• Child Health Nursing Research
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• 제2권1호
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• pp.55-68
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• 1996

Although nursing researchers have performed studies on parent-child relationship actively since early 1980s in Korea, nothing hasn't been tried on the analysis of the contents of researches. We researchers tried examining the trend of researches by investigating treaties on mother-child relationship conducted from 1981 to 1994. The purpose of this study was to analyze the trend of research on the mother-child relationship and to suggest direction for future study. The total numbers of the studies were 27 cases, These studies were analyzed for 1) time of publication 2) research design 3)main concept 4)thesis for a degree or nondegree 5) measurement tool The finding of the analysis were as follows. 1) In the chronological situation, the research on mother-child relationship began to perform in 1981 in the country and had been made most for five years to 1986 with 14 treaties and has decreased since 1990. 2) In the research plan, there are 21 survey(the most) ,5 quasi experimental(before 1986), 1 qualitative. 3) In the subject, the researches on mother-child are the most, 22 and of them 17 treaties on normal infant,4 comparative research on high risk infant and normal infant,5 treaties on mother, 4) The conception of mother-child relationship was used as various conceptions such as affection, union, bonding in early research of 1980s, but it hasn't been used as union bonding but studied mostly as the conception of 'mother-child interaction'since 1986. 5) The measurement tool of research was used variously, the Cropley's tool was used in early 1980s, but Walker's MIPS, Barnard's NCAST were used mostly in 1990. 6) Mother-child interaction influence on mother's self-conception, stress, care and feeding of child, frequency of delivery, planned pregnancy and delivery and health condition of child, birth weight, fetal period, period of mother-child life. Aspects of mother-child interaction composed on visual contact, looking at each other, skinship and caress with finger and fingertip. The leading action of mother-child interaction was mostly uttering action. 7) I suggest that the program for professional education is necessary for the establishment of the aspects of mother-child interaction.

• 지역사회간호학회지
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• 제10권1호
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• pp.227-238
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• 1999

The goal of this study is to discover the effect of sex education on sex-related knowledge and attitudes of middle school girls. Non-equivalent control group pretest-posttest design was used. The number of experimental group students was 134 and the number of control group students was 134. A total of 268 second grade middle school girls were selected for a convenience sampling method. This study was carried out in a middle school located in Taegu City, Korea, from February 5 to February 18, 1998. To des cover the needs of sex education, the researcher sent a predesigned questionnaire to 1464 girls in 19 different middle schools. The sex education curriculum was designed on the basis of this survey's results. 'The Sex Education Teaching Plan' (published by the Research Institution of Korean School Health Education) and 'Sex and Happiness' (published by the Seoul City Education Ministry) were used to redesign the sex education curriculum and content. Fifty minute long sex education classes were taught to the experimental group every other day and the total number of classes was five. The contents of the teaching -learning plan for sex education were: 'The Characteristics of Adolescence', 'Pregnancy and Contraception', 'Friendship with the Opposite Sex and Prevention of Sexual Violence', 'Prevention of Venereal Disease', and 'Sex and Society'. To measure the degree of sex knowledge of the subjects, the researcher used the modified sex knowledge tools of Kim(l995) and Han(1997). The reliability values of these sex knowledge tools range from 0.71 to 0.74, using Cronbach's alpha. To measure the degree of sex attitude in the subjects, the researcher used the modified sex attitudes tools of Han(l997). The reliability values of these sex attitude tools range from 0.73 to 0.78 using Cronbach's alpha. The PC-SAS package program was used to analyse the data along with Frequency, Percentage, XLtest, t -test, and a paired t -test The results of this study were as follows; 1. The first hypothesis was accepted. The experimental group showed more change in sex - related knowledge than the control group(t =22. 76, p=0.0001). 2. The second hypothesis was accepted. The experimental group showed more change in sex-related attitudes than the control group (t=11.91, p=0.0001). In conclusion, the level of sex-related knowledge and sex-related attitudes of middle school girls who received sex education was higher than that of the girls who did not receive sex education. According to this research, planned sex education was effective in forming accurate knowlege and appropriate attitudes related to sex. Clearly, we must carry out a well-designed step by step sex education program that is well-suited to the sex education needs and the developmental level of the students.

