农村住院分娩补助项目效果评价

目的：评价农村孕产妇住院分娩补助项目是否提高了住院分娩率和达到了预期目标。方法：数据来源于卫生部2004--2011年《中国卫生统计年鉴》和2009--2011年的《全国妇幼卫生年报》，分析住院分娩补助项目的目标实现情况，分别计算东、中、西部地区住院分娩率的变化趋势，以及重点地区住院分娩率的提高幅度和不同基线水平下的提高幅度。结果：2010年，全国31个省、自治区、直辖市全部完成住院分娩率提高的目标，西部省份增加幅度较大。全国住院分娩率低于80％的县由2008年的334个减少至2010年的151个。结论：住院分娩补助重大专项的实施大大促进了农村孕产妇住院分娩，尤其是孕产妇住院分娩率基线水平较低的地区，区域不公平的问题在一定程度上得到改善。

Evaluation of institutional delivery subsidy program in rural China

Objective:To evaluate the effect of institutional delivery subsidy program on hospital delivery rate and achieved the goal.Method:Data were collected from China Health Statistics Yearbook 2004—2011 and provincial Maternity and Child Hygiene Annals 2009—2011.Institutional delivery rates of different provinces and counties on different levels and districts were analyzed.Results:By 2010,all 31 provinces have achieved the goal on increasing the institutional delivery rate,especially in the western areas.With the institutional delivery subsidy program in rural areas,counties with the institutional delivery rate under 80% had decreased from 334 in 2008 to 151 in 2010.Conclusion:The implementation of the institutional delivery subsidy program has greatly increased the institutional delivery rate in rural areas,especially the areas which had lower institutional delivery rate,and the problem of regional inequity has been improved to some extent.