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避孕方法知情选择干预对服务效果的影响

Effect of intervention for informed choice of contraception on technical service’s ability and attitude

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【作者】 于建春李欣迎樊云井张会珍王静

【Author】 YU Jian-chun,LI Xin-ying,FAN Yun-jing,ZHANG Hui-zhen,WANG Jing(Shandong Provincial Institute of Family Planning Science and Technology,Shandong Jinan 250002,China)

【机构】 山东省计划生育科学技术研究所山东省计划生育科学技术研究所 山东济南250002山东济南250002

【摘要】 目的评价避孕方法知情选择干预对服务机构技术服务能力与服务态度的影响。方法对山东省7个县(市、区)20~49岁的育龄妇女进行一年半的避孕方法知情选择干预,并对干预后服务机构技术能力与服务态度进行分析。结果①干预前育龄妇女自己或夫妻共同知情选择避孕方法的构成比为72.99%,干预后为83.29%,上升10.30个百分点;②干预前65.10%的服务机构能够向前来咨询或选择避孕方法的育龄妇女提供宣传卡片、折页或小册子,干预后这个数字提高到80.32%,上升了15.22个百分点。落实避孕节育措施后的随访率干预后较干预前提高了23.01个百分点;③育龄妇女对服务机构及技术人员技术与态度的满意率干预后均较干预前有较大提高。与干预前比较,育龄妇女对技术人员服务态度的满意率提高了21.49个百分点。对技术人员知识水平的满意率上升了24.00个百分点。结论干预措施确实大大提高了育龄妇女的避孕知识,改善了服务机构的技术水平与服务态度,但还需进一步加强避孕知识及政策宣传,提升技术服务能力。

【Abstract】 Objective To evaluate effect of intervention for informed choice of contraception on technical service’s ability and attitude of service agencies in family planning.Methods Women of childbearing age aged 20 ~ 49 years old in 7 counties of Shandong province were selected and investigated with a structured questionnaire.Then their informed choice of contraception was intervened for one and a half years.Results ①The constituent ratio of informed choice of contraception of women herself or the couples together before intervention was 72.99%,and that after intervention was 83.29%,raising by 13.3%;② 65.10% of service agencies can provide propaganda cards,foldings and booklets before intervention,and after intervention 80.32% of service agencies did so,raising by 15.22%.After intervention,the follow-up rate after implementation of contraception was raised by 23.01% as compared with that before intervention;③The satisfaction rate for the service agencies or technician’s technical ability and attitude after intervention was improved greatly as compared with that before intervention: the satisfaction rate of the women for technician’s attitude was raised by 21.49% and that for technician’s knowledge was raised by 24.00%.Conclusion Interventions improve contraceptive knowledge levels of those women of childbearing age and technical service’s ability and attitude of the service agencies.More attention should be paid to strengthen propaganda on contraceptive knowledge and the policy of informed choice of contraception and elevate the technical service’s ability of the service agency.

【基金】 山东省人口和计划生育委员会科技发展计划项目课题研究资助项目(200405)
  • 【文献出处】 中国妇幼健康研究 ,Chinese Journal of Woman and Child Health Research , 编辑部邮箱 ,2008年01期
  • 【分类号】R169.4
  • 【被引频次】3
  • 【下载频次】70
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