• Journal of Preventive Medicine and Public Health
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• 제12권1호
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• pp.70-78
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• 1979

1978년 1월부터 동년 12월까지 대한가족계획협회 부산 진료소에서 영구피임을 목적으로 정관수술과 난관수술을 받은 1,580명을 대상으로 하여 사회의학적인 특성을 조사한 바, 그 결과는 다음과 같다. 1. 영구피임수출수용자들의 연령은 $30{\sim}34$세군이 44.7%로 가장 많았으며 정관수술수용자들은 영도구(48.3%)에서, 난관수술수용자는 동구(38.0%)에서 각각 제일 많았다. 2. 교육정도는 정관수술수용자들은 고등학교졸업군(49.2%)에서, 난관수술수용자들은 국민학교 졸업군(47.0%)에서 각각 가장 많았다. 3. 영구피임술을 받기 전에 사용한 피임방법으로는 경구피임약 사용이 제일 많았으며 피임방법을 전혀 사용하지 않은 군은 54.1%었다. 4. 영구피임수술을 받기 전까지의 결혼생활 기간은 $5{\sim}9$년군이 가장 많았다. 5. 정관수술수용자들의 현존 자녀수는 2.54명이고 난관수술수용자는 3명이었다. 6. 평균임신회수는 정관수술수용자들은 2회, 난관수술수용자들은 3회였으며 인공유산회수는 1회가 가장 많았다. 7. 피임수술을 권고 받게 된 동기별로는 정관수술수용자들은 예비군훈련시 가족계획교육이, 난관수술수용자들에게는 어머니회에 의하였다는 것이 가장 많았다. 8. 대상자들의 주거상태는 셋방이 69.4%로서 가장 많았다.

• 대한간호학회지
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• 제23권3호
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• pp.377-398
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• 1993

A survey of infant practices was conducted to provide information on which to base planned nursing interventions. The subjects were a convenience sample of 168 mothers visiting out - patients departments of five general hospitals and one public health center in Seoul for immunizations or treatment for common colds for their infants from two to 12 months of age. Data collection was carried out from July 8th to September 30th, 1991 using a questionnaire of 84 questions, 31 on the type of feeding, 22 on supplementary feeding and 21 on demographic infer mation. The results are summarized as follows : 1) The type of feeding was primarily artificial feed-ing (63.1%), followed by mixed feeding (22%) and breast feeding (14.9%) of the 59 mothers expecting during pregnancy to breast feed, 54. 2% changed artificial feeding and 30.5% went on to breast feed as they had expected. For mothers expecting to continue breast feeding over seven months. only one infant was being breast fed for over seven months. 2) For the 106 mothers using artificial feeding, 70. 8% hed attempted breast feeding, 64% of them for less than a month. Breast milk had been suppressed by for medication (38.7%) : 34.9% had used no specia] means. 3) The major reasons for replacing breast feeding with artificial feeding were the infants' demand for more milk (47.2% ) and insufficient supply of breast milk (49.3％). 4) Most mixed feeding was started at the age of one to three months (59.5%). Only 34.4% gave an artificial feeding after breast feeding : most (46%) alternated breast feeding with artificial feeding. On the whole, the motive for mixed feeding was the lack of breast milk (70.3%). 5) Many mothers (81.8%) were adding vitamin or mineral supplements to artificial milk and 51.5% were adding something to faciliate digestion. As for the method of sterilizing milk bottles and nipples, 56% had sterilized them together in boiling water from the beginning : 27% were just washing the bottles after boiling only once initially when measuring artificial milk powder, 31. 5% of the mothers over filled the measuring spoon rather than to the level. 6) The mother's occupation was related to her way of feeding. Mothers at home full time did more breast feeding than mothers employed outside the home. (x²=5.72, p=〈0.05). 7) Most mothers began supplementary food, from three to four months (48.8%) : 11.2% began later than seven months. Supplementary food was given between milk feedings by 67.2% of the mothers : 19.2% gave it before a milk feeding. Some mothers(26.4%) made their own supplementary food : 19.2% used ready - made supplementary food products for convenience. Recommendations for nursing interventions included : 1. Prenatal education about the advantages of breast feeding and breast care, and home visits after delivery for counselling related to breast feeding. Correct preparation of artificial feeding methods need to be taught in both pre & postnatal periods. In addition, specific education about supplementary feeding needed. 2. Further research is indicated about the Perceived lack of supply of breast milk and about the effectiveness of nursing interventions to Promote breast feeding.

