通过对广州市生殖健康公共服务需方、供方、管理方进行现场调研,系统分析广州市生殖健康公共服务发展现状和问题,为优化广州市生殖健康公共服务体系提供政策依据。研究发现,社区居民生殖健康公共服务利用率偏低,且对社区卫生服务中心的信任度不高;街道计划生育机构提供的生殖健康公共服务内容单一,不能满足居民生殖健康需求;卫生和计生部门在社区生殖健康公共服务建设上,各自为政,自成体系,系统之间缺乏联合机制。建议政府应该以社区卫生服务系统为主导,对社区卫生服务中心和街道计生服务站进行资源和服务整合,构建以社区为基础的生殖健康公共服务体系,以满足广州市居民日益增长的生殖健康公共服务需求。
<<By field investigation to demanders,providers and managers of reproductive health public services (RHPS),the authors conducted a systematic analysis on the development statuses and problems of RHPS to provide policy advices on RHPS system optimization in Guangzhou city. It was found that community residents had both lower levels of RHPS utilizations and confidence to community health services centers (CHSC);the RHPS provided by street family planning stations (SFPS) were too simple to match community residents’ needs of reproductive health;departments of health and family planning constructed RHPS system separately,not on a cooperative mechanism. It was suggested that dominated by community health services system,the government should integrate health resources and services of CHSCs and SFPSs to construct a community-oriented RHPS system,so as to meet the increasing demands on RHPS of residents in Guangzhou city.
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