目的对孕产妇产后保健服务利用进行受益归属分析,了解产后保健服务的受益人群和受益程度。方法运用多阶段随机抽样的方法,调查产后42天到6个月的产妇,共计调查2021名产妇,其中有效调查问卷1954份。运用Kakwani指数、利用需要比等方法进行受益归属评价。结果产后保健各服务项目的 Kakwani指数均为负值,说明低经济收入组孕产妇受益更多;利用需要比显示,农村孕产妇、低文化程度孕产妇以及低年龄和高年龄孕产妇利用受益程度低。结论加强低经济收入组孕产妇的经济政策支持,更加关注农村孕产妇,提高其受益程度,同时应提高低文化程度及低龄和高龄孕产妇对产后保健服务的利用率,加大其受益程度。
Objective This study aimed to know the beneficiaries and benefit level of postpartum health care services by using Benefit incidence analysis( BIA). MethodsMultiple-stage random sampling methodwas used to do investigation,and motherswhose babies 42 days to 6 months oldwere studied. The study collected 2021 questionnaires,and the valid 1954. Kakw ani index and utilization need ratiowere used to do BIA. Results Indexes of Kakw ani of all postpartum care serviceswere negative,and that show ed maternalwith low income had more benefit from the postpartum health care services on thewhole. Utilization need ratio indicated that rural,low-educated,low and high-aged maternal had low level benefit in postpartum health services.Conclusion We should improve on the support of low-income maternal by economic methods and policy,focus more attention on the rural,and increase the low-educated,low and high-aged maternal utilization,in order to promote the benefit degree.