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공적개발원조(ODA)로 지원되는 결핵관리사업의 지속가능 방안 연구

A study on sustainability improvement of tuberculosis control projects supported by ODA

  • 박선화 (순천향대학교 간호학과)
  • 투고 : 2017.05.19
  • 심사 : 2017.07.20
  • 발행 : 2017.07.28

초록

본 연구는 공적개발원조(Official Development Assistance: 이하 ODA)로 지원되는 결핵관리사업의 현황을 검토하고 지속가능에 영향을 주는 요소들의 의미를 기술하였다. 또한 결핵관리사업의 지속가능을 위한 공여국의 출구 전략을 위한 방안을 모색하고자 시도되었다. 문헌고찰을 통해서 결핵관리사업의 현황 파악 및 필리핀 내 ODA로 지원되는 결핵관리사업을 이해하였다. 총 14인이 연구에 참여하였고, 심층면담과 관찰법을 통해서 결핵관리사업의 지속가능 제한 요소들을 탐색하였다. 연구결과는 Colaizzi(1978)가 제안한 현상학적 연구방법에 따라 자료를 분석하였으며, 총 10개의 일반적이고 포괄적인 주제가 도출되었고, 유사한 주제끼리 범주화하여 최종 4개의 주제군으로 추상화하였다. 필리핀 내 ODA로 지원되는 결핵관리사업의 지속가능 제한요소는 "사업 인력의 제한점", "사업 재정의 제한점", "사업 시설 장비의 제한점", "사업 참여의 제한점"으로 나타났다. 해결방안으로 "수원국 내 전문성 강화", "교육 및 홍보 활동 강화", "지역사회 구성원 참여 활성화", "매칭펀드"를 제시하였고, 이는 공여국의 출구전략으로써 중요한 단서가 될 수 있을 것이다. 더 나아가, 향후 통합적인 결핵관리사업의 방향성 연구가 필요할 것이다.

This study was an attempt to review of tuberculosis control projects supported by(Official Development Assistance: ODA) and to describe the meaning of the influencing factors. Also, the study aims to determine the exit strategies of donor countries to sustain these projects. The research was conducted reviewing of tuberculosis-related reports and documents, and understood the tuberculosis control projects in Philippines. There were 14 people who participated, and explored the sustainability limits using in-depth interviewing and observation method. Data from interviews and participant observations were analyzed to the phenomenological method by Colaizzi(1978). A total 4 categories were grouped on the final. The finding shows factors that affect the sustainability of these tuberculosis control projects within Philippines supported by ODA have been divided and explained as follow; "limit of workforce", "limit of finance", "limit of facility and equipment", "limit of participation". To sustain these projects, the following alternative plans have been exemplified; "strengthening professionalism", "strengthening education and public relations", "activated strategy for community involvement", "matching funds for financing". Furthermore, the study of integrated tuberculosis control projects will be needed.

키워드

참고문헌

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