论文部分内容阅读
目的:分析上海市闵行区和松江区流动孕产妇利用保健服务的障碍因素。方法:定量调查:以上海市闵行区和松江区各1个计划免疫门诊作为研究现场,调查当天3岁以下外来儿童的母亲共195名作为研究对象,通过自编问卷调查其孕产期保健状况。定性访谈:对流动人口特约分娩点4名医护人员、4名流动妇女和2名行政管理人员进行访谈。结果:56.4%的调查对象文化程度在初中及以下,家庭人均月收入在上海市最低工资水平以下的占40.0%,61.0%的调查对象参加了不同形式的国家基本医疗保障计划。产前建卡率为74.9%,产前检查率为97.9%,产前检查9次完成率为42.1%;孕期并发贫血的患病率为36.4%;住院分娩率为98.5%,但剖宫产率高达44.6%,低出生体重儿发生率为2.6%;合格产后访视率仅为18.5%。政府对流动人口孕产妇保健提出一系列优惠政策,但73.3%的调查对象对所有优惠政策都不知晓。结论:流动人口孕产妇接受保健服务的障碍因素:①流动人口孕产妇相对较低的文化水平导致保健意识较弱;②社会保障不足,政策宣传和实施不到位;③基层卫生人员缺乏,无法满足流动人口日益增高的卫生保健需求。
OBJECTIVE: To analyze the factors that impede the use of health services for mobile pregnant women in Minhang District and Songjiang District of Shanghai. Methods: Quantitative survey: One planned immunization clinic in Shanghai Minhang District and Songjiang District was selected as the research site. A total of 195 mothers of migrant children under 3 years old on the day of investigation were selected as study subjects. Their health status . Qualitative Interview: Interview with 4 medical staff, 4 floating women and 2 administrative staff at the special delivery place of floating population. Results: 56.4% of the surveyed students have a junior high school education level and below. The monthly per capita income of the family members accounts for 40.0% below the minimum wage level in Shanghai. 61.0% of the respondents participated in different forms of NBSS. Prenatal card rate was 74.9%, prenatal check-up rate was 97.9%, 9 prenatal check-up rate was 42.1%; pregnancy prevalence of anemia was 36.4%; hospital delivery rate was 98.5%, but the cesarean section The rate was 44.6%, the incidence of low birth weight children was 2.6%; qualified postpartum visit rate was only 18.5%. The government put forward a series of preferential policies for the maternal health of floating population, but 73.3% of the respondents did not know all the preferential policies. Conclusions: Obstacles to receiving maternal health services for migrant workers: (1) The relatively low educational level of migrant women leads to a weak awareness of health care; (2) The lack of social security, inadequate publicity and implementation of policies; (3) The lack of basic health workers and The growing health care needs of migrants.