• 제목/요약/키워드: Village Community Center

검색결과 119건 처리시간 0.032초

가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고- (An Intervention Study on Integration of Family Planning and Maternal/Infant Care Services in Rural Korea)

  • 방숙;한성현;이정자;안문영;이인숙;김은실;김종호
    • 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.

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한국 성인을 대상으로 한 미국 및 유럽 폐활량 검사 재현성 기준의 유용성 (Applicability of American and European Spirometry Repeatability Criteria to Korean Adults)

  • 박병훈;박무석;정우영;변민광;박선철;신상윤;전한호;정경수;문지애;김세규;장준;김성규;안성복;오연목;이상도;김영삼
    • Tuberculosis and Respiratory Diseases
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    • 제63권5호
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    • pp.405-411
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    • 2007
  • 연구배경: 본 연구를 통해 2005년도 ATS/ERS 폐활량검사 지침에서 제시한 재현성 기준을 한국 성인들에게 적용할 수 있는 지와, 한국 성인들의 폐활량 검사 시 재현성에 영향을 미치는 요인들을 알아보고자 하였다. 방 법: 국민건강영양조사, COPD 코호트, 지역사회 코호트로부터 얻은 성인 4,663명의 폐활량검사 결과를 이용하여 dFVC 및 $dFEV_1$를 계산하여 분포를 알아보고, 1994년도 ATS 지침 및 2005년도 ATS/ERS 지침을 만족하는 검사의 비율을 비교하였다. 다중회귀분석을 통해 개인적 특성 및 재현성 기준의 변화가 재현성에 영향을 미치는가를 알아보았다. 결 과: 폐활량검사를 시행한 사람들 중 95% 이상이 150ml 이내의 재현성 기준을 만족시켰다. 1994년도 ATS 지침에 따라 검사를 시행한 경우 재현성을 만족하지 않는 경우가 증가하였다. 다중회귀분석 결과 재현성에 영향을 주는 요인들은 신장, 연령, 체중, 폐쇄성폐질환 여부, 재현성 기준의 변화 등이었으나 재현성에 영향을 미치는 정도는 매우 작았다(0.5~3.0%). 결 론: 한국인에게도 2005년도 ATS/ERS에서 제시한 재현성 기준을 적용할 수 있을 것으로 생각하며, 이를 위해서는 변경된 재현성 기준에 대한 지속적인 홍보와 검사자 들에 대한 교육 및 정도 관리가 필요하다.

주민참여를 통한 농촌중심지 활성화 방안 연구 - 정읍시 내장상동을 중심으로 - (The Activation Plan of an Agricultural Region through Resident Participation - Focusing on Jeongeupsi Naejangsangdong -)

  • 오형은;김용근
    • 한국조경학회지
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    • 제43권5호
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    • pp.121-131
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    • 2015
  • 과거 농외소득 향상을 목적으로 하던 마을중심의 농촌지역개발사업이 최근 농어촌중심지를 중심으로 진행되고 있다. 농어촌중심지 사업은 지역주민의 소득 이외에 지역주민의 생활여건 개선을 도모하는 것을 목표로 한다. 시대가 변하면서 농촌과 농촌 중심지의 모습도 다양하게 변화하였다. 농촌과 도시가 하나의 지역으로 융합되어 한 지역에서 농촌과 도시의 복합적 성격을 띠는 러번지역이 발생함에 따라, 현대사회에서 농촌의 중심지는 자연스럽게 도시적 인프라를 갖춘 러번지역으로 집중되게 되었다. 본 연구의 대상인 정읍시 내장상동 또한 농촌의 자연환경을 가지고 있지만, 동시에 도시지역의 구조 형태를 가지는 도농통합적 생활권 중심지이다. 기존 정부의 하향식 농촌개발사업으로 나타난 문제점을 해결하기 위해 러번지역에 조직되어 있는 공동체를 활용한 주민참여형 사업이 진행되어야 한다. 따라서 본 연구에서는 도시적 성격을 가진 러번지역의 특성과 주민들의 수요분석을 통해 생활서비스 증진을 위한 러번지역의 중심지 활성화 계획을 제시하고자 하였다. 이를 위해 주민 워크숍 및 시범활동과 같은 주민역량강화 단계를 기본계획수립 과정에 반영함으로써 주민들의 자생력을 강화시키고자 하였다. 연구는 대상지 현황 및 여건분석, 기본구상 및 발전방향설정, 세부사업계획, 사업추진계획의 과정으로 진행되었으며, 현장조사와 주민수요를 기반으로 도보환경 개선, 공동체 기반시설 조성, 살기 좋은 생활환경 조성의 세 가지 목표를 설정하였다. 또한 본 연구에서는 러번지역이라는 발전된 형태의 농촌지역에서 주민들이 실제로 필요로 하고, 이미 구성되어 있는 지역공동체 등의 활동 단체를 사업의 실행주체로 참여시킬 수 있는 주민참여형 농촌중심지 활성화 방안을 제시하였다. 늘어나는 러번형태의 지역 특성에 맞는 주민 자생적 농촌중심지 활성화 계획을 통해 지역의 능동적이고 성공적인 성장을 기대한다.

