Research On The Evaluation Of Rural Left-behind Women's Development Project In Ningxia

Background: In rural areas,especially in the outlying and poverty-stricken ethnic minority areas,the development of rural left-behind women in the health are at a relatively low level.In 2014,the Amity Foundation and the United States ERD aid the development projects of Ningxia rural left-behind women in Ningxia Wuzhong rural areas.The aim is to improve women's health by carrying out health education and health promotion for women.The study through the comprehensive evaluation of the condition,process and result of the project,analyzing its health promotion effectiveness,which is to promote the health development of left-behind women,so as to promote the sustainable development of minority rural areas is of great significance.Objective: According to the condition-process-result evaluation principles to establish evaluation index system,Objective evaluation of the effect of the project implementation,To analyze the effect of project implementation,find out the existing problems and shortcomings,to provide the policy recommendations for further implementation of the project,and provide theoretical basis and practical guidance for the development of Ningxia rural left behind women.Methods: Using the method of questionnaire survey and interviews to obtain the relevant information;use the Delphi to establish the evaluation index system;descriptive methods in the process of comparison and chi square test were analyzed by factor analysis method;Logistic regression analysis was used to analyze the health influencing factors,and the multiple linear regression analysis was used to analyze the influencing factors of theproject health intervention effect;Factor analysis was used to assess the satisfaction of women.Results:1.The establishment of evaluation index system by Delphi method,including 3 level indicators,9 level two indexes,27 level three indexes.2.Implementation process: the baseline survey results showed that women are mainly concentrated in the age of 26-35 and 36-45 years of age,with a total of 65.34 percent of junior high school students.67.78% of women only know a little about common gynecological diseases;Women's development needs are dominated by prevention and treatment of maternal and child care,elderly care and common gynecological diseases.The total project funds is1088856.56 yuan,the total arrival rate is 101.87%,no illegal use of project funds.During the project a total of three women's health examination,examination number 200 people;health workers training 6 times,training a total of 52 people;health knowledge training 18 times,training a total of 1058 people;health education propaganda 15 times,the number of 8586 people.3.Project implementation effect: after the implementation of the project,the health knowledge awareness rate increased by 25.66% in Jinchuan village,Shanshuigou village increased by 28.14%,higher than Jinchuan village 3.48%.The abnormal number of physical examination results decreased obviously,among which the number of patients with gynecological hypertrophy,bacterial vaginosis and gynecological diseases decreased by 14%and 5.50% respectively.Contrast analysis result: comparison between the two project villages,in addition to the township health organization examination of common gynecological diseases of attitude,The level of understanding of common gynecological diseases,self examination frequency,attitude toward medical treatment and hygiene behavior indexs' P values are higher than 0.05,the effect is not very different two village health promotion project;The comparison between the project villages and contrast villages in common gynecological diseases of understanding,self examination frequency,attitude toward medicaltreatment and hygiene behavior indexs' P values were lower than 0.05,the project villages and contrast villages have significant differences,through health promotion activities,the project left-behind women's health concept and consciousness has been greatly improved,health promotion has achieved definite result.Influence factors analysis,logistic regression analysis results show that the highest understanding of disease degree of correlation was15.752,is the most main factors that affect the health of women,the second is the cultural level is 11.686,came in third place was the health behavior of 11.492;multiple linear regression analysis showed that the health education training,health knowledge propaganda and health workers training for health promotion has a significant positive effect.4.Satisfaction result: Factor analysis found that the comprehensive score of women's satisfaction was 4.314,shows that women on project satisfaction is higher,the health promotion factor score of 4.411 points,that women's satisfaction of health knowledge training and health knowledge propaganda are at a higher level;The lowest factor score is project other activities of 3.988 points,related to the lack of pertinence in the other activities of the project,Targeted to carry out other activities,appropriate adjustments to develop ways is help to improve women's satisfaction.Suggestions:1.We should increase the funds for women's health;2.We will continue to strengthen the training and propaganda of women's health knowledge;3.We should establish a long-term mechanism for women's health care,increase regular and irregular physical examination,and increase the number of free health screening;4.We will continue to promote the training of health workers and optimize the training model.