中文摘要：

目的：了解农村居民对国家基本公共卫生保健服务项目中孕产妇保健项目的认知和利用情况及其相关影响因素，为今后更好地实施孕产妇保健项目提供参考依据。方法：采用多阶段抽样方法选取了吉林、江苏、河北、陕西和四川5省共2028个农村家庭及其所在地50所乡镇卫生院和143个村诊所进行问卷调查。结果：2028名农村居民的孕产妇保健项目知晓率为42．2％。144户农村居民的孕产妇保健项目服务利用率为22．2％。多因素非条件Logistic回归分析表明，初中及以上学历和、村干部身份及所在地乡镇卫生院负责公共卫生的人员数量是农村居民对孕产妇保健服务项目认知水平的保护因素；知晓孕产妇保健项目和所在村村诊所对于该项服务的提供情况是农村居民对孕产妇保健服务项目利用的保护因素。结论：需要加强孕产期保健项目的教育宣传力度以及向村诊所提供资金以及支持其提供服务。

英文摘要：

Objective To study the status of knowledge and utilization of maternal health care of rural residents and its influencing factors. Methods 2028 cases of rural families ,50 cases of township health centers and 143 cases of village clinics were chosen from five provinces with multistage sampling method, and surveyed with questionnaire. Results 42.2% of these residents had knowl- edge of maternal health care. The utilization rate was 22.2%. Factors of education background of middle school or higher, village cadre ,and number of public health professionals in township health centers were protective factors for rural residents＇ knowledge of maternal health care. And factors of knowing the program of maternal health care,and supply of maternal health care services were protective factors for rural residents＇ utilization of maternal health care services. Conclusion Health education on the program of maternal health care should be strengthened. And input should be increased to village clinics for supporting them.