Study On The Health Service Utilization Of Children Left-behind In Western Rural Areas

Object: By the survey of the basic situation and study of the out-patient and in-patient cases of children left behind in Qianjiang district, to learn the basic situation of the children left behind and their health service utilization and the differences of their health service needs and utilization between the non-left-behind children. Through the study above I analyzed the influence factors of health service utilization of children left behind and then supposed some suggestions and measures to improve the utilization of health services of children left behind, in the hope of improving health service utilization of children left behind and promote social stability.Data and method: Using document analysis to understand the current status and distribution of rural children left behind in China and the influencing factors of their health service utilization then develop appropriate survey for the study. Choose 60 villages in Qianjiang district, and select 20 families in each village. Collect and analyze the imformation of children left behind in the family survey. Methods used are: 1. Document analysis. 2. Questionnaire .3. Statistical methods.Results: (1) children left behind accounts for 31.23% in children aged 0-15 of the total in Qianjiang region, including children left-behind of ethnic minorities accounted for 79.9%, 56.5% male.(2) Two-week prevalence rate of children left behind was 7.7%, slightly higher than the non-left-behind children. There were more children left behind whose mother or grandparents as caregivers, accounting for 80.2%, while those children left behind in the group that their caregiver was other people has the highest prevalence rate. 90.42 % of total children left behind have medical insurance; including 86.9% participate in the new rural cooperative medical care insurance. Children had physical examination took a rate of 48.2%, while their two weeks visiting rate was 4.47%, hospitalization rate was 2.47%,and all were slightly higher than the non-left-behind children. In terms of public health services, 0-36-month-old vaccination of children left behind was not normal and only 45.4% of the children left behind had archiving files. The utilization of other health management programs was not high except height measurement and weight measurement, physical examination.(3) Use two-week treatment conditions, the physical examination, hospitalization situation as indicators to measure the influence of age, gender, ethnicity, caregivers, income, distance to medical units, medical insurance situation on the utilization of health service of children left behind , concluded that gender, age, nationality, caregivers and the distance to medical units are the factors, the other two had little impact.Conclusion: To solve the current problem of inadequate utilization of health services of children left-behind in the western rural areas, the author promoted some suggestions as follows:(1) Countries should strengthen primary health services in rural construction, strengthen rural infrastructure,(2) Improve the legal system relating to children left behind, and strengthen the cooperation of public security, health, civil affairs departments.(3) Speed up economic development in rural areas, and encourage the migrant workers to work in their hometown.(4) Focusing on double care schools and caregivers give to children left behind, and strengthens the communication with the children's parents.(5) Encourage the development of national medicine, and set up special access mechanism.(6) Promote construction of equalization of public health services, and develop door-to-door service of village doctors.