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目的评价城市流动人口妇幼保健服务项目实施情况,分析省外流动人口5岁以下儿童死亡原因。方法按照ICD-10编码对平湖市2010—2012年本地户籍和省外流动人口5岁以下儿童死亡资料进行分类整理,用DeathReg 2005死因分析软件进行统计分析。结果城市流动人口妇幼保健服务项目实施后,流动人口5岁以下儿童死亡率由2010年的9.53‰降至2012年的5.93‰,与2012年本地户籍5岁以下儿童死亡率3.19‰比较,差异无统计学意义(P>0.05)。早产、低体重占流动人口5岁以下儿童死因的41.67%,高于平湖本地户籍的26.19%(P<0.05)。结论实施流动人口妇幼保健服务项目有效降低了流动人口5岁以下儿童死亡率。
Objective To evaluate the implementation of maternal and child health care services for migrants in cities and analyze the causes of death among children under 5 years of age in migrant and non-migrant provinces. Methods According to the ICD-10 coding, the death data of children under 5 years of age from 2010 to 2012 in Hukou and Hukou were analyzed by using DeathReg 2005 software. Results After the MCH service for urban migrant population was implemented, the mortality rate for children under 5 years old from floating population dropped from 9.53 ‰ in 2010 to 5.93 ‰ in 2012, which was 3.19 ‰ compared with the death rate of children under 5 years old in 2012 Statistical significance (P> 0.05). Premature delivery and low birth weight accounted for 41.67% of the deaths of children under 5 years old, which was higher than 26.19% (P <0.05) of the Pinghu household registration. Conclusion The implementation of MCH service for floating population effectively reduced the mortality rate of children under five years old among floating population.