Investigation On Public Health And Primary Health Service Of Migrant Workers In Yuhang District Of Hangzhou City

Backgroud With the development of economics and improvement of rural labor productivity, surplus rural laborers were beginning to transfer to cities to earn a living. They made up of migrant workers who engaged in manufacturing, business and service industries. Migrant workers who contributed greatly to local economic development and city building, also raised many social problems, meanwhile, such as public health problems. Objectives Grasp the full picture of current situation of migrant workers' public health in Yuhang District of Hangzhou City; analyze factors that influence their public health service, and explore how to improve public health policy to make them enjoy equal public health service compared with local counterparts.Methods One percent of migrant workers (2000 person) in Yuhang District were sampled with strafied sampling method. Questionaire included general information, knowledge about main infectious diseases such as AIDS and Tuberculosis, children health care and planning immunization, women health care, occupational health, their health service demand and utilization and their influence factors. General practitioners in community were trained as investigators. All of our statistical analyses were conducted using SPSS 11.0.Results1. The age of 78.92% migrant workers in Yuhang were between 16～35. The gender ratio of male to female was 141:100. Most of them gainedjunior high school education (59.66%) and engaged in manufacture industury (53.46%) and construction (13.07). Their.average monthly wages were mostly between 500 Yuan to 1499 Yuan (70.80%). Most of them lived in rented houses (67.67%) . 85.32% of them paid medical costs out of pockets.2. Migrant workers' knowledge about AIDS and Tuberculosis were 66.32% and 49.14%. Only 32.87% and 31.50% of migrant workers gained health education about AIDS and Tuberculosis.3. 60.6% of migrant children were coverd by children health care management system. Vaccination rate of bacilli Calmette Guerin(BCG), diphtheria-pertussis-tetanus vaccine, poliomyelitis attenuated vaccine, measles vaccine and hepatitis B vaccine were 73.90%, 68.80%, 78.60%, 76.00%, 79.50%, respectively.4. Rates of prenatal examination, childbearing in hospital, post interview, and health care management of female migrant workers were 86.92%, 32.49%, 31.28%, 9.52%, respectively。5. 37.43% of migrant workers thought they worked under occupational hazards and 22.23 % of them thought there were no safeguard measures in their workplaces. 67.00% of migrant workers worked over 8 hours everyday and 87.04% of them worked over 5 days per week. 2.76% of migrant workers thought they suffered from occupational disease. 73.58 % of them did not seek for treatment.6. Two-weeks prevalence rate of migrant workers was 18.53%. 38.48% among them did not get any treatment because of "unnecessary" (37.23%), "poor economic conditions"(29.93%), "no time" (25.55%). 10.36% of them thought they had chronic disease. Correlation analysisshowed gender, marital status, resident environment and work time every day were correlated with chronic health problems; Chronic diseases were positively correlated with work time.7. Migrant workers knew the free policy of public health service, such as planning immunization (35.24%), free examination and treatment on TB (30.19%), AIDS (37.80%), and schistosomiasis (13.17%).Conclusions There were many problems in the current situation of migrant workers' public health. They sufferd poor living condtion, lack of health insurance, poor health knowledge, serious occupational hazard, few public health access chanels and low health service utilization. "Unknown", "unnecessary", "poor economic conditions" and "no time" were the main reasons which hindered them from access to pubic health service.Suggestions:1. Improve migrant workers' health consciousness and access to health service。2. Improve community health service; Make all migrant workers enjoy all health service of prevention, treatment, health care, recovery, health education and family planning.3. Enhance health insurance coverage, and make them enjoy equal public health service with local residents.