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目的:评价成熟避孕方法的综合推广研究项目中期实施,了解干预后育龄妇女对计划生育服务和现用避孕节育方法满意度的影响。方法:2002年12月在重庆市和四川省分别选择一个经济和文化处于当地中等水平的县开展“成熟避孕方法的综合推广研究”,通过了解服务对象需求、服务提供、管理体制和避孕节育技术状况等内容,结合优质服务的理念,制订并逐步落实综合推广研究干预方案。2004年7月,进行研究现场中期评估。结果:干预后,育龄妇女对计划生育服务过程评价“较好”的比例从干预前的27．7％上升至61．0％;对现用避孕节育方法的满意程度从69．6％上升至79． 9％;现用避孕方法与意愿避孕方法的一致性从59．8％上升至84．2％。用多元Logistic回归调控潜在混杂因素后,育龄妇女对计划生育服务评价(OR=5．23,95％CI=2．95～9．29)、对现用避孕方法的满意程度(OR=1．98,95％CI=1．23-3．18)以及现用方法与育龄妇女意愿避孕方法的一致性均显著提高(OR=3．52,95％CI=2．14-5．79)。结论:干预措施能有效提高农村育龄妇女对计划生育服务和现用避孕方法的满意度,显著提高育龄妇女现用避孕方法与意愿避孕方法的一致性。
Objectives: To evaluate the mid-term implementation of a comprehensive extension research project on mature contraceptive methods and to understand the impact of women of childbearing age on satisfaction with family planning services and current contraceptive methods after intervention. Methods: In December 2002, Chongqing and Sichuan provinces were selected to conduct a “comprehensive promotion study of mature contraceptive methods” in a county with a moderate economic and cultural level. By understanding the needs of clients, service delivery, management system and contraceptive technology Status and other content, combined with the concept of quality service, formulate and gradually implement the comprehensive promotion of research intervention programs. July 2004, mid-term evaluation of the study site. Results: After the intervention, the proportion of women of childbearing age who evaluated “better” family planning services was increased from 27.7% before intervention to 61.0%; the satisfaction with current contraceptive methods increased from 69.6% 79. 9%; the consistency of current contraceptive method and willing contraceptive method increased from 59.8% to 84.2%. After using multivariate Logistic regression to control potential confounding factors, women of childbearing age evaluated family planning services (OR = 5.23, 95% CI = 2.95-9.29) and satisfied with current contraceptive methods (OR = 5.23, 95% CI = 2.95-9.29). 98, 95% CI = 1.23-3.18), and the consistency of the current methods with those of women of childbearing age in contraceptive methods (OR = 3.52, 95% CI = 2.14-5.79). Conclusion: The interventions can effectively improve the satisfaction of rural women of childbearing age on family planning services and current contraceptive methods, and significantly improve the consistency of current and prospective contraceptive methods among women of childbearing age.