Strategies to strengthen the construction of pregnant women school in Guangdong province based on the analysis of its status quo

Objective to understand the status quo of education services utilization, resource input and management of pregnant women school (PWS), and propose the strategies for improvement based on the existing problems. Method Qualitative and quantitative methods were used. Per capita GDP data of 21 cities was collected through 2016 Guangdong Statistical yearbook. Indicators of the number of maternal, the number of maternal who attended PWS and the number of health educators of all the hospitals with qualified midwives in Guangdong were gained from 2016 Guangdong obstetrical quality survey and Guangdong maternal and child health care service system survey. Semi-structured interview was used to understand the teaching staff, resources support and management status of those 43 hospitals. Data process and statistical analysis were performed by Excel 13.0 and SPSS 21.0. Concentration index and concentration curve were used to evaluate the equity of PWS health education service utilization and health educators in 21 cities.One-way analysis of variance and Chi-square were used to test the difference on resource input and management of PWS. Result In Guangdong province, 514.8 pregnant women per thousand maternal attended PWS classes. There are 2.5 health educators per thousand maternal. The concentration indexes of the PWS education service utilization and health educators are 0.14 and-0.14, respectively. As for the interviewed 43 hospitals, teaching staff in 85.4% of the hospitals are clinicians and nurses. Teachers in 76.2% of the hospitals have received related training. 7.9% of the hospitals received support from other institutions. 90% of the hospitals basically had classrooms for PWS education. 79.1% had multimedia equipment. 56.1% had PWS management protocol.83.3% had annual teaching plans. Only 18.6% realized information intelligence management.Conclusion PWS health education service utilization and health educators 'distribution exist inequity in 21 cities of Guangdong Province. There is a short of PWS teachers, as well as lacking systematic training for them. Suggestions for improvement are as follow, ①advocate hospitals and maternal pay more attention to the PWS health education and promote maternal and child health. ② increase the input of PWS teaching staff and offer more training for them. ③ innovate PWS health education and management models.