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为了解贫困农村地区生育卫生服务情况,并进行有针对性的干预活动,对贵州省大方县的县、乡、村三级生育卫生服务进行了调查。初步结果如下:(1)县、乡、村三级卫生资源分配不均,乡、村两级基础医疗设施、卫生服务人员严重缺乏;(2)政府对妇幼卫生经费投入不足;(3)农村育龄妇女对生育卫生服务利用较低。建议改善乡、村两级卫生机构的基础设施,合理分配卫生服务人员;加大对妇幼卫生经费的投入;积极开展健康教育,提高农村育龄妇女自我保健意识。
In order to understand the reproductive health services in poor rural areas and carry out targeted interventions, we conducted a survey on the reproductive health services at county, township and village levels in Dafang County, Guizhou Province. The preliminary results are as follows: (1) The distribution of health resources at the county, township and village levels is unevenly distributed, and there is a serious shortage of basic medical facilities and health service personnel at the township and village levels; (2) The government is under-invested in MCH funding; (3) Women of childbearing age have low utilization of reproductive health services. It is suggested to improve the infrastructure of township and village health institutions and rationally allocate health service personnel; to increase investment in MCH funding; and to actively carry out health education so as to raise the awareness of women of childbearing age in rural areas about self-care.