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目的:通过针对不同特征的流动人口个性化的适宜避孕技术、现有资源、流动人口需求的综合评估,总结出适宜流动人口集中地区的个性化适宜避孕节育新技术、新方法推广的最佳模式。方法:采用定性研究和定量研究相结合的方法收集相关资料,在整个过程中将IBP方法、现状分析方法、运作性研究与参与性方法纳入其中,分别在试点前、试点中、试点后对流动人口和服务提供者进行个人访谈和小组集中讨论收集定性资料,同时对流动人口和计划生育服务站的工作人员进行封闭自填式问卷调查以收集定量资料,评价并完善试点方案。结果:制定干预方案实施干预,针对服务对象的基本特征,如年龄特征、生育状况、避孕使用状况、健康状况、性生活状况、避孕意愿等,考虑影响服务对象选择避孕方法的多种因素,包括经济条件、居住条件、生理特点、交通条件、本人避孕意愿等,提供全方位的、适宜的个性化宣教和生殖健康技术保健服务;干预后,99.2%的被调查者对中心避孕服务的总体印象满意及较满意,96.2%的被调查者对候诊时间满意和较满意,98%以上的被调查者对就诊环境、就诊手续、提供的咨询服务、医务人员的态度、医务人员的服务水平、隐私性保护满意及较满意,与干预前期比较,流动人口对服务的满意度大大增加。结论:计划生育服务工作的宣传教育、药具发放、技术服务、健康促进和信息咨询有机结合的服务模式,即“五位一体”模式体现计生服务的个性化特色,促进了优质服务,获得良好社会效益。
OBJECTIVE: To summarize the most suitable new mode of contraception and new method of popularization of contraceptives suitable for floating population through the comprehensive evaluation of the suitable contraceptive techniques, existing resources and the demand of floating population for the floating population of different characteristics . Methods: The method of combining qualitative research with quantitative research was used to collect relevant data. During the whole process, the IBP method, present situation analysis method, operational research and participatory method were included in them, respectively before, during and after the experiment Population and service providers conducted personal interviews and focus groups to collect qualitative data. At the same time, a closed and self-contained questionnaire was conducted among floating population and family planning service staff to collect quantitative data and evaluate and improve the pilot program. Results: The intervention program was formulated to intervene in various aspects such as age characteristics, birth status, contraceptive use status, health status, sex life, contraception and so on, taking into account the various factors that affect clients’ choice of contraception, including Economic conditions, living conditions, physiological characteristics, traffic conditions, my contraception and so on, to provide a full range of appropriate personalized education and reproductive health technology and health care services; after the intervention, 99.2% of the respondents on the overall center of contraceptive services Satisfied and satisfied, 96.2% of the respondents were satisfied and satisfied with the waiting time. More than 98% of the respondents were satisfied with the visiting environment, medical procedures, counseling services provided, medical staff attitude, medical staff’s service level, privacy Satisfaction with the sexual satisfaction and more satisfied, compared with the pre-intervention period, the floating population greatly increased service satisfaction. CONCLUSION: The service model combining the publicity and education of family planning services with the provision of medical appliances, technical services, health promotion and information consultation means that the “five in one” model embodies the personalized characteristics of family planning services, promotes quality service, Get good social benefits.