Evaluation on effect of promoting poor rural health service and mater naland child health care in western China

  Objective   Using the data collected, to evaluate the short-term effect of the promoting measures of the "Forty Integrated Counties Proiect" conducted in 5 prov inces of western poor rural areas by the Ministry of Health P.R.China(MOH)and United Nations Children's Fund(UNICEF).It is necessary to summarize the experiences and find out problems in order to establish the effective ways and measures of promoting public health, maternal and child health care in western poor region.

  Methods   A ccording to the promoting measures in the project, to select the 27 indices and divid them into health management, medical condition, maternal and child heath care.Using Analytic Hierarchy Process, TOPSIS, Linear weighting method, to evaluate synthetically the effects of the promo ting measures on village public health, maternal and child health care at project counties.

  Results   the values of synthetic evaluation in 2000 were significantly higher than that in the 1999.The levels of medical conditions, maternal and child care at the 40 counties' village improved significantly.

  Conclusion   the promoting measures of the project were significant effect on improving the village health serv ice, maternal and child health care in 40 counties of western rural China.The government can take some advice from the project's experiences to establish the policies of the health reform in rural areas of China.