• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• Journal of Periodontal and Implant Science
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• 제42권3호
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• pp.88-94
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• 2012

Purpose: The use of appropriate instruments to clean surfaces with minimal change, is critical for the successful maintenance of a dental implant. However, there is no consensus about the type and methodology for such instruments. The aim of this study was to characterize changes in the roughness of titanium surfaces treated by various scaling instruments. Methods: Thirty-seven identical disks (5 mm in diameter) were investigated in this study. The specimens were divided into eight groups according to the types of instrumentation and the angle of application. Ultrasonic scaling systems were applied on a titanium disk to simulate standard clinical conditions. The equipment included a piezoelectric ultrasonic scaler with a newly developed metallic tip (NS group), a piezoelectric ultrasonic scaler with a conventional tip (CS group), a piezoelectric root planer ultrasonic scaler with a conventional tip (PR group), and a plastic hand curette (PH group). In addition, the sites treated using piezoelectric ultrasonic scaler systems were divided two sub-groups: 15 and 45 degrees. The treated titanium surfaces were observed by scanning electron microscopy (SEM), and the average surface roughness (Ra) and mean roughness profile depth (Rz) were measured with a profilometer. Results: SEM no significant changes in the titanium surfaces in the NS group, regardless of the angle of application. The PH group also showed no marked changes to the titanium surface, although some smoothening was observed. All CS and PR sites lost their original texture and showed irregular surfaces in SEM analysis. The profilometer analysis demonstrated that the roughness values (Ra and Rz) of the titanium surfaces increased in all, except the PH and NS groups, which showed roughness decreases relative to the untreated control group. The Ra value differed significantly between the NS and PR groups (P<0.05). Conclusions: The results of this study indicated that changes in or damage to titanium surfaces might be more affected by the hardness of the scaler tip than by the application method. Within the limitations of this study, the newly developed metallic scaler tip might be especially suitable for peri-implant surface decontamination, due to its limited effects on the titanium surface.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8521-8526
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• 2014

In many countries of the Association of Southeast Asian Nations (ASEAN), cancer is an increasing problem due to ageing and a transition to Western lifestyles. Governments have been slow to react to the health consequences of these socioeconomic changes, leading to the risk of a cancer epidemic overwhelming the region. A major limitation to motivating change is the paucity of high-quality data on cancer, and its socioeconomic repercussions, in ASEAN. Two initiatives have been launched to address these issues. First, a study of over 9000 new cancer patients in ASEAN - the ACTION study - which records information on financial difficulties, as well as clinical outcomes, subsequent to the diagnosis. Second, a series of roundtable meetings of key stakeholders and experts, with the broad aim of producing advice for governments in ASEAN to take appropriate account of issues relating to cancer, as well as to generate knowledge and interest through engagement with the media. An important product of these roundtables has been the Jakarta Call to Action on Cancer Control. The growth and ageing of populations is a global challenge for cancer services. In the less developed parts of Asia, and elsewhere, these problems are compounded by the epidemiological transition to Western lifestyles and lack of awareness of cancer at the government level. For many years, health services in less developed countries have concentrated on infectious diseases and mother-and-child health; despite a recent wake-up call (United Nations, 2010), these health services have so far failed to allow for the huge increase in cancer cases to come. It has been estimated that, in Asia, the number of new cancer cases per year will grow from 6.1 million in 2008 to 10.6 million in 2030 (Sankaranarayanan et al., 2014). In the countries of the Association of Southeast Asian Nations (ASEAN), corresponding figures are 770 thousand in 2012 (Figure 1), rising to 1.3 million in 2030 (Ferlay et al., 2012). ASEAN consists of Brunei Darussalam, Cambodia, Indonesia, Lao, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Viet Nam. It, thus, includes low- and middle-income countries where the double whammy of infectious and chronic diseases will pose an enormous challenge in allocating limited resources to competing health issues. Cancer statistics, even at the sub-national level, only tell part of the story. Many individuals who contract cancer in poor countries have no medical insurance and no, or limited, expectation of public assistance. Whilst any person who has a family member with cancer can expect to bear some consequential burden of care or expense, in a poor family in a poor environment the burden will surely be greater. This additional burden from cancer is rarely considered, and even more rarely quantified, even in developed nations.

