This study diagnoses the condition and use of public mother-child health care programs in rural areas in Korea, and suggests improvements towards the efficiency of the program. The survey on budget, employees, facilities and equipment was conducted through a mail survey, and data on survey area, research papers, and administration data was synthesized.
At the time of the survey, mother-child health care centers have been mainly established in rural areas where there are no hospitals and no obstetrics and gynecology specialist doctors. The average monthly number of child deliveries per center had been decreasing due to the introduction of local medical insurance programs and national health insurance. Additionally, the number of midwives had been decreasing.
Medical examinations of pregnant women and infants are mainly conducted through interview and inspection by public health doctors who lack specialist diagnostic ability. Due to low awareness and lack of advertisement for mother-child health care centers, the performance of rural-area round tour service and health classes for mothers and children was low, and their opening hours and operation costs were insufficient. Public health centers were conducting mother-child programs in areas where there was no mother-child center. Also, there were many difficulties regarding cooperation with general centers for mother-child health in transporting emergency patients or patients with abnormality.
To increase the efficiency of public mother-child health care programs, measures that can develop, improve, expand the programs to comprehensive local health care centers, and efficiently manage the centers should be developed. Expert employees should be secured and employee competency should be promoted through cooperation with medical specialists. Connections with general mother-child health centers should be strengthened for the effective operation of health examination programs for pregnant women and infants. Compensation for medical accidents and legal protection for employees should be in place, and equipment for emergency and ambulance service should be available 24 hours a day. The supervision system of public health centers should be strengthened, work allocation in mother-child health departments should be adjusted, education regarding health and mother-child health programs and infant care should be enforced, and sex education and single mother support programs should be implemented.
- 농촌지역 모자보건사업 개선방안 연구(Research on improvement measure for mother-child health care program in rural area)
- 김혜련; 황나미; 정기혜
농촌지역 모자보건사업 개선방안 연구(Research on improvement measure for mother-child health care program in rural area)
서울 : 한국보건사회연구원
|Series Title; No||연구 / 1991-03|
|Subject Country||South Korea(Asia and Pacific)|
|Subject||Social Development < Health|