农村地区生殖健康/计划生育服务质量评估

目的 了解农村地区育龄男女对生殖健康／计划生育服务的利用情况和相关知识、态度、行为及保健需求。方法 采用定性研究的方法，于2001年对安徽、广东、青海、重庆4省(市)8个村的105名育龄男女分成16个小组进行专题小组讨论。结果 农村育龄妇女孕产期保健情况较好；村级孕产妇大多在乡镇卫生院分娩；妇女产后多采用宫内节育器避孕。育龄妇女中分别有72．5％，35．3％和70．6％的人了解有关生殖道感染／性传播疾病的传播途径、危害和预防措施。获取生殖健康知识的最佳形式是与医生和保健人员面对面地交流与咨询。结论 应加强孕产期保健工作，提高农村孕产妇的住院分娩率；为农村育龄男女提供完善的计划生育指导；并通过多种形式的健康教育，促进农村群众生殖健康水平的提高。

Evaluation on quality of services of reproductive health and family planning in rural areas

Objective To identify the utilization of reproductive health and family planning services for reproductive age men and women as well as their related KAP and health requirement.Methods A qualitative study was adopted.105 reproductive age men and women from 8 villages in Anhui,Guangdong,Qinghai and Chongqing were divided into 16 small groups respectively to conduct focus group discussion in 2001.Results The situation of maternal health care for reproductive age women in rural was satisfied.Most of village pregnant women delivered in township hospitals.IUD was the common contraception after delivery.Among reproductive age women,72.5%,35.3% and 70.6% knew about at least one kind of transmission ways,hazards and preventive measures of RTIs/STDs respectively.The best way to obtain relevant knowledge was face to face communication and consultation with doctors and other health professionals.Conclusion It was necessary to improve the maternal health care and enhance the hospital delivery rate,provide family planning guidance and carry out variety of health education in order to improve the reproductive health in rural areas.