Objective To investigate the current situation of health management and health service access of floating pregnant women, to provide reasonable proposals on how to improve public health management functions, to further develop community service skills, to create a healthy supportive environment, to provide fair, safe, effective, and long - lasted management and services, and to enhance the awareness levels of maternal health. Methods The current health situation and service utilization between the city residents and floating population in Xinjing Town, Changning District, Shanghai were analyzed and compared through social equity analysis and objective evaluation. The operating difficulties of the existing management system were analyzed and reasonable suggestions on how to improve public health management functions were put forward. Results The average rate of the early pregnancy ( pregnancy within 12 weeks ) registration among floating pregnant women was 22. 5% , far lower than that of the city residents ( 92. 7% ) ( P ＜0. 001 ). The average rate of postpartum visit was 93. 5% among floating pregnant women, lower than that of the city residents ( 99. 8% ) ( P ＜0. 01 ). The average prenatal examination times was 4. 4, with 22. 0% of the pregnant women didn't seek prenatal examination, of which 53. 5% did not know the significance, 38. 1% considered the fees too expensive, 8. 4% was due traffic inconvenience; the average puerperal fee was 1 085. 31yuan, the average delivery costs was 2 524. 49yuan, the maximum was 7 000. 00yuan. The average expected puerperal fee during pregnancy was 459.00yuan. The average expected delivery cost was 1 563. 00yuan. Conclusion Further improvement of public health management should be carried out with the hope to formulate a public service - oriented government, community service networks should be established with increased government investment, social equity and justice should be stressed when provide public services with the hope to improve the health status of floating pregnant women.%目的 了解外来流动人口孕产妇保健管理、服务利用的现状,完善公共卫生管理职能提出合理化建议,为进一步发展社区卫生服务技能,创造健康支持环境,提供公平、安全、有效的全程管理和服务,提高孕产妇保健意识和水平提供依据.方法 对上海市长宁区新泾镇户籍孕产妇与外来流动孕产妇保健现况和服务利用度进行社会公平性分析和客观评价,分析现行管理体制的运作难点,就如何完善公共卫生管理职能提出合理化建议.结果 外来流动孕产妇早孕(妊娠＜12周＝建册率为22.5%,远低于本市户籍的92.7%,差异有统计学意义(P＜0.001＝;产后访视率为93.5%,低于户籍产妇的99.8%,差异有统计学意义(P＜0.01＝.接受产前检查平均次数为4.4次,有22.0%的孕产妇未进行产前检查,其中53.5%不知道产前检查的意义,38.1%认为费用贵,8.4%觉得交通不方便;产前检查平均费用1 085.31元,平均分娩费用2 524.49元,最高7 000.00元.妊娠期间孕产妇期望的平均产前检查费用为459.00元,期望的平均分娩费用1 563.00元.结论 建议进一步完善公共卫生管理,建立公共服务型政府,构建社区卫生服务网络,增加政府投入,从立足社会公平正义的高度统筹公共卫生服务供给,创造健康支持环境,提高外来流动孕产妇的保健水平.
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