| ObjectOn the basis of the roles of the service played by birth control agency on the reproduction health concerning mobile population and combined with the importance and superiority of the capability of serving reproduction health, the parameters for assessment of domestic urban birth control agency's ability to serve the mobile population regarding reproduction health were screened, the standards for serving capacity were identified basically and weights and capacity standards were identified too, to build up the system for assessment of the serving capacity. Based on this,to find out the parameters that influence serving capacity, so that we can give strategic advices for advancing the birth control agency's capability of serving reproduction health of mobile population and further improve its services.Method1. Documentary method: look up both domestic and international documents on the threory of reproduction health service, assessment of reproduction health service, assessment of capacity of health service, and assessment of birth control agency's service.2. Consult experts by questionnaire to identify the weights and standard system for assessment of birth control agency's ability to serve the mobile population regarding reproduction health3. Questionnaire: questionnaire was used to collect that data of the indicators for assessment of birth control agency's ability to serve the mobile population regarding reproduction health in each area.4. On-site observation: investigators collected the data of the indicators for assessment of birth control agency's ability to serve the mobile population regarding reproduction health in each area according to the constructed observation plan.5. Statistics: Set up database with Microsoft Office Excel2003 and further calculate SPSS11.5 was used for statistical analysis and especially characterizing statistical analysis was performed.Results1. The assessment system for birth control agency's ability to serve the mobile population regarding reproduction health has two dimensions including structural index and index about the implementation of the services, 7 secondary indices and 28 trtiary indices.2. The assessment system for birth control agency's ability to serve the mobile population regarding reproduction health is a function of the indices of the capacity of services.The score of each restricts:In Guangzhou, Huadu's score is the highest 70.26.No significant diversity exists among each restricts. In Shenzheng,Luohu's score is the highest 80.84. Comparatively, most of the restricts in Shenzheng are good.In Wuhan, Wuchang is the highest. According to the result, Shenzheg is the best.3. Investigation was done concerning the mobile population, the financial endeavor made by birth control agencies and their personnel in the smaple cities. The number of staff for mobile people per 10000 have been figured out. The average cost and the basic information have been found. 4. Based on the assessment indices for capacity of services, the constructed assessment standards and the data collected from the birth control agencies in those areas, the points for the capacity of services in each sample area were obtained.(1) Significant difference of input between mobile and local people(2) The number of the staff can not satisfy the need(3) No encourage system for the staff.(4) Inadequate service for key population(5) The control and prevention did not be included in the work(6) The information platform is not completedConclusions1. Birth control agency's ability to serve the mobile population regarding reproduction health was the capacity that's supported by national policy, implemented by organizations, and realized by divisional birth control agencies' funtion in service. Its assessment dimensions include structural index and index about the implementation of the services.2. During the construction of the assessment system for birth control agency's ability to serve the mobile population regarding reproduction health and through validation test of the advices from experts, It's been shown that the experts were highly positive about this research, they relatively agreed on the importance of those indices, the prospective results from the assessment system for birth control agency's ability to serve the mobile population regarding reproduction health were credible and the system would be able to assess the birth control agency's ability to serve the mobile population regarding reproduction health relatively effectively and reliably.3. Through the assessment system, the capacity of services in 18 areas in the sample cities was comprehensively evaluated and the divisional birth control agency's ability to serve the mobile population regarding reproduction health was assessed, so that the defects in birth control agency's ability to serve the mobile population regarding reproduction health could be found out. Policy suggestion1. The human resource for reproduction health should be optimized. When the input for the service being enhanced, also the human resource must be allocated and explored more efficiently.2. New mechanism should be investigated, and the'three same'must be pursued. The difference of service between the local population and mobile population must be eliminated.3. Efficient and new service system should be established.4. Improve the cooperation among each related departments5. The community reproduction service center should be installed.6. The net for information about the mobile population must been improved7.The sense and ability of reproduction health care in mobile population must be upgraded... |
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