Influence Of Health Education To The Participating Rate Of The New Rural Cooperative Medical System In Poverty Areas

ObjectiveThe study implements health education intervention activities to randomly chosen villageresidents in some national grade poverty county by questionnaire survey of health education tovillage residents’participating rate of new cooperative medical schemes in poverty area, thus toprovide additional information for sustainable health development of new cooperative medicalschemes.ObjectsResearch stage: Randomly choose 2 villages from some national grade poverty countyaccording to geography location and economic condition to develop base line survey of allfarmers in the villages.Intervention stage: 1 village was chosen as intervention group and 1 village as controlgroup.MethodsVillage residents in 2 villages were investigated by questionnaire survey conducted inDecember 2011. We gave 2 weeks and 6 times health education intervention to all farmers inthe intervention group and then conducted questionnaire survey after health educationintervention. SPSS16.0 software was used to analyze and process relative data.Results1. With extensive searching of literatures, combining current implementation condition inShanxi province, and after expert guidance, questionnaire survey with high reliability andvalidity was designed and which can provide a certain reference for the development of similarresearch.2. Before health education intervention, the average score of 2 village farmers inknowledge questions of farmer education and new cooperative medical schemes is 23.27(totalscore is 50); with 31.04% passing grade (passing grade is 30), highest score 41 and lowest score13. It proves that village farmer generally did not know well in health and knowledge of new cooperative medical schemes.3. Household income and health knowledge score had certain prediction effect toparticipating willingness of new cooperative medical schemes. Among them, predictiondirection in household yearly income is negative, OR=0.842, and that of health knowledge ispositive, OR=1.133.4. After the inspection of independent sample t, the total score of intervention group,control group, score of health knowledge and score of knowledge in new cooperative medicalschemes all have obvious difference in D-value before and after intervention（p=0.000）.Conclusion1. The understanding condition of 2 village farmers to health knowledge and knowledge ofnew cooperative medical schemes is not optimistic.2. The major factors influencing the participating rate of 2 village farmers are householdincome and understanding condition of health knowledge. Among them, prediction direction inhousehold income is negative, and that of health knowledge understanding is positive.3. Health education is effective and feasible in raising the participating rate of newcooperative medical schemes in poverty area. The enhancement of farmers’understanding incooperative medical service will generate positive effect in the participating willingness andbehavior.SuggestionThe knowledge training to farmers in poverty area of Shanxi province in health and newcooperative medical schemes will raise the farmers participating willingness, and which willtransfer to the raising of participating rate. The method is practical and feasible. From now on,the knowledge education in health and new cooperative medical schemes should be valuedfrom actual situation of poverty area in Shanxi province and also the pertinency, practicability,and advancement of education content should be strengthened to raise the understandingcondition of farmers to health and new cooperative medical schemes, thus to turn it into healthbehavior. It is suggested that health education to village farmer should be increased to havethem master health knowledge, develop healthy habits, raise health condition, learn theadvantages of participating new cooperative medical schemes and participate voluntarily.