Conclusion the state basic public health service project in Guizhou province has effectively promoted the utilization of maternal and child health care services and the improvement of maternal and child health level since the implementation of the basic public health service project in Guizhou province 5 years ago.
【作者单位】： 贵州省疾病预防控制中心妇幼保健所儿童保健科;贵州省疾病预防控制中心;贵州省卫生计生委基层卫生处;
【基金】：贵州省基本公共卫生项目妇幼健康管理实施现状及对策研究 贵州省卫生计生委科学技术基金项目(gzwjkj2015-1-005)
【分类号】：R172
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