Analysis On Current Health Education Status Of 57 Primary Health Care Institutions In Both Eastern And Southern Xinjiang

Objective: Through investigating the health education resources construction including basic construction,human resource condition and current health education status of primary health care institutions in both eastern and southern Xinjiang.To study the rate and influencing factors of residents’ awareness on the health knowledge and main source of health knowledge and health education service satisfaction.in eastern and southern Xinjiang Find out deficiencies and development restriction factor,provide evidence for future health education evaluation work.Methods: By using quantitative and qualitative research,quantitative survey was carried out on 57 primary medical institutions and 770 community residents within inEastern and Southern Xinjiang,the annual work summary and interview method are collected to understand the problems and difficulties of the primary medical institutions.Results:(1)Quantitative research results showed: there are 654 public health service staffs in the primary medical institutions in Dcity,68.5%are health education staffs,25.9%are professional health education staff,74.1%are non-professional health education.Health education activities site covers 56.04 ㎡ average of every institution,accounting 21.93%of the area of public health services.Health education expenditure accounted for 2.92%of total expenditure,that’s 26.92%of total public health spending.7 kinds of health education material,11 kinds of health education booklet,5 kinds of health education prescription,53.9 times of 7 kinds of health education videos,42.5 times of health education lectures,13.1 times of public health advisory activities 26 kinds of individualized health education activities in average of each institution.The bulletin board changes 10.8times in average of each institution.In average there are 10 bulletin boards in every institution,5.1 of them are Chinese bulletin boards,4.7 are inminority language.Each agency carried out 12 kinds of Health Day themed campaigns activities.There are 219 public health service staffs in the primary medical institutions in N county,72.15%are health education staffs,24.68%are professional health education staff,75.32%are non-professional health education.Health education activities site covers 130.69 ㎡ average of every institution.Health education expenditure accounted for 0.92%of total public health expenditure.11.4 kinds of health education material,10.1 kinds of health education booklet,8.9kinds of health education prescription,31.1 times of 8.3 kinds of health education videos,32.8 times of health education lectures,21.2 times of public health advisory activities 10.7 kinds of individualized health education activities in average of each institution.The bulletin board changes 16 times in average of each institution.In average there are 28.7bulletin boards in every institution,11.6 of them are Chinese bulletin boards,19 are inminority language.Each agency carried out 12 kinds of Health Day themed campaigns activities.(2)Qualitative research results showed: primary and secondary factors of developing health educational activities showed the key factors are human resources and funds,secondary factors are equipment and publicity,general factor is policy.(3)Crowd research showed: The health knowledge awareness rate were 61.28%and 56.17%;From the single factor analysis showed that there was significant difference among different region(χ2=45.451,P < 0.01),gender(χ2=47.306,P<0.01),age(χ2=21.212,P<0.01),nationality(χ2=100.106,P<0.01),education level(χ2=131.133,P<0.01)and occupation(χ2=100.732,P<0.01)in health knowledge awareness rate(P<0.05).Study upon Health knowledge score influencing factors through ordinal logistic regression analysis showed that,gender(OR=0.552,P<0.01),age(OR=0.105,0.211,0.227,0.187,P<0.05),nationality(OR=3.615,P<0.01)and education level(OR=0.223,0.234,0.276,0.357,0.459,P<0.05)were the influence factors of Health knowledge score.Conclusion: The health education work of primary medical institutions in XinJiang is showing a good momentum of development and becoming more standardized,but there still is some issues like management,staffing and funds.Residents’ health knowledge awareness rate is low,health awareness needs to be improved.The health knowledge promotion and education should be actively carried out basing the characteristics of residents in different areas.Key point of future word is analyzing the related factors and carrying out publicity campaigns extensively and targeted.