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【目的】分析城市流动人口妇幼保健服务项目对流动儿童保健状况的改善作用。【方法】采取分层整群抽样方法抽取朝阳区和大兴区共11个街乡,实施为期5年的流动人口妇幼保健项目。项目终期,在项目点随机抽取部分流动儿童进行入户问卷调查,与基线调查比较。【结果】共调查流动儿童1 005名。结果显示:1)流动儿童看护人对儿童保健服务和知识的知晓率明显提高;2)流动儿童对保健服务的利用明显改善,建册率、儿童保健覆盖率和儿童系统管理率比基线时明显提高,升幅分别为71.7%、76.2%和87.5%;3)流动儿童健康状况明显改善,腹泻、咳嗽2周罹患率比基线明显降低。【结论】流动人口妇幼保健服务项目的实施对提高流动儿童看护人保健知识水平、改善流动儿童保健服务和健康状况具有明显的促进作用。
【Objective】 To analyze the improvement effect of maternal and child health services for urban migrant population on the health status of migrant children. 【Method】 A stratified cluster sampling method was adopted to extract 11 townships in Chaoyang District and Daxing District and implement a five-year floating population MCH project. At the end of the project, some migrant children are randomly selected at the project site for household survey, compared with the baseline survey. 【Results】 A total of 1 005 floating children were investigated. The results showed that: 1) the awareness of mobile child caregivers on child health care services and knowledge was significantly improved; 2) the utilization of health care services by migrant children was significantly improved; the enrollment rate, child health coverage and child system management rate were significantly higher than those at baseline Increased by 71.7%, 76.2% and 87.5% respectively. 3) The migrant children’s health status improved obviously. The incidence rate of diarrhea and cough for 2 weeks was significantly lower than that of baseline. 【Conclusion】 The implementation of the maternal and child health services for floating population has a significant role in promoting health care literacy for migrant children and improving health services and health status of migrant children.