Abstract: Objective To understand the current situation of child health care service aged 0 to 6 years old in poor families in Huining county of Gansu province,to find the influencing factors about the utilization of health care service for these children,and to provide basis for improving their health level. Methods A total of 533 caretakers were randomly selected in six villages and towns from Huining county of Gansu province and surveyed with questionnaire and among them partly with focus group discussion to gain basic situation of families and children as well as the information of child health care service. Results The coverage of child care service aged 0 to 6 years old of poor families in Huining county was only 75.4%,the main influencing factors on the coverage of child care service were education level of caretakers,average annual family income per person,whether to accept the neonatal follow-up,and whether to accept health education. Conclusion The coverage of child care serviceaged 0 to 6 years old of poor families in Huining county has yet to be improved.Economic factors,health knowledge of caretaker and health care consciousness are important influencing factors on whether children in poor families accept health care service.

Key words: poor, children aged 0 to 6, health care service, influencing factors

摘要： 目的 了解甘肃省会宁县贫困家庭0~6岁儿童保健服务现状,找出影响贫困家庭0~6岁儿童保健服务利用的因素,为改善贫困家庭儿童健康水平提供依据。方法 在甘肃省会宁县的6个乡镇随机抽取533名贫困家庭儿童看护人,对其进行问卷调查,并对部分家长进行小组访谈,获取儿童、家庭基本情况及儿童保健服务等信息。结果 会宁县贫困家庭0~6岁儿童保健覆盖率仅为75.4%,影响贫困家庭0~6岁儿童保健覆盖率的主要因素为看护人文化程度、家庭年人均收入、是否接受新生儿随访、是否接受健康教育。结论 会宁县贫困家庭0~6岁儿童保健覆盖率有待提高,经济因素、看护人的健康知识和保健意识是影响贫困家庭儿童接受保健服务的重要因素。

关键词: 贫困, 0~6岁儿童, 保健服务, 影响因素