目的 对妇幼健康公平性进行分析,为促进妇幼保健服务和提高妇幼健康公平程度提供借鉴和参考。方法利用《中国卫生统计年鉴》《中国卫生和计划生育统计年鉴》《中国统计年鉴》中的相关资料,计算反映妇幼保健服务和妇幼健康水平的各项指标的集中指数。结果 孕产妇系统管理、产前检查、产后访视、儿童保健管理的集中指数均为正值,反映出其主要集中在社会经济发展水平相对富裕的省份,围产儿死亡、孕产妇死亡的集中指数均为负值,反映出其主要集中于社会经济发展水平相对落后的省份。2008—2013年我国妇幼保健服务及妇幼健康的不公平性在各省(市、区)间的差距有所改善。结论 不同省(市、区)的妇幼保健服务和妇幼健康状况的不公平程度有所改善,应发展贫困地区经济,缩小贫富差距,注重对中部地区的支持,提高妇幼保健服务的效率和质量,从而改善妇幼健康。
Objectvies To analyze the health equity of maternal and child,and to provide reference for improving maternal and child health care and health equity.Methods Data from China Health Statistical Yearbook,China Health and family planning statistical yearbook and China Statistical Yearbook were collected,and the concentration indexes evaluating equity in health care services and health were calculated.Results Concentration indexes of the systemic management of maternal health,prenatal examination,postpartum visit and health management of child were positvie which indicated that above indicators in rich provinces were higher than in poor provinces.Concentration index of perinatal mortality,maternal death were negatvie which indicated that above indicators in poor provinces were higher than in rich provinces.The gaps of inequities in health care services and health level of maternal and child were decreasing from the period of 2008 to 2013.Conclusions Inequities in health care services and health level of maternal and child existing in different provinces(cities,districts)is gradually improved.Economy of impoverished areas should be developed to reduce gaps among different provinces.Support for central china should be focused on and efficiency and quality of maternal and child health care services should be improved to promote health.