目的:了解成熟避孕方法综合推广研究项目对农村育龄妇女计划生育服务过程和现用避孕方法满意度的影响,评价干预效果。方法:2002年12月在重庆市和四川省分别选择一个经济和文化处于当地中等水平的县,分别针对服务对象、服务提供者制定综合干预方案,并逐步落实,分析比较基线、中期、终末评估时服务对象对服务过程和避孕节育方法使用的满意情况。结果:基线、中期、终末三期育龄妇女对计划生育服务过程评价为“较好”的比例(4.4%、88.6%、95.8%)和对现用避孕节育方法的满意度(52.5%、67.4%、95.4%)均呈递增趋势。经多元Logistic回归调控地区、年龄、职业、孕产史和避孕方法等潜在混杂因素后,中期和终末评估时服务对象对服务过程评价为“较好”的比例(OR中期=2.67,95%CI=1.39-5.14;OR中期=7.77,95%CI=5.34-11.31)以及对现用避孕节育方法满意度干预后均显著增高(OR中期=1.87,95%CI=1.18-2.96;OR中期=18.81,95%CI=10.91-32.43)。结论:综合干预措施能有效提高农村育龄妇女对计划生育服务过程和现用避孕方法的满意程度,推动计划生育服务的改善。 OBJECTIVE: To understand the influence of the research project of integrated promotion of mature contraceptive methods on the satisfaction of family planning services and current contraceptive methods among rural women of childbearing age, and evaluate the effect of intervention. Methods: In December 2002, Chongqing and Sichuan provinces were selected respectively in a county with a moderate economic and cultural level. Comprehensive intervention programs were formulated for service targets and service providers, and their implementation was gradually implemented. The baseline, mid-term, and final Satisfaction of the client with the service process and the use of contraceptive methods during the assessment. Results: The proportion of women with childbearing age in the third, fourth, and fourth trimesters who evaluated the family planning service as “better” (4.4%, 88.6%, 95.8%) and satisfied with the current contraceptive methods (52.5% , 67.4%, 95.4%) showed an increasing trend. After multivariate Logistic regression adjusted for potential confounding factors such as age, occupation, history of pregnancy and contraception, the proportion of respondents rated service progress as “better” at interim and final assessments (OR interim = 2.67, 95% CI = 1.39-5.14; OR interim = 7.77, 95% CI = 5.34-11.31), and satisfaction with current contraceptive methods was significantly higher (OR interim = 1.87, 95% CI = Interim = 18.81, 95% CI = 10.91-32.43). Conclusion: Comprehensive interventions can effectively improve the satisfaction of rural women of childbearing age on the family planning service process and the current contraceptive methods, and promote the improvement of family planning services.