• 한국전자거래학회지
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• 제21권2호
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• pp.1-22
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• 2016

최근 온라인 뉴스 포탈의 뉴스 추천 메커니즘이 뉴스 콘텐츠를 수집, 선택, 편집 및 왜곡하는 일이 일어나고 있다. 선행연구들은 뉴스의 가치에 대한 일관된 정의를 내리지도, 뉴스의 가치가 독자의 반응에 어떤 영향을 미치는지 실증적으로 검증하지도 못했다. 본 연구는 선행연구의 뉴스 가치 개념을 종합하고, 뉴스 가치를 아우를 수 있는 개념으로 대표성의 개념을 도입하였으며, 대표성 기반 정보발견법 및 정보 수용 모델을 활용하여, 대표성이 인지된 뉴스 품질, 신뢰, 인지된 유용성, 서비스 만족도, 충성도, 지속사용의도, 구전의도 등 독자 반응에 어떠한 영향을 미치는 지를 실증적으로 검증하였다. 시나리오 설문 법을 통해 총 357개의 유효한 자료가 수집되었다. 각 집단들은 1) 시간 순서기반 뉴스 추천 메커니즘, 2) 조회수 기반 뉴스 추천 메커니즘, 3) 편집자에 의해 선택된 주요 뉴스를 다시 조회수 기반으로 정렬한 뉴스 추천 메커니즘의 세 종류의 메커니즘에 각각 노출되었다. MANOVA 분석결과에 따르면, 편집자에 의해 선택된 주요 뉴스를 다시 조회수 기반으로 정렬한 뉴스 추천 메커니즘만이 여타 집단에 비해 인지된 뉴스 품질과 신뢰에서 유의한 차이를 보였다. PLS 분석 결과에 따르면, 이렇게 형성된 인지된 뉴스 품질과 신뢰는 인지된 유용성, 서비스 만족도, 충성도, 지속사용의도, 구전의도 등 독자 반응을 유의하게 증가시키는 것으로 조사되었다. 본 연구의 학술적 기여는 언론 영역에서 정보기술의 역할을 강조하고, 편집자와 독자 모두가 인정하는 뉴스가 가치 있는 뉴스라고 개념화 하였으며, 뉴스 추천 메커니즘의 효과를 실증한 가치를 가진다. 실무적 측면에서 본 연구는 온라인 뉴스 포탈이 편집자와 독자의 시각이 모두 반영된 절충안의 뉴스 추천 메커니즘을 활용하는 것이 독자를 유인하기 위해 도움이 될 것이라고 제안한다.

• 한국과학교육학회지
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• 제33권1호
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• pp.1-16
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• 2013

본 연구에서는 과학 영재들이 과제집착력을 보이며 활동한 경험을 분석하여 과제집착력을 나타내는 영재들의 특성을 알아보고자 하였다. 이를 위해 과학 영재들이 자기 소개서에 원인이나 원리를 깊이 있게 탐구했던 경험을 구체적으로 서술해보게 하였다. 학생들의 응답으로부터 과제집착력을 나타낸 것으로 보이는 특징만을 코드로 추출하고 분석하여 과제 집착력을 나타내는 과학 영재의 특성을 귀납적으로 탐색하였다. 결과적으로 영재들이 기술한 내용에서 반복적으로 나타나는 특징들을 바탕으로 자신감, 도전적 목표설정, 과제해결을 위한 도전적 접근, 통제감, 자의식 상실, 시간 개념의 변형, 고된 작업의 감수, 주도성, 계속성(끈기, 인내)의 9가지 특성들을 분류하였다. 영재교육 경력이 있는 3명의 전문가 합의 과정을 통해 9가지 특성을 다시 도전성, 몰입, 적극성의 세 가지 특성으로 범주화 시킬 수 있었다. 도전성, 몰입, 적극성의 세 가지 특성은 과제집착력의 정의를 잘 표현해주는 것으로 영재들의 과제집착력을 설명해줄 수 있다. 본 연구 결과로 얻어진 과제집착력을 나타내는 영재들의 특성을 기반으로 하여 학생들의 과제집착력 판별을 위한 준거 틀 및 도구 개발이 가능하다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.3-17
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• 1995

