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目的:评价分析四免一救助政策实施后其执行情况与取得的效果,为进一步促进孕产妇安全分娩提供理论基础及建议。方法:采用二阶段分层随机抽样方法获取四免一救助政策实施前、后贫困山区孕产妇产前检查率、住院分娩率、产前检查地点、住院分娩地点和产后42天探视率等资料。结果:干预前、后的产前检查率分别是75.6%和94.8%,住院分娩率分别是59.3%和92.4%,产后42天探视率分别是22.6%和35.8%,差异均有统计学意义(P<0.05)。结论:四免一救助政策能够在解决贫困地区母亲安全分娩的问题上起到一定的作用,政策应进一步监督落实并推广。
OBJECTIVE: To evaluate and analyze the implementation and effectiveness of the four-relief-aid policy and provide theoretical basis and recommendations for further promoting safe delivery of pregnant women. Methods: Two phases stratified random sampling method was used to obtain the antenatal check-up rate, hospital delivery rate, prenatal check-up location, hospital delivery location and postnatal day 42 visits before and after the implementation of the four-relief-aid policy. Results: The rates of prenatal and postnatal visits were 75.6% and 94.8% respectively. The hospital delivery rates were 59.3% and 92.4% respectively. The visits 42 days postpartum were 22.6% and 35.8% respectively, with significant differences (P < P <0.05). Conclusion: The four-relief policy can play a role in resolving the safe motherhood in poor areas. The policy should be further supervised and implemented.