贫困农村妇女生殖道感染服务提供与利用研究

目的：分析贫困农村妇女对生殖道感染服务的利用以及服务提供情况。方法：采用问卷调查，体检调查，个人深入访谈和小组集中讨论会等定量和定性研究方法。结果：乡级卫生机构资源利用不合理，村卫生室设备及人员均缺乏，个体诊所必需的诊断设备缺乏；贫困农村妇女对生殖道感染服务需要高，但利用率低，经济困难、生殖道感染知识缺乏、传统观念的束缚以及服务质量低下是影响妇女利用生殖道感染诊治服务的主要原因。结论：提高妇女对RTIs服务的可及性；建议对基层服务提供者加强业务培训；对妇女进行生殖道感染知识的健康教育。

A study on the provision and utilization of the reproductive tract infections services among poor rural women

Objective: To analysis the needs of reproductive tract infections (RTIs) services, and the utilization and provision of services of the common RTIs in poor rural women. Method: The child bearing age woman, service providers and institutions were investigated. Questionnaire survey, physical examination, in depth interview and focus group discussion were used to collect quantitative and qualitative data. Results: Inadequate resources and a very low utilization of the existing services exist simultaneously at township hospitals and family planning service stations, equipment and staff are deficient at village clinics, and lack of necessary diagnostic equipment at private clinics. The women didn't utilize RTIs services adequately, although there was a high reporting percentage on symptoms of RTIs. And poverty, lack of knowledge on RTIs, traditional beliefs and perceived poor quality of care obstructed the women's utilization to diagnosis and treatment services. Conclusion: Health policy should be considered to improve the accessibility of women to RTIs services. Professional training on RTIs Knowledge for grassroots health workers should be strengthened. Health education to poor rural women on RTIs should be enhanced.