目的 了解西藏实施母子系统保健健康促进与健康传播项目效果,为西藏进一步开展母子保健健康教育提供线索和依据.方法 采用定量调查和定性调查相结合的方法,了解西藏母子系统保健项目的 效果.结果 通过大众传播与人际传播相结合的方法向项目地区孕产妇和0～5岁儿童家长传播母子保健健康传播核心信息,健康传播活动覆盖了7个项目县93.0%的孕产妇,65.0%的0～5岁儿童家长.项目干预4年后,与基线时相比,目标人群至少做过5次产前检查的比例为从23.6%提高到56.0%,至少做过1次产检的比例从81.3%提高到92.0%,住院分娩率为从59.7%提高到82.0%,腹泻儿童中使用口服补液盐并继续喂养的比例为从13.5%提高到25.6%,儿童饭前洗手的比例为从21.1%提高到36.2%,知道至少3个儿童危险症状的比例为从5.3%提高到17.9%,均显著高于基线和非项目地区(P<0.05).结论 西藏实施母子系统保健健康促进与健康传播项目取得明显成效.%Objective To evaluate the effect of maternal and child health health promotion project in Tibet Methods Data were collected by quantitative and qualitative surveys, and the effect was oberseved. Results Mass communication and face-to-face communication were adopted to communicate the key information. Through 4 years intervention, health communication activities covered 93. 0% maternal and 65.0% 0 -5y kids' parents in 7 project areas. Compared with baseline, the percent of participating in antenatal examination at least 5 times improved from 23. 6% to 56.0% , of participating at least 1 times in antenatal examination from 81. 3% to 92.0% , of delivery in hospital increased from 59. 7% to 82. 0% , of using oral rehydration salts and continue feeding in diarrhea kids from 13. 5% to 25. 6% , of washing hands before meals in kids from 21. 1% to 36. 2% , of who knew more than 3 kinds of kids danger signs in 0 -5y kids' parents from 5. 3% to 17. 9% , were significantly higher than baseline and control group (P <0. 05). Conclusion Maternal and child health health promotion project had achieved significant results in Tibet
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