• Title/Summary/Keyword: Community health planning

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Cervical Screening Using Visual Inspection with Acetic Acid (VIA) and Treatment with Cryotherapy in Fiji

  • Fong, James;Gyaneshwar, Rajaneshwar;Lin, Sophia;Morrell, Stephen;Taylor, Richard;Brassil, Ann;Stuart, Anne;McGowan, Catherine
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10757-10762
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    • 2015
  • The purpose of this study was to demonstrate the feasibility of VIA screening with cryotherapy and to record normative values for indicators anticipated in similar low resource settings. Women aged 30-49 years were targeted, resulting in 1961 women screened and treated at two primary health care (PHC) centres near Suva, Fiji. Recruitment was through provision of information, education and communication (IEC). Referrals to a gynaecology outpatient department (OPD) at a referral hospital occurred throughout the screening pathway. Participation was 32% (95%CI 31-33%), higher in iTaukei (Melanesians) women (34%, 95%CI 33-36) compared to Fijians of Indian descent (26%, 95%CI 24-28). Regression analysis, adjusted for confounders, indicated significantly lower participation in those of Indian descent, and age groups 35-39 and 45-49 years. Of those examined by VIA, 190 were positive with aceto-white lesions (9.9%), within the expected range of 8-15%, with minor geographic and ethnic variation. Positive VIA results were more common in the peri-urban area, and in those aged 35-39 years. Of women aged 30-49 years, 59 received cryotherapy (none of whom had significant complications), 91 were referred to OPD, two cervical carcinomas were identified and eight cervical intra-epithelial neoplasms (CIN) II-III were diagnosed. These results provide normative findings from a community-based VIA screening program for other similar low resource settings.

The Health Promotion Programme and Quality of Life in the 21 Century (21세기 삶의 질 향상을 위한 건강증진방안)

  • Nam Chul-Hyun;Kim Gi-Yoel
    • Journal of Society of Preventive Korean Medicine
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    • v.2 no.1
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    • pp.31-43
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    • 1998
  • The ultimate goal of national health promotion services is the improvement of quality of life and health longevity through the implementation of health promotion services. The approach strategy for national health promotion summariged as follows: 1) A model for health promotion should be developed by the level of government. 2) Roles and functions between central government and autonomous local governments should be defined to carry out the health promotion services effectively. 3) New manpower for health promotion such as health educator should be trained and activated at hospitals, health centers, industries, school, and related community agencies. 4) School health education should be strengthened in order to teach: various health subject(smoking & alcohol, drug abuse, accident and safe, nutrition, environmental pollution and preservation, population & family planning, personnel hygiene, physical growth, stress, sex education, communicable disease, physical exercise etc) students through appointing health teachers at school base. 5) Health promotion services in industries should be activated using manpower such as health educator, exercise instructor, dietist and counsellor, 6) Health promotion services for the elderly should be activated. 7) Health screening services in the medical insurance and his/her family should be activated for health promotion services. 8) Health education material development center for health promotion should be established and the materials should be made to distribute to related groups, agencies and institutions (health conte.5, hospitals, schools, pharmacies, industries etc). 9) The pilot health promotion center in each automous local governments(large cities, provinces, Guns and Gu level) should be established and operated for community people. 10) The mass media such as TV, radio, newspapers and magazines should be used effectively. 11) Periodic evaluation of health promotion services should be carried out in order to help effective and successful planning for community health promotion in the future.

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A Study for Reorientation of Home Care Service at Community (일개 보건소 방문간호사업의 업무 분석)

  • Lee, Hong-Ja;Kim, Chun-Mi;Yun, Soon-Nyong
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.163-180
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    • 1998
  • The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

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A Case Study on the Prevention of Safety Accidents Caused by School Facilities (학교시설물에 의한 안전사고 예방 실태조사 연구)

