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为了扩大避孕选择和改善服务质量,使避孕技术引入的决策更符合实际和具科学依据,系统地评估重庆地区育龄群众对避孕节育和生殖健康的需求、重庆市服务提供系统和避孕节育技术的现状,进而对改善计划生育/生殖健康服务质量提出建议,包括引入避孕技术过程中的服务质量。以世界卫生组织生殖健康和科学研究署的避孕技术引入的战略方案作为本次定性研究的基本研究方法,结合我国实际,2000年10～11月间,从重庆市43个区县中选取有代表性并能反映重庆地区特点的一个区和三个县,进行系统战略评估。共访问了14个乡镇,其中由评估组随机选择了7个乡镇,7个乡镇由县计生委选择。评估中访问了各级政府和行政管理人员、技术服务人员和服务对象,并在村、乡、县和市访谈了妇女主任等社区领导,妇女、男人和未婚青少年,共425人。观察了县/乡计划生育服务站、区县妇幼保健院、乡卫生院、村卫生室和零售药店,共49个服务机构。多数育龄群众愿意接受现行的‘一对夫妇生育一个孩子为好’的政策,但部分山区和以农业为主的群众仍希望有一个男孩。评估中发现年龄30岁以下、女性、居住在城市、初中以上文化或有外出务工经历的育龄群众避孕知识相对了解得多些。人们对于生殖道感染和性传播感染方面的知识均非常有限。由于宫内节育器使用?
In order to expand contraceptive choice and improve service quality, the decision-making of contraceptive technology is more realistic and scientifically based on a systematic assessment of the needs of the population of childbearing age in Chongqing for contraception and reproductive health, the status quo of Chongqing’s service delivery system and contraception , Which in turn provides advice on improving the quality of family planning / reproductive health services, including the quality of service in the introduction of contraceptive technologies. Taking the strategic plan introduced by World Health Organization Reproductive Health and Science Research Agency contraceptive technology as the basic research method of this qualitative study and combining with the reality of our country, from October to November 2000, from 43 districts and counties in Chongqing, Sex and can reflect the characteristics of a district in Chongqing and three counties, a systematic strategic assessment. A total of 14 villages and towns were visited, of which 7 villages and towns were randomly selected by the assessment team and 7 townships were selected by the County Family Planning Commission. The assessment interviewed all levels of government and administrative staff, technical service personnel and clients and interviewed community leaders such as women directors, women, men and unmarried adolescents in villages, townships, counties and cities for a total of 425 people. A total of 49 service agencies were observed at county / township family planning service stations, district MCH centers, township hospitals, village clinics and retail pharmacies. Most of the people of childbearing age are willing to accept the existing policy of “giving birth to one child as a couple”, but some mountainous areas and predominantly agricultural people still want a boy. The assessment found that people under the age of 30 years old, women, living in cities, middle school and above culture or migrant workers who have more experience in contraceptive knowledge relatively more understanding. People have very limited knowledge about reproductive tract infections and sexually transmitted infections. As IUD use?