• 한국학교보건학회지
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• 제9권1호
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• pp.99-108
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• 1996

The purpose of the survey was to identify the degree and the relationship of sexual knowledge, sexual attitude and need of sex education. This information will provide useful data for a more systematic. desirable, and practical sex education. The data was collected from 300 first grade schoolchildren (150 boys and 150 girls) of two Junior high school in K city. The data was gathered by questionnaire from Nov.21 to 28, 1995. The questionnaire was modified by authors using the questionnaire developed by Lief & Reed. Data was analyzed by using the statistical computer package, SAS to manipulate the data along with percentages, means, standard deviation, t-test, $X^2$-test, GLM, and Pearson correlation coeffiency. The results in this study were summarized as follows: 1. Sexual knowledge. - The mean score of sexual knowledges showed no significant differences between boys and girls(p<0.6180), but in the areas of biological differences(boys; $11.57{\pm}2.43$, girls; $10.93{\pm}2.41$, p<0.0242), and pregnancy physiology(boys; $9.28{\pm}1.87$, girls; $10.04{\pm}2.42$, p<0.0026) showed significant difference between boys and girls. 2. Sexual attitudes. - The mean score of sexual attitudes showed no significant difference between boys and girls (p<0.8286), but in the areas of masturbation (boys : $6.69{\pm}2.22$, girls : $5.65{\pm}1.88$, p<0.0001), and premarital intercourse (boys : $5,42{\pm}1.35$, girls : $6.00{\pm}1.33$, p<0.0002) showed significant difference between boys and girls 3. Need of sex education. - The majority of the subjects wanted to learn about sexual delinquency and it's prevention(57.7%), form a friendship with the other sex(56.3%), physical differences of the other sex(52.0%), psychological differences and the charateriatics of the other sex (50.3%) and meaning of love(50.3%). 4. The relationships between sexual knowledges and sexual attitudes. - Those who had higher sexual knowledges showed more positive attitudes towards sex, and showed statistical significance(r=0.2074, p<0.0003). 5. The relationships between general charateristics and sexual knowledge. - Better students(by self-perception of school performance) had higher knowledge scores about sex. 6. The relationships between general charateristics and sexual attitudes. - Those who wanted to learn more about sex, and better students had higher attitude scores about sex. - Those who were in high standard of living had higher attitude scores about sex as well. Suggestions based on above study are as follows' 1. The planned sex education showed be performed to the schoolchildren establish responsible attitudes about sex. 2. Systematic sex education through formal school education according to age is recommended. 3. Further studies should be done to measure the effect of sex education based on the needs of the schoolchildren.

• 한국학교보건학회지
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• 제8권2호
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• pp.233-243
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• 1995