  • Kim, Eun-Joo
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.2
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    • pp.1-18
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    • 2007
  • Background: The study investigated the causes of safety accidents by facility, focused on safety accidents caused directly or indirectly by school facilities at elementary schools in S City. Purpose: The objective of this study is to provide materials for planning the construction of school buildings and the installation of school facilities and for improving existing facilities and ultimately to minimize mental and Physical losses from safety accidents caused by school facilities and to create pleasant education environment. Method: We selected 10 elementary schools in S City, analyzed the factors of safety accidents caused by facilities inside and outside the schools, and presented the results of the analysis including the factors of safety accidents caused by elementary school facilities. Result: It was found that safety accidents caused by elementary school facilities can be prevented to some degree by considering safety accidents in facility planning. As the safety accident rate is higher at elementary schools than at middle and high schools, it is essential to consider safety accidents in planning the construction of an elementary school and to execute safety accident prevention education in order to reduce safety accidents at elementary schools. In addition, as the curriculums are revised and new facilities are introduced for the new curriculums, elementary students' physical, psychological and environmental factors should be analyzed and studied closely and the results should be reflected in establishing the standards for the installation of elementary school facilities.

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A Study on the Healthy Orientation of Rural Community Center Users (농촌 마을회관 이용자의 건강성 지향에 관한 연구)

  • Kim, Eun-Ja;Yu, A-Hyeon;Cho, Han-Sol;Park, Mee-Jung;Lim, Chang-Su
    • Journal of the Korean Institute of Rural Architecture
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    • v.21 no.1
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    • pp.25-36
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    • 2019
  • This study is a basic study for the planning of rural community center space, which introduced the concept of healthcare. As the rural community center is a place where the elderly in rural areas live mainly during the day, this place is very important place for the healthy life of the rural elderly. We conducted an interview survey for 207 users over 65. The survey was organized with three regions to consider the regional characteristics of the community center users and geographical characteristics. As a result of the analysis of planning elements, the main preferences for indoor and outdoor space elements are planning elements such as safety, air quality, light, and the thermal environment and safety handle, night lights, safety walkway. These preferences should be considered for the more healthy friendly rural community center.

PROSPECTS OF AGRICULTURAL MEDICINE (한국농촌의학(韓國農村醫學)의 장래(將來))

  • Chung, Hae-Sik
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.5-8
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    • 1977
  • As, in Korea, rural economy has a rapid growth and medical health care becomes more necessary for rural inhabitants, we are planning to enlarge the medical care networks and aid childbirth free of charge and perform lower cost medical care in order that more inhabitants are benefited and more available for medical care in rural society. Further, we will make it a basement of the policy to equalize benefits of medical care and medical insurance system.

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An Analytic Study on factors Affecting the School Nurse's Activities in Daegu City and Kyungpook Province (대구.경북지역 일부 양호교사의 업무수행에 미치는 요인분석)

  • Gwak, Oh-Gae
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.503-517
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    • 1989
  • This study is to analyze factors affecting the school nurse's activities. The survey was undertaken during Sept. 1-Nov. 30, 1986. The subjects were 137 school nurses from elementary, junior-high, and senior-high schools in Daegu City and Kyungppk Province. The results are as follows: 1. Correlational findings between school nurse's self-confidence and their general characteristics 1) Program Planning & Evaluation: Health Experinece(r=-0.1803, p<0.05) Salary Step(r=-0.1741, p<0.05) 2) Clinic Management: Salary STep(r=-0.2580, p<0.01) 3) Health Education: Salary Step(r=-0.1929, p<0.05) 4) Management of School Environment: Salary Step(r=-0.2501, p<.05) 5) Health Care Services: Health Experience(r=0.1901, p<0.05) Salary Step(r=-0.2424, p<0.05) 2. The degrees of school nurse's self-confidence(high: 4 point, low: 1 point) 1) Clinic Management: 2.92 2) Health Education: 2.86. 3) Program Planning & Evaluation: 2.74 4) Health Care Services: 2.73 5) Management of School Environment: 2.67 6) Operating of School Health Organization: 2.42 3. Significances to self-confidence on school nurse's activities 1) Program Planning as Evaluation: Expending Times for Health Care Services (r=-0.2262, p<0.05) Expending Times for Health Education (r=0.2943, p<0.05) Size of Clinic(r=0.2163, p<0.05) Location of Clinic(t=2.43, gH0.047) Use of Clinic(t=2.06, p<0.007) 2) Clinic Management: Location of Clinic (t=3.36, p<0.010) 3) Health Education: Purchase of Medicine(r=-0.1736, p<0.05) No, of Classes (r=-0.1794, p<0.05) (4) Management of School Environment: School Health Budget(r=0.1731, p<0.05) Home Message(r=0.1805, p<0.05) Location of Clinic(t=4.46, p<0.0001) 5) Operating of School Health Organization: School Health Budget(r=0.1878, p<0.05) Use of Clinic(t:1.90, p<0.018) 6) Health Care Services: School Health Budget(r=1.90, p<0.018) Expending Times for Health Education(r=0.2577, p<0.05) Size of Clinic(r=0.4336, p<0.001) Location of Clinic(t:5.10, p<0.001)

