Objective To investigate the effects of intervention for basic maternal and child health services in Songjiang district of Shanghai,and provide the advice for effectively improving utilization of maternal and child health services. Methods The investigation subjects were mothers who took their babies aged one year to one and a half years to utilize basic child health service in all of fifteen community health service centers in Songjiang District during the survey time.In June to July 2013,the baseline investigation was conducted.In March 2013,the intervention was implemented,which mainly was free medical examinations for children aged 0~6 years old.In July to September 2014,the terminal investigation was conducted.The differences of awareness on the intervention and basic child health services utilization between two investigations were analyzed. Results Before and after the intervention,the proportion of investigated children who established examination cards were 87.5% and 92.2% respectively,the proportion of investigated children who took more than three physical examinations in the first year of their life were 86.8% and 92.0% respectively,and the proportion of awareness on the intervention were 62.6% and 75.1% respectively.The migrant population increased significantly.Multivariate analysis showed that both the intervention awareness and the intervention were related to the proportion of investigated children who took more than three physical examinations in the first year of their life,whose OR were 4.126 (P<0.001) and 1.875 (P=0.014) respectively. Conclusion The intervention is effective for improving basic health services' utilization,especially on migrant population.In the future,the awareness on intervention,the compensation method and service quality should be improved.
Key words
child health services /
patient acceptance of health care /
intervention studies
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 杨青,刘磊磊,梁霁,等.上海市松江区基本妇幼保健服务利用均等化现况研究[J].中国妇幼保健,2014,29(36):5964-5966.
[2] 焦娜,梁霁,朱国伟,等.上海某中心城区基本儿童保健服务利用现状研究[J].中国妇幼保健,2013,28(35):5757-5760.
[3] 上海市统计局编.上海统计年鉴-2014[M].北京:中国统计出版社,2014.
[4] 闫淑娟,陈欣欣.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[J].中国儿童保健杂志,2011,19(8):689-691.
[5] 计国平,吴峥峥,许学伟,等.安徽省不同人群对免费妇幼保健服务知晓情况的调查报告[J].安徽预防医学杂志,2014,20(6):403-406.
[6] 胡敏.农村基本医疗卫生服务购买策略研究-基于宁夏农村的理论与实证研究[D].上海:复旦大学,2011.
[7] 刘秀梅,王冬梅,康军,等.琅琊区不同人群免费妇幼保健服务知晓情况调查[J].安徽预防医学杂志,2014,20(6):472-474.
[8] 张萍,何坪,沈星亮,等.重庆市九龙坡区基本公共卫生均等化服务管理模式的探讨[J].重庆医学,2014,43(36):4971-4974.