아동에서의 경계선 장애는 현실감각의 불안정, 대인관계의 장애, 충동조절의 장애, 심한 기능의 변동, 발달상의 불균형, 불안등을 보이며 현재의 진단 체계로는 진단하기 어려운 환아를 의미한다. 본 논문에서는 Bemporad등과 Vera등이 제안한 '경계선 아동'에 부합하는 7세에서 11세 사이의 8명의 소아정신과를 내원한 아동들을 대상으로 37개의 병인들을 비교하여 다음과 같은 결과를 얻었다. 1) 임상적인 특징으로는 모든 환아들이 다 남아였으며, 현재의 진단체계에서는 진단을 내리기가 어려웠고, 공존정신과적인 진단이 많았다. 주소는 산만하고 또래와 어울리지 못한다는 것이 많았다. 현실과 환상사이의 경계가 불명확한 것과 사고의 장애가 특징적인 증상이었다. 2) 심리학적 및 신경생리학 검사상 지능은 보통수준이었으며, 동작성 지능이 언어성 지능보다 우수한 경향이 있었다. 투사법 검사에서는 사고 장애의 지표는 보였으며, 정서적으로 불안정하고 공격성이 심하였다. 반수에서 주의력 검사상 주의력결핍을 시사하였다. 기질적인 요인은 뚜렷하지 않았다. 3) 발달력 및 가족력상 원하지 않았던 아이가 많았고, 주 양육자는 어머니였으나, 양육방식에 중등도의 문제가 있었다. 부모간에 불화가 많았고, 사회 경제적으로는 중하가 많았다. 언어발달은 대부분에서 지연이 되었거나, 성장하면서 점차로 정상이 되었다. 공격적이어서 또래들로 부터 따돌림을 많이 받았다. 4) 치료 및 경과상 6세경에 처음 병원에 방문하였으며, 평균 치료 기간은 2년이었고, 주로 외래에서 치료를 받았다. 약물치료에 대한 반응은 뚜렷하지 않았으며, 장기 놀이치료의 필요성이 암시되었다. 본 연구 방법에 여러 가지 제한점이 있으나 앞으로 이 장애의 명확한 진단 기준을 확립하고 역학 및 치료에 대한 연구들이 이루어져야 할 것이다.

• 한국지역지리학회지
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• 제10권1호
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• pp.9-22
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• 2004

본 연구는 지역경제발전을 위한 지역혁신체제 구축에 있어서의 지방정부의 과제를 밝히고자 하였다 참여정부의 국가균형발전위원회는 지역혁신체제의 구축을 위한 정책대상 영역으로 지역 특성화 분야 선정 및 육성, 대학 등 지역 혁신주체의 혁신역량 강화 및 협력네트워크 구축, 그리고 산 학 연 관 협력촉진 및 지원 인프라 확충을 선정하였다. 그리고 이들을 구체화하기 위한 기구로 지방정부가 중심이 되고 지방대학, 기업, 민간매개기관이 참여하는 협력체인 지역혁신협의회를 두도록 하고 있다. 그러나 '지역혁신협의회'를 어떻게 구성하며, 그 역할과 진한은 무엇인지 그리고 그것은 어떻게 운영될 것인지 등, 실질적인 운영과 권한에 대한 구체적인 방안이 제시되지 않았다. 이것이 제시되지 않고는 지역혁신체제 구축에 있어서의 지방정부의 역할을 논하는 것은 무의미하다. 현재 우리나라의 각 지역들은 지역 산업 및 과학기술정책의 기획 수립 실행 및 평가에 있어 수직적 이거나 투명하지 못한 의사결정 구조를 가지고 있다. 이러한 위계적 관료주의적 성향이 여전히 지배적인 현재의 지방정부 운영 시스템으로는 지역혁신정책을 효과적으로 수행할 수 없다. 이러한 문제점을 해결하는 방안으로 지역혁신추진기구를 설립 운영하는 것이 우선적 과제이다. 지방 정부는 지역혁신추진기구의 설립단계에서는 주도적인 역할을 담당하되, 그 운영에 있어서 간섭 혹은 통제를 하는 것이 아니고 운영을 둘러싼 수평적 거버넌스의 한 주체로서 그 역할만을 담당해야 할 것이다.

