A Study On The Needs And Services Of The Reproductive Health Of Migrant Workers

ObjectiveWith the study on the needs and services of reproductive health of migrant workers in inflowing places, to provide the scientic data and facts for the establishment of strategies of the reproductive health services providing.MethodsUnder the foundation of KAP, Health demology and Gender theories, to study the reproductive health of migrant workers by qualitative analyse of the data from the cross-secectional surveys in different cities with the means of literature reviews, discriptive statistic, single factors analyzing and decision tree using Epidata2.0 Excel2003, SPSS13.0 softwares, etc.Results1. It's found from the cross-sectional survey in Wuhan,Chongqin and Guangzhou cities that: (1)The knowledge of reproductive health in migrant workers is short; (2) The self-care in them is poor; (3) Getting reproductive health services on themselve's own is not enough; (4) Using the contraceptive independent is poor; (5) The cognition of HIV/AIDS is not enough; (6) The traditional belief of sex on moral changed gadually and the premarital sex behaviors increased; (7) The reproductive health services on inflowing places is not accessibility enough. 2. It's found from the qualitative analyse of the data from the second cross-sectional survey in Guangzhou city that: In migrant workers, (1) there are lots of gender difference of reproductive health knowledges, behaviors ,needs and services, for instance, the percent premarital sex behaviors is 43% in males, but 12% in females, and the percent of multi-partners is 23% in males, but 11% in females; (2) The factors of socio-demology, floating and cognition affected the attitudes and behaviors of reproductive health interactionally in them.The effect of districts, educational levels, age and marrige time in socio-demology factors is obviously. The cognition of reproductive health with the behaviors is more close, for instance, the percent of never using condom in the unmarried females who know that condom can contracept is 27.8%, but 42% in those who don't know that; (3) The provided services of reproductive health are different in different districts of the city, for instance, the percent of receiving contraceptive in unmarried males of Kaifa and Panyu districts is 42.6%, but 13.8% in Haizhu district.3. The intervention of reproductive health education in married females of Wuhan city show that the short-term health education could improve the general knoweledge of reroductive health , but not the proffessional.Conclusions1. The sicio-demology characteristics of migrant workers in different cities: the age of them is between 16-49 age; the main educational level is junior high school; the income is low generally; the inhibitant circumstance is poor.2. Lack of knowledge, poor self-care of reproductive health and changed traditional belief of sex on moral, the premarital sex behaviors increased, the risk of abortion and STD/HIV/AIDS spreeding increasing.3. The provided services of reproductive health in different inflowing place are different though a series of relevent policies were constituted.4. It's suggested that the government should strengthen the responsibility and increase input for increasing the self-care ability of reproductive health in migrant workers, establishing and improving the system of management and services for them, in order to insure the sustainable development of reproductive health manage and services providing for migrant workers in cities.Innovation1. The basic information were provided for understanding the national conditions of reproductive health in migrant workers by the surveys of reproductive health in Wuhan, Chongqin and Guangzhou cities.2. The analyse of reproductive health of Guangzhou migrant workers on the Gender theories founded the basis for the establishment of reproductive health assesment system at national level in future.