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目的通过对2000年和2006年5省107个世界银行贷款项目县妇幼卫生指标进行综合分析,为妇幼卫生状况相对较差地区的可持续性发展提供建议。方法利用综合指数法,通过象限分布图对妇幼卫生指标进行综合分析。结果妇幼卫生服务投入利用指数和健康状况指数在象限分布图中的结果表明,2000年湖南和海南的妇幼卫生状况相对较好,贵州和新疆的妇幼卫生状况相对较差,吉林居中;2006年5个省的项目县妇幼卫生状况均有较大提高,其中湖南和吉林发展稳定,海南出现波动,贵州和新疆仍有部分项目县的妇幼卫生状况有待继续提高。结论妇幼卫生服务投入利用状况及健康状况相对较差的项目县是日后工作的重点地区;根据各个项目县妇幼卫生状况特点,应开展不同的干预活动。
Objective By comprehensive analysis of maternal and child health indicators in 107 World Bank-financed project counties in five provinces in 2000 and 2006, the paper provides suggestions for the sustainable development of maternal and child health in relatively poor areas. Methods Comprehensive index method was used to make a comprehensive analysis of MCH indicators through the quadrant distribution map. Results The MCH index and the index of health status in the quadrant distribution chart showed that the situation of MCH in Hunan and Hainan was relatively good in 2000 and the MCH in Guizhou and Xinjiang was relatively poor with Jilin being the center. The status of MCH in the project counties in all the provinces has been greatly improved. Among them, the stable development in Hunan and Jilin, and the fluctuation in Hainan, the MCH status in some project counties in Guizhou and Xinjiang still needs to be further improved. Conclusion The project counties with relatively poor maternal and child health service utilization status and health status are the key areas for future work. According to the characteristics of MCH status in each project county, different intervention activities should be carried out.