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Development of Small Area Health Promotion Indicator for Community Health Initiative (지역보건 관련 소지역간 건강증진지표 개발에 관한 연구)

  • Kim, Chun-Bae;Go, Kawung-Uk;Park, Jae-Sung;Choe, Heon
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.19-39
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    • 2003
  • Purpose: Although there is a lot of secondary data available for comparing community health status and planning health policies in terms of large area such as metropolitan cities or provinces, there is restricted data for establishing community health policies of the small areas such as towns, Gun(i.e., districts), and Gu. Specifically, the problems of producing a valuable index for health promotion in small areas are three fold: First, there is not an appropriate index model for measuring a small community health status. Second, a large part of secondary data in the small areas has been produced in an irregular time interval. In addition, all valuable data can not be integrated without time consuming work. Thus this study tries to establish a health promotion index model for assisting community health promotion initiatives of local governments. Methods and materials: Literature review, community health specialist consultation and a questionnaire survey was performed. Results: Based on Dever's model, a prototype of health promotion indicators was proposed and modified by the community health specialists. 15 classification scheme of statistical yearbook reorganized into the six areas. Those six areas were comprised in 24 indicator class with 96 specific indicators. Through further modification processes by a questionnaire survey, we developed a health promotion indicator model that contains six areas with 23 indicator class encompassed by 87 specific indicators. Conclusions: This study proposed a model of health promotion indicator comprised in the six areas with 23 indicator classes for measuring small area health promotion status. However, more specific or additional data in human biology, environment, and socioeconomic data is essential for producing a stronger model for health promotion measurement.

Analysis of the Implication of Accessibility to Community Facilities for Land Price in Rural Areas using a Hedonic Land Price Model (헤도닉모형을 이용한 농촌지역 생활편익시설의 접근성이 지가에 미치는 영향 분석)

  • Kim, Solhee;Kim, Taegon;Suh, Kyo
    • Journal of Korean Society of Rural Planning
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    • v.22 no.1
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    • pp.93-100
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    • 2016
  • Land price can be affected by convenience or psychological repulsion like PIMFY (Please In My Front Yard) or NIMBY (Not In My Back Yard) for various facilities. Services related to public establishment, welfare, medical attention, and amenities in rural areas are comparatively poorer than those in urban areas. The purpose of this study is to estimate the implications of the accessibility to community facilities in rural areas for land prices using a hedonic price model. The accessibility to facilities is estimated by real road distances and the land prices are applied for four types of land usages: field, rice paddy, building lots, and village halls. Community facilities are classified from public and community services view: education, safety, culture, transport, environment, health care, and finance. The results show that the accessibility to health care and transport can positively affect land prices and the accessibility to environment (waste facilities and junkyard) and unpleasant services (funeral hall and charnel house) can negatively affect land prices. Especially, the accessibility to hospital is the most positive influential factor for all types of land usages.

The Planning Directions corresponding to Satisfaction of Residents on Housing Environment in Rural Munhwa-Mauel (거주자의 만족도에 근거한 농촌 문화마을의 계획방향)

  • 전영미;윤정숙
    • The Korean Journal of Community Living Science
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    • v.11 no.2
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    • pp.15-27
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    • 2000
  • The objective of this dissertation is to provide appropriate planning guidelines making on Munwha-Mauel. This study carries out the investigation on rural housing environment conditions and conducts the subjective evaluation by residents about the conditions. Both a field survey and a questionnaire survey are used for the study. The evaluation of housing environment are based on safety, health, efficiency, amenity, and local community. The concepts suggested by WHO are adjusted for the study. Eight villages were selected comprising of two newly built, four expanded, and two renovated. As a results of this study, residents´ satisfaction about the housing environment is categorized by the village type, whether a resident works on agriculture, and the residential backgrounds The results show evident differences. Important variables which affect the overall satisfaction are the interactions among the residents, the living convenience. Planning guidelines on Munwha-Mauel are suggested to based on the results.