云南省生殖道感染综合防治中服务利用的定性研究

目的:对目标人群利用生殖道感染防治服务的情况和需求进行分析,提出改善生殖道感染综合防治的建议。方法:采用定性研究的方法,对云南省弥勒、陇川两个试点县的县、乡、村生殖健康服务机构的管理者、服务提供者和社区群众进行了小组访谈及个人访谈。结果:服务对象认为对现有生殖道感染防治服务利用不足,有进一步的需求;服务提供者通过项目实践知识和技能得到提升,但操作的规范性有待加强;在提供常规性病的医疗服务方面,还需加强能力建设,完善转诊制度。结论:生殖道感染的有效控制需要从政策制定、服务提供、社区参与、个人行为等方面入手,制定综合防治规划。生殖道感染防治与计划生育/生殖保健相结合的综合防治措施具有非常好的社会效益比。

Quantitative Research on Integrated Prevention and Treatment of RTIs in Yunnan Province

Objective: To give recommendations for improving reproductive health services from perspective of service providers, managers and women through understanding of current awareness of RTIs of public according to particular situation and need among target groups before and after project. Method: Quantitative and qualitative research tools were adopted to study the execution of RTIs before and after a three-year integrated intervention of RTIs in Mi’le and Longchuang counties in Yunnan province. Questionnaire, individual/group interviews were done for 2,102/2,071 rural women as well as reproductive service manager and providers in county, township and village organization. Result: Current service of RTIs was deficient and further requirements were needed. Knowledges and skills of service providers were improved through project practice, however operation were needed to be standardized. Medical services for common STI(sexually transmitted diseases) were needed to focus on capacity building and consummate treatment-transfering system. Conclusion: Effective control of RTIs should be put more effort to all aspects of policy formulation, service provision, community participation and individual behavior, etc, and the integrated prevention and treatment should be formulated. The project further proved that it shows high effectiveness in social sense.