A survey has conducted on two hundred high school students of the first and second grade by way of questionnaine in Seoul. The purpose of this study on the information from the survey is to cstimate the level of awareness and probe how they feel and what they wish on sex. X2 inspection is designed to assess general aspects of responded contents by way of percentage and examine degree of satisfaction on previously experienced sex education and demand for sex education. The result is as follows. 1. As a result of the examination of degree of awareness on sex of respondents, 62% delines sex as human relationship including moral values for harmony between men and women. 64% of the men and 70% of the women say that sex is a natural thing. It comes to the conclusion that most of the respondent sgenerally consider sex positive. On chastity, 68.5% of the respondent answer that it means physical chastity, 12.5% that chastity before marriage should be kept, and 43% that it should be kept as far as possible. Most of them pespond that it should be kept. 2. As a result of the examination on the contents of sex, they answer they know well in the order of masturbation(72%), pregnancy(76%), and sex(63%). Contraception, abortion and ejection are contents they poorly informed of. 3. As a result of the examination on experienede of sex education, 83% of men and 100% of women have experienced sex, education, but their degreeof satisfaction to it is very low. And 49% of the whole is dissatisfactory to it. There is some difference between male and female students.(p=0.000) That result translates that female studeuts are educated on sex tjhrough more systematic subjects than male ones. In addition, it turns out that teenagers get most information on sex through friends, seniors, and mass media such as videos, TV and radios. Correct and systematic sex education is need because wrong information on sex culd be taught and bring them to misbehave. 4. 87.5% of the respondents answer that sex education is necessary, so that degree of necessity for sex education, turns out to be very high. Also the main subject that should perform sex education is in the order of school(50%), Society(24.5), home(18.5%). They respond that most appropriated period for the beginning of sex education is about elementary school age(43%), and 34% believes it to be put ahcad of elementary school age. Anurse teacher accounts for 54% for the main subject that addresses sex education, to male students visit teachers are most favored for 50%. As a result of those, it could be concluded that most high school students want sex education from responsible persons who have systematic and professional knowledge on sex. 5. In order to perform proper sex education by the above results, better educational effects are obtained when characteristics and natures of teenagers are known and most wanted knowledge by them is taught in priority in times of planning sex education. Besides, the contents of sex education suitable for each school should be planned before elementary school age and sex education should be performed in accordance with students' demand. In addition, sex education should be attentively performed by home, all organizations of society as well as school. Therefore, sex education will play a great role in making teenagers reestablish their conception on sex when the traditional and moral value systems of our country and the new value systems which are being formed under the influence of the western culture are in harmony.

• 대한간호
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• 제34권3호
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• pp.85-98
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• 1995

The purpose of this study is to provide basic data regarding effective learning opportunities in childbirth education classes. Also analysis of the data indicates the optimum conditions for the welfare and improvements in the promotion of health in childbearing mothers. The results of this study are as follows; 1) The average age of the subjects in this study was 30.6 years and the total number of subjects was 58 pregnant women. The average number of children was one and 84.5% of the subjects were unemployed even though 63.8% of them held over bachelor's degrees. It was found that 22.4% of the subjects were living in an extended family. Also 61.5% of them were living with parents-in-law. The number of pregnancies were calssified as one, two, or three to nine times with the percentages of 58.7%, 22.4% and 18.9%, respectively. Further, 72.4% of the subjects had no abortion experience and 15.5% had one aborion experience. While 89.7% of the subjects planned to feed their babies with breastmilk, mixed feeding were used by only 22.4% of the sample. These data were collected at about 6 months after delivery. Thus one can see that a low rate of breastfeeding was common. 2) The length of one period of childbirth education is four weeks. It was found that 36.2% of the subjects participated in childbirth education only once, where as 13.8% participated four times and 19% of the subjects participated in this class more than four times. pregnant at least once. Further, 75.9% of the participants were participated in this education through their own will. Their motivation for participation developed through information, advertisement and posters which contained information on childbirth education. Those with unplanned pregnancies 92.9% participated after a suggestion by the nurses. The number of participants in terms of percentage according to the childbirth education contents can be classified as following. The most active participation was shown in preparation of delivery(77.6%), postpartrm management(56.9%) fetal development(37.6%) and physiology of pregnancy(17.2%). It was found that 75.9% of the subjects were willing to participate again if they were given a chance. The reason can be summarized as following: The content of the education is very helpful(47.7%). Scientific knowledge can be obtained through this program(20.5%). Participation helps in achieving psychological stability(9.1%). Participation enables one to establish a friendly relationship with other participants(6.8%) of the sample. 24.1% of the participants did not want to participate again. The reasons can be as following: They do not want another baby(42.9%). The first paricipation in childbirth education gave enough knowledge about childbirth(21.4%). Another reason for not want to participate again was because they had a cesarean birth(14.3%). Only 7.1% of them responded with a negative view. A response that they do not need childbirth education after their operation can be traced back to the general belief that childbirth education is the place where one prepares for natural birth through the Lamaze breathing technique. Of the subjects, 91.4% suggested that this program could be recommended to other childbearing mothers, because this program gave educational content along with psychological stability for childbearing women. Of the subjects 41.4% did not see any efforts towards the welfare of the baby, where as 88.2% did. Among the subjects 58.6% made some effort to eliminate the discomfort of labor by breathing and imagination and breathing and walking. Further 41.7% of the 24 subjects did not do anything toward the welfare of the baby, because they did have a cesarean section so that they didn't have a chance even though they had been educated about childbirth. Also 33.3% of the subjects did not do anything toward the welfare of the baby, because they lacked a willingness. After leaving the hospital, only 75.9% of the subjects did some exercises. The subjects who tried participate this program with their husband accounted for 20.7% of the sample. Interviewing with the subjects solved some of the uneasiness and. fear of delivery, increased self-confidence in parenting and active coping in the delivery process.

