| Objective:The aims of the study are to according to the different personalized characteristics of the floating population groups and promote new contraceptive methods to satisfy different contraceptive demand from different characteristics in each period of floating population. And through the method called IBP, we can know the degree of satisfaction among floating population on current contraceptive methods used service combining quality service. The result is we could make these services integrate into the routine work sustainability.1. Evaluation of the personalized contraception needs.: through the evaluation of the personalized contraception needs among floating population, according to the needs, we can develop appropriate personalized scheme for the different stages and the different physiological.2. Evaluation of the degree of satisfaction among floating population: Evaluation of the degree of satisfaction of floating population in the three stages of intervention, include in the process of providing the service. And we can find the infect factors. 3.To improve the quality service of family planning: Through making these services integrate into the routine work sustainability to improve the family planning service and put forward the corresponding policy recommendations.Method:1. Study design:The study was an epidemiologic intervention study. The theories and methods from Operative Researches (OR) were employed in our study during every stage, such as validating the issues, analyzing them, and eventually solving them. And the OR methods were also used in the study to assess needs/demands and the resources, to establish and implement the intervention measures, and eventually to asses the effectiveness of intervention measures. During January to July 2008, there are 7 intervention study fields include 2 family planning service centers, 2 factories and 3 community sites. The study under the adoption of questionnaires was conducted among floating population, who didn't use the IUD currently and were in reproductive age (16-49) which is before and after the intervention2. Intervention: the intervention modules include basic PAFPS module and comprehensive PAFPS module.The intervention measures were composed of passive information, education and communication (IEC) and reference to a family planning clinic. The passive IEC was implemented by providing the IEC materials related to contraceptives. Reference to a family planning clinic was recommended by providing the card writing some family planning clinics where they can get free family planning service.The intervention measures of comprehensive were composed of four components (active IEC, face-to-face counseling, provision of family planning methods and reference to a family planning clinic). Active IEC was implemented by providing actively the information related to contraceptive, answering the questions of women and disseminating reading materials. Face-to-face counseling was implemented by demonstrating the use of contraceptive methods and providing the informed choice for contraceptives. Provision of family planning was implemented by providing free condom, oral contraceptive, and IUD. Reference to a family planning clinic was recommended by providing the card writing some family planning clinics where they can get free family planning service.3. Managements and Analysis of data:The data was collected by quantitative investigation and qualitative study. For qualitative study, the interview record must be transcribed, sorted, coded, listed the sorting form, and wrote the report after an interview. The results of the study were quoted directly. For quantitative study, the EpiData3.0 software was used to set up the database of the quantitative investigation. The content of questionnaire was input into the database by two fulltime typists twice by using EpiData3.0 software and the errors had been corrected to assure the veracity of data. SPSS 13.0 statistic software was used in this study. The analysis method included Chi-Square test, rank test, and Logistic regression model.Results:1. The result of situation analysis:(1) Information, education and communication(IEC)Form: create atmosphere, theme advocated, publicity and education. One of the highlights is healthy education, because the first is for the youth floating population, the second is education aimed at 15-49 year married women; the third is to use community fertility and the media to popular the reproductive health knowledge for the floating population; the fourth is combining the propaganda and work.(2) issue of contraceptives Many people may not know there are free contraceptives because the publicity is not enough. The family planning personnel, especially quality of some community workstation staffs can not meet people demand. The service time arrangement is not reasonable. Because the system is still in question, at present, working funds is not enough.(3) technology serviceThe follow-up work is hard to develop because the object is the floating population. The communication among the doctor and the service object and the contraceptive guidance service work is not enough. Family planning method still cannot meet the needs of the people and they do not understand.(4) the training of providersThe number of training teacher is less and they usually accept the training using spare time. Besides professional knowledge of the grass-roots staff is wrong.2. Assessment of intervention effectivenessGenerally speaking, the mean age is 31.05 in service centre and the medium age is 30.48, 18-48.72 (1143); the mean age is 31.16 in factory and the medium age is 30.24, 17.21-47.82; the mean age is 29.49 in community and the medium age is 28.95, 16.59-48.13. The age covers the one range basically. Thought the ratio of female is higher than male, the majority of female go to service center. Most of subjects are in junior or higher school. Except community, the married people are over 80% in other two constitutions. There are more blue collars in factory and the number of blue collar and white collar is approximately close in two other constitutions. Most of couple live in the same city and live together.According to the style of study sites, we will divide the results into 3 parts: (1) factory-style study site; (2) medicine constitution-style study site; (3) community-style study site(4) factory-style study siteThere are 2 sites in factory-style study site. They are factory in Dongguan and factory in Nanshan District.2) Demology charactersAll of subjects in Dongguan have sexual life and the difference is not statistically significant in education and income (P>0.05) . All of subjects in Nanshan District have sexual life and the difference is not statistically significant in education and income(P>0.05) .2) Assessment of intervention effectiveness in two study sites-contraception knowledgeWe divide knowledge score into pass group and failure group. If subjects can answer over 9 correct questions, they belong to pass group. Whatever in Nanshan District factories or Dongguan factories, the difference is statistically significant between female and male subjects though the minimal and the extended intervention.3) Comparison of intervention effectiveness in two study sites -contraception knowledgeIn male subjects, the difference of intervention effectiveness is not statistically significant between two study sites (P>0.05).In female subjects, knowledge lever of Shenzhen female is higher than counterpart of Dongguan (P<0.05) in pre-intervention; the difference of intervention effectiveness is not statistically significant between two study sites in the minimal intervention group (P>0.05); the difference of intervention effectiveness is statistically significant between two study sites in the extended intervention group (P<0.05).4) What kind of character people have better assessment effectiveness in factory-style study site?In factory-style study site, especially for female subjects, they are lower contraception knowledge level (the failure) ( OR=0.463 ) ; they know few free contraception address (OR=0.250) ; the pattern of Dongguan is much better if there are professional staff in the study site (OR=0.538) .5) Assessment of family planning service qualityThe purpose of factory-style study site is to provide proper contraception knowledge and information, quality of service provider and satisfaction between those who seek service and service providers. Whatever the minimal or the extended intervention group, they are all better than pre-intervention (P<0.05) .