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目的:研究和探讨健康促进在改变重点人群行为习惯和解决妇幼卫生工作难题中的作用。方法:通过对云南省1987~1999年、2000~2008年、2009~2012年3个重要时间段的政策和干预方法进行比较,分析健康教育和健康促进在提高云南边远贫困地区住院分娩率和降低孕产妇死亡率中的不同效果。结果:健康教育能在一定程度上促进目标人群行为调查(KAP)的变化,但是对于改变受社会环境因素影响和目标人群长期形成的、很难改变的行为习惯方面效果不显著,而健康促进能很好地完成干预任务,促进重点人群行为习惯的改变和卫生工作难题的解决。结论:健康促进在提高云南边远贫困地区住院分娩率和降低孕产妇死亡率中作用显著,有效地改变了云南边远贫困地区孕产妇在家分娩造成死亡率高的行为习惯,解决了长期困扰云南省住院分娩率低和孕产妇死亡率高的问题。
Objective: To study and explore the role of health promotion in changing the behavioral habits of key populations and solving the maternal and child health problems. Methods: By comparing the policy and intervention methods in three important time periods from 1987 to 1999, from 2000 to 2008 and from 2009 to 2012 in Yunnan Province, we analyzed the effects of health education and health promotion on increasing hospital delivery rate and reducing Different effects in maternal mortality. Results: Health education can promote the change of KAP to a certain extent, but it has no significant effect on changing the behavior habit that is influenced by social environment factors and long-term formation of target population, while the health promotion energy Well done intervention tasks, to promote changes in the behavior of key populations and health problems to solve. Conclusion: Health promotion plays a significant role in improving hospital delivery rate and reducing maternal mortality in remote and poverty-stricken areas in Yunnan Province. It has effectively changed the behaviors of maternal deaths caused by maternal delivery in remote and poverty-stricken areas of Yunnan Province, and solved the problem of long-term hospitalization in Yunnan Province Low birth rate and high maternal mortality.