| Objective: With the increasing number of floating population in urban area, andwith the rapid development in reproductive health research area, the reproductivehealth problem of floating population is becoming increasingly important. So, thegeneral objective is: To find out about the situation and factors that influencereproductive health among floating women, and to probe the module and efficacy ofcarrying out IEC among floating women by using the community health resources.The specific objectives are followed:1. To study the situation and factors that influence reproductive health amongfloating women in urban area.2. To know the demand and desire of reproductive health services amongfloating women in urban area.3. To probe the module and efficacy of carrying out IEC among floatingwomen.4. To know the satisfaction of IEC and to know the demand and desire ofreproductive health services among floating women in urban area in thefuture.Method: We adopt qualitative study and quantitative survey method to evaluate thepilot study. We use close questionnaire to carry out the quantitative survey amongfloating women in four streets of Haidian district in Beijing who meet the inclusioncriteria. We choose the study subjects from these floating women to do Focus GroupDiscussion(FGD)and In-depth Interview (IDI), and also include the providers ofCommunity Health Services Center. The qualitative study and quantitative survey andits relevant activities are organized by the family planning office of these four streets.We find out about the situation and factors that influence reproductive health among floating women in urban area by qualitative study and quantitative survey before pilotstudy, and also include their reproductive health demand and desire. We finalize thespecific Information, Education and Communication (IEC) contents and activitymethod according to the floating women's reproductive health demand. We carry outIEC activities among floating women. The activities include giving lectures onreproductive health knowledge, sending out IEC leaflets, and providing a service cardof community health service center. We do the evaluation of floating population afterIEC activities. We analyze the efficacy of IEC, the demand and desire of reproductivehealth among floating women. We try to probe the IEC module by the study result offloating women and the qualitative study among providers. During the process of datacollection and processing, each questionnaire had been checked by investigator,quality controller and administrator of the field separately. The software EpiData3.0was used to found and input the database, and two staffs had entered the data into thecomputers separately. Data was analyzed by the descriptive statistics and theChi-square test with SPSS 13 statistic software.Results:1. Basic demography data of floating womenThe average age of floating women is 28.92±7.94 years old, with 64.8％coming from rural areas of other provinces. 24.2％of floating women are engage inservice industry of hotel and restaurant. 34.9％of them have completed junior schooland below, and 41％of them have finished senior school and vocational school.38.1％of respondents are unmarried, and 83.3％of married women had ever deliveredbefore.2. The situation of reproduetive health and its influence factors among floatingwomen(1) Menses illnesses: 36.8％of floating women has their period in fewer than25 days in more than 3 times a year, 30.8％of floating women has mensesdays fewer than 3 days or more than 7 days in more than 3 times a year.30.8％of them have coagulations in blood. Among these floating women,21.9％of them had experienced one kind of menses illness at least, and29.4％of them had experienced two kinds of menses illnesses. (2) The usage of contraceptives and induced abortion situation: 65.1％offloating women had sex, among them, 12.1％of them do not use anycontraceptives, and 47％of them are using condom, 45.3％of thesefloating women had induced abortion, and the repeated abortion rate are34.8％. The age of first abortion that below 25 years old account for52.8％. Among these abortion women, 30.5％of pregnancies are resultfrom not using any contraceptives, and 52.8％result from contraceptivefailures. Among these failures, 44.7％are rhythm failures.(3) The situation of contraceptive and induced abortion knowledge: Theproportion of that contraception knowledge comes from only one channelaccount for 77.5％. 41.6％of women only know one contraceptive method.40.5％of women can not fully answer the double functions of condom.On the integrated knowledge score of contraception and induced abortion,39.1％of floating women are in the failure group.(4) The knowledge, attitude of Reproductive Track Infection (RTI)/Sexual Transmitted Infection(STI)/Acquired Immure DeficiencySyndrome (AIDS): 37.8％of floating population did not know any RTIs,only 54.8％of women deem condom can prevent themselves from beinginfect RIT. 62.5％of women deem that if a person is bitten by a gnatwhich had ever bitten AIDS/HIV patients, the person will be infected withAIDS/HIV. On the integrated knowledge score of RTI/STI/AIDS, 43.2％of floating women have failing scores.