Anson Ofra
Faculty of Health Sciences, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, Israel.
Health Policy. 2004 Nov;70(2):197-206. doi: 10.1016/j.healthpol.2004.03.001.
To study the effect of individual's socio-economic characteristics and the structure of the health services in the village on utilization of maternal care in rural HeBei, the People's Republic of China (PRC).
Data were collected from 4273 women who gave birth to one child at least, living in a stratified sample of 288 villages in HeBei Province.
54.8% of the women had at least one pre-natal care visit, 27.5% gave birth in a health care facility, and 18.1% had post-natal check-up. Utilization was inversely related to age and parity and positively to education. Occupation was related to use of pre- and post-natal services, but not to home birth. Per-capita income and living arrangement are not related to utilization. MCH worker in the village promote pre- and post-natal care, but also home delivery. Village doctors promote pre-natal care and hospital delivery but do not promote post-natal check-up. Women tend to avoid the maternal services in the township health centers but some are ready to travel to city hospitals for delivery and post-natal care.
Health education programs regarding the importance of all three maternal care services are clearly needed. These programs should address not only women of child bearing age but also care providers, MCH workers in particular. Township health center should reach-out and motivate women to use their accessible services.
研究个体的社会经济特征及村庄卫生服务结构对中华人民共和国河北省农村孕产妇保健服务利用情况的影响。
数据收集自河北省288个村庄分层抽样中至少生育过一个孩子的4273名妇女。
54.8%的妇女至少进行过一次产前检查，27.5%在医疗机构分娩，18.1%进行过产后检查。利用率与年龄和胎次呈负相关，与教育程度呈正相关。职业与产前和产后服务的使用有关，但与在家分娩无关。人均收入和居住安排与利用率无关。村里的妇幼保健人员既推广产前和产后保健，也支持在家分娩。乡村医生推广产前保健和住院分娩，但不推广产后检查。妇女往往避免在乡镇卫生院接受孕产妇服务，但有些人愿意前往城市医院进行分娩和产后护理。
显然需要开展关于所有三项孕产妇保健服务重要性的健康教育项目。这些项目不仅应针对育龄妇女，还应针对护理提供者，尤其是妇幼保健人员。乡镇卫生院应主动联系并激励妇女利用其可及的服务。
