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目的:了解青海省5县农村、牧业地区母子健康主要行为问题,分析其影响因素及可利用资源,为制定适应于当地的母子健康促进策略提供科学依据。方法:运用影响行为的交流模式,采用小组访谈和个人深入访谈相结合的方法,访谈5县准备怀孕妇女、孕妇、0~3岁儿童的母亲及其家人396人,部分乡镇妇幼卫生人员66人,总共访谈462人,收集资料并对访谈结果进行归纳分析。结果:在多种妇幼健康相关行为中,当地农村、牧区孕妇不做产前检查、6月内婴儿没有纯母乳喂养、不住院分娩是最为突出的行为问题,其主要影响因素有基层妇幼卫生服务能力、目标人群健康保健意识、当地传统习俗、交通因素等。结论:应该努力提高基层妇幼卫生服务能力和可及性,促进当地政府出台相关支持性政策,开展面对面健康教育、同伴教育等活动,改变当地不良传统观念,促进农村、牧区群众健康相关行为的形成。
Objective: To understand the main behavioral problems of maternal and child health in rural and pastoral areas in 5 counties of Qinghai Province, analyze its influencing factors and available resources, and provide scientific basis for formulating local maternal and child health promotion strategies. Methods: Interviews were conducted with 5 groups of mothers and their families of pregnant women, pregnant women, children aged 0-3 years and their families 396 and 66 maternal and child health workers in some townships by means of a combination of group interviews and personal in-depth interviews. , Interviewed a total of 462 people, collect information and analysis of the results of the interview. Results: In a variety of maternal and child health-related behaviors, pregnant women in local rural areas and pastoral areas did not have prenatal care. In June, infants were not exclusively breastfeeding, and hospitalization was the most prominent behavioral problem. The main influencing factors were maternal and child health services Ability, health awareness of target groups, local traditions and customs, traffic factors, etc. Conclusion: We should strive to improve the capacity and accessibility of MCH services at grassroots level, promote relevant government supportive policies, conduct face-to-face health education and peer education, change the traditional local bad ideas, and promote the formation of health-related behaviors in rural areas and pastoral areas .