• 식물병연구
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• 제22권4호
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• pp.269-275
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• 2016

E. pyrifoliae에 의한 과수 가지검은마름병은 국내에서 1995년 최초 발생이래 2016년까지 꾸준히 발생하여 과수농가에 피해를 주고 있는 세균병해이다. 가지검은마름병 발생 농가의 폐원조치 및 공적방제로 인한 경제적 피해 감소를 위하여, 병징이 관찰되는 이병조직 및 건전조직 내의 병원 세균을 검출하여 효율적 관리방안을 마련하고자 본 연구를 수행하였다. 가지검은마름병원세균의 검출은 genomic DNA 추출과정을 생략한 순수 균총만을 이용하는 colony-PCR을 이용하였으며, 이를 위해 ERIC 지역에서 제작된 가지검은마름병원세균 특이 프라이머 EpSPF/EpSPR 프라이머쌍을 선발하였다. 특이 프라이머를 활용한 colony-PCR 방법으로 2014-2015년 4-10월까지 사과나무 생육기간 동안 가지검은마름병 발생상황을 모니터링한 결과, $25^{\circ}C$ 일 평균 온도 기간인 5월 중순부터 7월 초순까지 발병이 가장 빈번하였다. 발병가지 내 병원세균의 존재유무 검정 결과 병징 부위와 이로부터 20 cm 내 건전조직에서만 병원세균이 지속적으로 검출되었다. 따라서 이미 발생한 가지검은마름병을 효율적으로 관리하기 위해 이병조직과 건전조직 경계 부위로부터 20 cm 이상에서 가지치기를 하는 것이 매우 적절할 것으로 판단된다.

• 한국화재소방학회논문지
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• 제34권1호
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• pp.121-126
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• 2020

이 연구는 화재진압 및 구조·구급현장에서 응급환자 대응을 위한 골든타임 확보를 위한 해결방안을 제시하는데 목적이 있다. 골든타임은 법제적, 사회적 공감 뿐 아니라 시스템 구축을 위한 정책적 방안이 필요하며, 선행연구들을 통해 긴급차량 우선교통신호시스템 도입의 필요성과 적용가능성은 끊임없이 언급되어왔다. 이에 본 연구는 2017년 4월 3일부터 2017년 4월 28일까지 26일간 일개 도시에서 시행된 긴급차량 우선교통신호시스템 시범 운영사례를 분석하였다. 119신고 접수는 총 58건으로 그 중 우선교통신호시스템이 반영된 화재출동이 16건, 구급출동이 11건이었다. 출동시간은 화재출동이 평균 3 min 50 s, 구급출동은 평균 3 min 50 s로 단축되었다. 차량정체에 따른 불편신고 접수는 총 4건이었으며, 전년도 동기간 대비 6건의 교통사고가 총 1건으로 줄었다. 본 연구결과 시범 운영기간동안 도출된 문제점과 개선사항을 보완하면 골든타임 확보를 위한 긴급차량 우선교통신호시스템이 효과적으로 운영될 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1129-1134
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• 2016

Vulva and Vaginal cancers are rare among all gynecological cancers worldwide, including Thailand, and typically affect women in later life. Persistent high risk human papillomavirus (HR-HPV) infection is one of several important causes of cancer development. In this study, we focused on HPV investigation and specific type distribution from Thai women with abnormality lesions and cancers of the vulva and Vaginal. A total of ninety paraffin-embedded samples of vulva and Vaginal abnormalities and cancer cells with histologically confirmed were collected from Thai women, who were diagnosed in 2003-2012 at the National Cancer Institute, Thailand. HPV DNA was detected and genotyped using polymerase chain reaction and enzyme immunoassay with GP5+/bio 6+ consensus specific primers and digoxigenin-labeled specific oligoprobes, respectively. The human ${\beta}$-globin gene was used as an internal control. Overall results represented that HPV frequency was 16/34 (47.1%) and 8/20 (40.0%) samples of vulva with cancer and abnormal cytology lesions, respectively, while, 3/5 (60%) and 16/33 (51.61%) samples of Vaginal cancer and abnormal cytology lesions, respectively, were HPV DNA positive. Single HPV type and multiple HPV type infection could be observed in both type of cancers and abnormal lesion samples in the different histological categorizes. HPV16 was the most frequent type in all cancers and abnormal cytology lesions, whereas HPV 18 was less frequent and could be detected as co-infection with other high risk HPV types. In addition, low risk types such as HPV 6, 11 and 70 could be detected in Vulva cancer and abnormal cytology lesion samples, whereas, all Vaginal cancer samples exhibited only high risk HPV types; HPV 16 and 31. In conclusion, from our results in this study we suggest that women with persistent high risk HPV type infection are at risk of developing vulva and Vaginal cancers and HPV 16 was observed at the highest frequent both of these, similar to the cervical cancer cases. Although the number of samples in this study was limited and might not represent the overall incidence and prevalence in Thai women, but the baseline data are of interest and suggest further study for primary cancer screening and/or developing the efficiency of prophylactic HPV vaccines in Thailand.