贵州医科大学学报

2004, (04) 293-295

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参与性方法在农村贫困地区卫生项目中的应用效果评价
A Result Evaluation of Participatory Method Applied to Health Project in Poor Rural Areas

宋沈超,晏家胜,杨黔立,吴明竹,刘家智
SONG Shen chao 1, YAN Jia sheng 2, YANG Qian li 3, WU Ming-zhu 3, LIU Jia zhi (1. School of Public Heath, Guiyang Medical College, Guiyang 550004, China; 2. Guizhou Provincial Center for Diseases Control, Guiyang 550004, China; 3. Health Bureau of Dafang County, Guizhou Province, Dafang 550000, China)

摘要(Abstract):

目的 :评价参与性方法在农村贫困地区开展卫生项目和健康教育中的应用效果。方法 :用分层随机抽样法 ,对采用参与性方法实施改善生育卫生服务项目的 2个项目乡镇和 2个非项目乡镇 1 5岁及以上人群的生殖健康相关知识和已婚育龄妇女生殖健康服务利用状况进行问卷调查。结果 :共调查 1 5岁及以上人口 1 1 5 2人 ,其中已婚育龄妇女 396人。项目乡镇 1 5岁及以上人群产前检查知晓率 (90 5 % )、住院分娩好处知晓率(91 7% )、生殖道感染知晓率 (87 1 % )等生殖健康相关知识知晓率均显著高于非项目乡镇 (分别为 5 1 8%、84 2 %和 2 8 9% ) ,P <0 0 1 ;项目乡镇住院分娩率 (6 7 6 % )、产前检查率 (87 4 % )、产后访视率 (5 9 1 % )和妇科病定期检查率 (38% )等生殖健康服务利用率亦显著高于非项目乡镇 (分别为 2 2 2 %、6 9 1 %、1 4 6 %和1 6 8% ) ,P <0 0 1。结论 :参与性方法是在农村贫困地区开展卫生项目活动和健康教育的有效方法
Objective: To evaluate the results of participatory method applied to health projects and health educations in poor rural areas. Methods: The reproductive health knowledge of villagers aged 15 and above, and the utilization status of reproductive health service by reproductive age women in 2 townships carrying out Reproductive Health Improvement Project (RHIP) and in 2 non RHIP townships were investigated using stratified sampling and questionnaire. Results: The research involved in 1 152 villagers. The results showed that the understanding rates of prenatal care (90 5%), hospital delivery benefit (91 7%), and reproductive tract infections (87 1%) of villagers in RHIP townships were significantly higher than those of the villagers in non RHIP townships (51 8%, 84 2% and 28 9% respectively, P <0 01). The utilization rates of reproductive health services, hospital delivery rate (67 6%) and prenatal care rate (87 4%) and postnatal care rate (59 1%), of villagers in RHIP townships were also significantly higher than those of villagers in non RHIP townships (22 2%, 69 1% and 14 6% respectively, P <0 01). Conclusion: Participatory method is an effective and efficient way for health projects and health educations in poor rural areas.

关键词(KeyWords): 参与性方法;卫生保健调查;卫生教育;产前诊断;生殖器疾病,女性;分娩;产后护理
participatory methods; health care surveys; health education; prenatal diagnosis; genital neoplasms, female; labor; postnatal care

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基金项目(Foundation): 福特基金会资助卫生部国外贷款办“改善生育卫生服务项目”(RHIP ;1 998- 0 9- 2 0 0 0 - 0 8)

作者(Author): 宋沈超,晏家胜,杨黔立,吴明竹,刘家智
SONG Shen chao 1, YAN Jia sheng 2, YANG Qian li 3, WU Ming-zhu 3, LIU Jia zhi (1. School of Public Heath, Guiyang Medical College, Guiyang 550004, China; 2. Guizhou Provincial Center for Diseases Control, Guiyang 550004, China; 3. Health Bureau of Dafang County, Guizhou Province, Dafang 550000, China)

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DOI: 10.19367/j.cnki.1000-2707.2004.04.004

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