| 引用本文：王芳, 刘晓曦, 丁雪, 陈永超.云南怒江儿童健康综合干预效果评价[J].中国卫生政策研究,2019,12(5):63-68 |
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| 云南怒江儿童健康综合干预效果评价 |
| 投稿时间：2018-03-26 修订日期：2019-01-25 PDF全文浏览 HTML全文浏览 |
| 王芳, 刘晓曦, 丁雪, 陈永超 |
| 中国医学科学院医学信息研究所 北京 100020 |
| 摘要:目的：评价云南怒江儿童健康综合干预项目的效果。方法：通过调查获得的定量和定性资料，从活动、产出和结果3个层面客观评价项目效果。结果：项目干预活动在怒江顺利实施，相关评价指标均达到项目目标；怒江妇幼卫生服务可及性和覆盖率有所提高，需方健康知识知晓率和生活行为显著改善；7岁以下儿童佝偻病、生长迟缓、低体重和6~24月龄儿童贫血患病率显著降低。结论与建议：云南怒江儿童健康综合干预项目在合作机制建设、能力建设、健康教育和儿童营养素补充等方面取得显著效果，建议西部贫困少数民族地区采用综合策略实施儿童健康干预项目，建立公共部门、社会组织、私人机构和公民协作机制，开展以参与式培训为主要方法的能力建设活动，结合当地文化特点和居民受教育水平开发适宜的健康传播材料。 |
| 关键词:儿童健康 项目评价 西部地区 少数民族 |
| 基金项目:国家卫生计生委妇幼司委托项目《云南怒江儿童健康综合干预重点联系点技术支持项目》 |
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| Effectiveness evaluation of a comprehensive intervention project for child health in Nujiang, Yunnan province |
| WANG Fang, LIU Xiao-xi, DING Xue, CHEN Yong-chao |
| Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract:Objective:To evaluate the effectiveness of the comprehensive intervention project for child health in Nujiang prefecture of Yunnan province. Methods:The quantitative and qualitative data obtained from the end-line survey are used to analyze the effectiveness of the intervention project from 3 aspects of activities, outputs and outcomes. Results:The intervention activities have been implemented smoothly in Nujiang, and the relative indicators have reached the project goals. The accessibility and coverage of maternal and child health services in Nujiang have increased significantly. The awareness of health knowledge and behavior of the service demander have improved significantly. The prevalence of stunting, underweight and rickets among children under 7 years old, and the prevalence of anemia among children aged between 6~24 months have decreased obviously. Conclusions and suggestions:The comprehensive intervention project for child health has achieved positive results in the aspects of collaboration mechanism, capacity building, health education and nutrient supplementation for children. This paper put forward suggestions of implementing a comprehensive strategy for child health intervention, establishing cooperation mechanism, and adopting participatory training methods in order to establish capacity building and promote child health knowledge in accordance with local cultural characteristics. |
| Key words:Child health Project evaluation Western region Ethnic minority |
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