目的调查丽水市基层妇幼保健机构现况和卫生服务公平性,为妇幼卫生规划提供参考。方法 2016年3月对丽水市承担妇幼保健工作的全部200家基层医疗机构和326名工作人员开展问卷调查,采用基尼系数评价基层妇幼卫生服务的公平性。结果丽水市326名在岗基层妇幼保健人员中,96.93%为女性,其中69.63%<41岁;37.03%近3年有生育意愿;7.67%无执业资格;69.63%为初级职称;47.24%从业<6年。200家基层医疗机构中,77.00%的机构仅设1名妇幼保健人员;75.77%的妇幼保健人员为兼职;69.00%开展产前检查服务;37.50%开展计划生育服务;54.00%开展血和尿常规检测;44.50%开展B超检查。丽水市每万服务人口拥有基层医疗机构数、妇幼保健人员数和妇幼保健技术服务项目数分别为0.81个、1.33人和2.04项,基尼系数分别为0.22、0.23和0.24。结论丽水市各辖区基层妇幼保健工作发展较均衡,但人力资源配置普遍不足,妇幼保健服务项目较少、质量较低。 Objective To investigate the current status of MCH institutions and health services in Lishui City and to provide reference for MCH planning. Methods In March 2016, a questionnaire survey was conducted on all 200 grass-roots medical institutions and 326 staff in Lishui City who undertook MCH work. The Gini coefficient was used to evaluate the fairness of MCH services. Results Among the 326 active MCHs in Lishui City, 96.93% were female, of whom 69.63% were less than 41 years old; 37.03% had the childbirth desire in the past 3 years; 7.67% were not qualified to practice; 69.63% were junior titles; 47.24% were employed year. Of the 200 grass-roots medical institutions, 77.00% of the institutions have only one maternal and child health staff, 75.77% of maternal and child health workers are part-time workers, 69.00% carry out antenatal examination services, 37.50% carry out family planning services, 54.00% carry out blood and urine tests Testing; 44.50% to carry out B-ultrasound. The number of primary health care institutions, maternal and child health workers and maternal and child health care technical services projects per 10,000 serving population in Lishui City were 0.81, 1.33 and 2.04, respectively, and the Gini coefficients were 0.22, 0.23 and 0.24 respectively. Conclusion The maternal and child health care work in all districts in Lishui City has developed more balancedly. However, the allocation of human resources is generally inadequate, with fewer maternal and child health care services and lower quality.