(5) Study sites of family planning service institutionThey include 2 study sites which are family planning service in Shenzhen and in Nanshan District1) Demology charactersIn family planning service in Shenzhen, all subjects have sexual life during every intervention stages. The difference in education and income is not statistically significant between female and male subjects (P>0.01) . In family planning service in Nanshan District, all subjects have sexual life during every intervention stages. The difference in education and age is not statistically significant between female and male subjects (P>0.05) . 2) Assessment of intervention effectiveness -satisfactory degreeInvestigators grades 11 relative work of family planning service centre during every intervention stage. (More satisfaction equals 4 scores; satisfaction equals 3 scores; indifferent equals 2 scores; a little dissatisfaction equals 1 scores; dissatisfaction equals 0 score). In family planning service of Shenzhen, female subjects who have accepted intervention feel much more satisfied with family planning service than before whatever the minimal or extended intervention group (P<0.05) .Male subjects who have accepted intervention feel much more satisfied with family planning service than before whatever the minimal or extended intervention group (P<0.05) . However, the difference is not statistically significant between the minimal and extended intervention group (P>0.05)3) Assessment of intervention effectiveness in two study sits-satisfaction degreeIn pre-intervention, female subjects in Nanshan family planning service center have higher satisfactory degree than the counterpart in Shenzhen (P<0.05) ; though the minimal intervention, the difference of female subjects is not statistically significant between Nanshan and Shenzhen family planning service center (P>0.05) ; though the extended intervention, satisfactory degree of Shenzhen family planning service center have higher satisfactory degree than Nanshan (P<0.05) .4) What kind of character people have better assessment effectiveness in family planning service center -style study site?To have higher satisfactory degree in family planning service center, the pattern of Shenzhen apply in those female subjects who have younger age (OR=0.499) , lower education (OR=0.665) , use modern contraception device (OR=2.158) , lower frequency of using contraception device (OR=1.446) , free contraception device place where there are no professional staff in daily day (OR=2.158) and know less addresses of free contraception device (OR=0.696) .5) Assessment of family planning service qualityService providers after intervention provide more kinds of contraception device, proper knowledge and information. Meanwhile , those who seek providers think that service providers have higher quality after intervention , more mutual relationship with them and better environment of medicine constitutions (P<0.05) .(6) Community-style study sitesThere are 2 study sits which are Luohu center and Luohu canteen.1) Demology charactersAll of subjects in Luohu canteen have sexual life and the difference in education and profession is not statistically significant in male subjects (P>0.05) . The difference in profession is not statistically significant in female subjects (P>0.05) .All of subjects in Luohu center have sexual life and the difference in education , profession and marital status is not statistically significant in male subjects (P>0.05). The difference in education is not statistically significant in female subjects (P>0.05) .2) Assessment of intervention effectiveness in two study sites-degree of satisfyWe assess the intervention effectiveness with degree of satisfy.In post-intervention, all female and male subjects in Luohu canteen have higher than pre-intervention (P<0.05 ) .The difference in male and female is not statistically significant in the minimal and extended intervention group (P>0.01) .In post-intervention, all female and male subjects in Luohu center have higher than pre-intervention (P<0.05) . they have higher in the minimal and extended intervention group (P<0.05) .3) Comparison of intervention effectiveness in two study sites -degree of satisfyFrom the satisfactory degree comparison of additional service during the intervention process, the difference is statistically significant between in the minimal and extended intervention group. In the minimal group focus on increasing instruction and the extended group focus on the follow-up of contraception device. It means that floating people need long-effective mechanism of contraception device and we should pay more attention to the security of contraception device and the privacy of follow-up.4) Risk factors of intervention effectivenessIntervention pattern of Luohu center intervention pattern apply in those floating people at childbearing age who know more address of free contraception device, use traditional contraception device, married, old age and use contraception device once in a while.Intervention pattern of Luohu canteen intervention pattern apply in those floating people at childbearing age who know less address of free contraception device, use modern contraception device, unmarried, young age and use contraception device usually.5) Assessment of family planning service qualityAfter intervention, investigators shows that providers have lots of improvements such as providing contraception information, quality of providers, mutual relationship, consent choice standardization, environment of service places ,especially satisfactory degree of family planning service (P<0.05) .Conclusion: 1. In the factory, we can use the intervention model in Dongguan, emphasizes on increase contraceptives of the floating population and effect is good. Especially, the effects is better when the contraceptive knowledge of floating population is low, they know the contraceptive location for free less and the female floating population get contraceptives from the place of professional counseling.2. In family planning services stations, we can use the intervention model in family planning service center of Shenzhen, namely the emphasis of floating population needs personalized model is better. Especially the younger, lower cultural level, modern contraceptives using, use of contraceptives in lower frequency, usually get contraceptives in the place without professional counseling and the women who know less place of getting free contraceptives.3. In the community, we can use the intervention model in Luohu, namely for the male floating population, their effect is better which is the older, higher cultural level, lower level of contraception knowledge, know more places of getting free contraceptives and getting contraceptives in the place without professional counseling. For the female floating population, their effect is better which is the younger, lower cultural level, traditional contraceptives using, know less places of getting free contraceptives and getting contraceptives in the place with professional counseling.4. After the implementation of the intervention, quality of family planning service providing to family planning institutions, factory and the community is better.
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