流动人口避孕药具发放模式改革效果评价

目的通过避孕药具发放模式改革，提高流动人口避孕药具的可及性和使用满意率。方法对深圳市南山区8个社区工作站年龄在20～40岁之间的已婚育龄流动人口进行基线调查，然后利用半年的时间进行避孕药具发放模式的改革，避孕药具发放采用统一药具发放专柜、统一药具发放品种、统一避孕药具免费发放点的标识、统一布点、统一工作流程（简称“五统一”）的模式进行，1年后进行终点调查。结果对避孕节育有关知识的了解，终点组的比率明显高于基线组，在避孕药具发放可及性及满意度方面，2组避孕失败率、目前措施满意率、绝育率比较，差异无统计学意义（P〉0．05），但计划生育率、男性参与率、IUD使用率、药具使用方便率、对计生工作的满意率终点组明显高于基线组，差异有统计学意义（P〈0．05）。结论避孕药具发放“五统一”模式改革，可以提高流动人口避孕药具的可及性，使用率和满意率。

Evaluation on effect of the reform in contraceptives providing mode among married reproductive-aged floating population

Objective To increase the accessibility and satistaction by retorming the contraceptives providing mode among the floating population. Methods More than 1000 floating people aged 20 -40 years in 8 communities of Nanshan district were selected in a baseline survey. A end - point survey was carried out with the same method one and a half years after the reform of the contraceptives providing mode. Results For sexual and contraceptive knowledge, end -point group significantly knew more than baseline group. For the accessibility and satisfaction, There was no significant difference between two groups in contraceptive failure rate, satisfaction rate and sterilization rate, while the family planning rate, husband participanting rate, IUD use rate, contraceptives convenience rate, and the rate of satisfaction to family planning work were significantly higher in end -point group than in baseline group. Condusion The reform of contraceptives providing mode can increase the accessibility , using and the satisfaction of contraceptives in floating population.