(5) Analysis of influence factors: Age influence menses knowledge. Theproportion that respondents do not know menses knowledge in the groupwhich younger than 24 years old is 66.4％(x~2=54.215, P＜0.01).Counseling contraceptive knowledge actively influence contraceptionknowledge. In thee group that respondents did not counseling contraceptiveknowledge actively, the proportion that did not know contraceptiveknowledge is 36.4％(x~2=96.616, P＜0.01). The number of sources ofreproductive health knowledge is the main influence factor to theintegrated knowledge score of contraception and induced abortion. Theproportion of failing score in the group that knowledge come from onlyone channel is 44.8％(x~2=82.575, P＜0.01). The experience of inducedabortion is the main influence factor to the RTI infections. The proportionthat floating women infect RTIs with induced abortion experience is 34.1％(x~2=7.711, P＜0.01). Living period is the main influence factor tothe score of integrated knowledge of AIDS. The proportion of failingscore in the group that living in local place within 2 years account for54.1％(x~2=37.669, P＜0.01).3. The demand and desire of reproductive health services among floatingwomen38.5％of floating women had. ever counseled contraceptive knowledge, 40.1％offloating women will first consider the factor "whether can get counseling" when theybuy contraceptives. 63.4％of floating women choose the doctor as the first choicewhen they want to do counseling. 33.7％of floating women hope to know the genitalsystem disease and STI knowledge most. "Giving lecture" is the main choice thatfloating women wants to know about reproductive health knowledge, which accountfor 41.6％. 71.5％of floating women had ever heard about "Community HealthServices Center", while only 40.5％of these floating women had ever been toCommunity Health Services Center to seek for services.4. The qualitative study result before IEC activitiesThe majority of floating women think that they lack reproductive healthknowledge. They know AIDS is a kind of serious disease, but they do not know thespecific route of transmission and prevention measures. The majority of floatingwomen hope to receive relevant IEC and periodic and local lectures. Meanwhile, theprovider of Community Health Services Center also shows willingness to carry outlectures to floating women.5. Analysis of the efficacy of IEC activitiesAfter IEC activities, the proportion of mastering 3 kinds of contraceptive methodincreased from 47.1％of pre IEC to 73.3％of post IEC (x~2=122.936, P＜0.01). Theproportion of failure group in the integrated knowledge score of contraception andinduced abortion is decreased from 39.1％of pre IEC to 3.6％of post IEC (x~2=489.948, P＜0.01). The proportion of floating women deem that the condom is themost useful method increased from 41.8％of pre IEC to 72.3％of post IEC (x~2=145.090, P＜0.01)The proportion of failure group in the integrated knowledge scoreof AIDS is decreased from 43.2％ofpre IEC to 6.8％of post IEC(x~2=413.487, P＜0.01).6. The demand and desire of reproductive health services among floatingwomen after IEC and the qualitative study result after IEC activities.After IEC activities, among the distribution of objects that floating women wantsto counseling to, the proportion of Community Health Services Center increased from18.6％ofpre IEC to 59.4％of post IEC (x~2=269.661, P＜0.01). The proportion thatfloating women consider to go to Community Health Services Center for seekingservices is increased from 62.9％ofpre IEC to 86.3％of post IEC (x~2=110.126,P＜0.01).The result of qualitative survey showed that the majority of floating women arevery satisfy with this kind of IEC, meanwhile, they were also very satisfy with theIEC contents. Floating women know more about Community Health Services Center.They said: "we had to buy the contraceptives pay by ourselves before, from now on,we can go to Community Health Services Center to receive free contraceptives!"Conclusion:1. The reproductive health level of floating women is not optimistic, thepercentage of floating women with menses illness are relatively high.The incidence of induced abortion is very high, and the failure rate ofcontraceptives is very high. The knowledge level of floating women onthe contraceptives, induced abortion, RTI/STI/AIDS is very low. Age,education level, marriage status, living period, the channel of gettingreproductive health, and the utilization of community health resourceare the main factors that influence the floating women's reproductivehealth level.2. The channel of receiving reproductive health knowledge is relativelynarrow. The demands of floating women to reproductive health are veryhigh. The awareness rate and the utilization rate of community healthresource are relatively low.3. After IEC activities, the changes are very significant on the floatingwomen's knowledge of menses care, usage of contraceptives, inducedabortion, RTI/STI/AIDS. 4. After IEC activities, the knowledge of community health resources andconsciousness of service utilization increased, and the increases is verysignificant.5. Floating women are organized by local street family planning office,and to participate in the reproductive health services provided bycommunity health services center can improve their reproductive healthlevel easily and quickly. This kind of IEC module can increase floatingwomen's possibility to access health services. And this is a suitablemodule that deserves to be popularized.General conclusion:The reproductive health situation and knowledge level of floating women is notoptimistic, after IEC activities, the increasing level of reproductive health knowledgeis very significant, and the change in the awareness of Community Health ServicesCenter and its services are very significant. The IEC activities are proved successfuland feasible.
|
PDF Full Text Request