• Clinical and Experimental Pediatrics
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• 제45권5호
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• pp.575-587
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• 2002

목 적 : 모유수유를 위한 상담과 교육이 언제 이루어지는 것이 좋은지 알기 위하여 임신시 모유수유에 관한 인식을 조사하였다. 방 법: 2000년 7월부터 8월까지의 기간동안 서울과 근교도시(일산, 안산), 충주와 청주, 부산지역의 12개 병 의원의 산부인과에서 산전진찰을 받기 위해 내원한 임신부를 대상으로 본 위원회에서 개발한 설문지를 작성하도록 하였으며 설문요원이 설문기입을 확인하고 회수한 총 1,481매에서 기록이 충실한 1,290 명의 설문을 분석하였다. 결 과 : 1) 임신부의 87.4%가 모유수유를 계획하였으며 분유 6.2%, 혼합수유 4.5%, 결정 못함 1.9%로 임신시 수유계획으로 모유가 가장 많았다. 임신부의 43.0%에서 4-6개월간 수유하려고 계획하였다. 2) 모유수유를 선택한 이유는 모유가 아기에게 좋다고 생각되어서 97.7%로 가장 많았으며 주위에서 권하여 0.9%이었다. 모유수유를 선택하지 않은 이유는 직장 또는 일 41.3%, 모유수유실패경험 17.4%, 모유가 부족할 것 같아서 10.9%, 함몰유두 등 유방의 문제 10.3%, 엄마의 질병 9.4% 등이다. 3) 모유수유에 관한 정보원은 친정어머니 또는 시어머니 33.1%, 육아 출산 전문 잡지와 책 27.1%, 형제 자매 친구 등 18.6%, 신문 텔레비전 라디오 등 대중매체 18.2% 순이었다. 모유수유의 정보원에 따른 모유수유 계획률의 유의한 차이는 없었다(P>0.05). 4) 모유수유에 대한 인식은 100점으로 환산하여 평균 59.7점으로 매우 낮았다. 장점에 대한 7항목의 정답률은 62.0-97.1%, 평균 86.1점이었다. 반면 수유의 실제적인 방법에 대한 13항목은 정답률 17.4-76.2%, 평균 45.3점이었다. 모유수유 계획률은 모유의 장점과 수유방법에 대한 인식의 중앙값 6점 이상인 군에서 유의하게 높았다(P<0.05). 가장 낮은 정답률은 '물젖이라도 계속 수유하는 것이 좋다' 17.4%이었다. 5) 산후조리 도우미로는 친정 식구가 52.3%로 가장 많았고, 산후조리원 22.4%, 시집 식구 10.6% 순이었다. 모유수유 계획률은 유의한 차이가 없었다(P>0.05). 6) 다변량 로지스틱 회귀분석에서 임신부의 취업여부, 모유수유력, 수유법 결정시기와 결정한 사람, 모유 수유의 장점에 대한 인식 등이 모유수유 계획의 중요한 결정인자이었다. 결 론 : 임신부의 대부분이 모유수유를 계획하고 있었으나 수유기간이 4-6개월로 짧았으며 모유의 장점은 충분히 인식하고 있었으나 수유의 방법에 대하여는 올바로 이해하고 있지 못하였다. 모유수유율을 높이기 위하여 국가 정책적으로 모자동실, 출산 휴가 연장, 직장에서의 수유 등 모성복지를 위한 개선책이 필요하며 소아과 의사는 육아 상담시 모유수유로 어려움을 겪고 있는 어머니를 올바르게 이끌고 격려하여야 한다.

• Journal of Preventive Medicine and Public Health
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• 제5권1호
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• pp.57-95
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• 1972

This study was conducted to assess the effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four researchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent' such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. 2) In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity sids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if suck facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 7) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registration system changed to a 'notification' system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visitits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, it would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.