지표피복변화 연구에서 최적의 공간스케일의 문제 : 가나 북부지역의 사바나 지역을 사례로 (Optimal Spatial Scale for Land Use Change Modelling : A Case Study in a Savanna Landscape in Northern Ghana)

  • 닉반드기슨;폴플렉;박수진
    • 대한지리학회지
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    • 제40권2호
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    • pp.221-241
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    • 2005
  • 토지이용 및 지표피복변화 (Land Use and land Cover Changes, LUCC)는 지구환경변화의 원인으로 중요한 연구대상이 되고 있다. LUCC는 복잡한 사회적, 경제적, 정치적 상호작용속에서 다양한 시$\cdot$공간적 스케일에서 발생하게 된다. 따라서 LUCC를 모델화하기 위해서는 LUCC를 야기시키는 원인(driving forces)과 제한요인(constraints)들의 시$\cdot$공간적인 다양성을 이해하는 작업이 선행되어야 한다. 특히, 특정 지역에서 나타나는 LUCC의 동인을 파악하기 위해서는 스케일에 따른 그 특성의 변화를 이해하는 것이 급선무이다. 이 연구는 가나(Ghana) 북부지역의 사바나 지역을 대상으로 지난 15년간 나타난 지표피복변화의 공간적인 다양성을 파악한 뒤, 공간적 스케일을 달리하면서 나타나는 LUCC의 원인을 분석하였다. 이 과정을 통해 사바나 지역에서 LUCC 과정을 모형화하기 위한 최적의 공간적인 스케일을 규명하고자 하였다. 연구지역은 지난 15년간 인구증가의 결과로 농업생산활동이 급격하게 증가한 지역이다. 연구지역에서 나타나는 지표피복변화의 정도는 LANDSAT 위성영상에서 추출한 NDVI들을 다변량 통계분석기법을 이용하여 정량화하였다. 그리고 지표피복변화의 원인을 스케일별로 파악하기 위한 도구로 다축척 계층분석기법(multi-scale hierarchical adaptive model)을 개발$\cdot$제안하였다. 개발된 기법은 지표피복의 변화정도와 원인이 될 수 있는 공간변수들간의 상관성을 공간적인 스케일을 달리하면서 순차적으로 계산해낼 수 있는 기법이다. 이 연구에서 지표피복변화의 원인으로는 '도로에서부터의 거리', 하천으로부터의 거리', '지형특성' 의 세가지 변수를 사용하였다. 지표피복 변화정도와 위의 세가지 변수들간의 상관관계는 공간적인 범위가 10$\times$10km 이하인 경우에 높게 나타났다. 하지만 공간범위가 그 이상이 될 경우에는 그 내부에서 나타나는 다양성으로 인해 통계적인 상관성이 현격하게 낮아지는 것을 관찰할 수 있었다. 이러한 결과는 지역 및 국가 단위의 환경변화모델에서 모델의 공간적인 구성범위가 일정한 수준을 넘으면, 그 내부에서 발생하고 있는 다양성이 급격하게 증가하여 지표피복변화의 원인과 결과를 정확하게 파악하기 힘들게 된다는 것을 의미한다. 10$\times$10km의 공간적인 범위는 농업생산이 위주가 되는 사바나 지역에서는 주로 개별 마을이 차지하고 있는 공간적인 범위와 대체적으로 일치한다. 따라서 사바나 지역에서 나타나는 지표피복변화의 다양성을 고려하면서 보다 정확하게 모형화하기 위해서는 마을단위에서 나타나는 지표피복변화과정이 최소의 모델단위가 되어야 함을 시사한다.

도로 접근성과 기능성을 이용한 통합청주시 농촌지역의 교통 취약성 분석 (Traffic Vulnerability Analysis of Rural Area using Road Accessibility and Functionality in Cheongju City)

  • 전정배;오현교;박진선;윤성수
    • 농촌계획
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    • 제21권2호
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    • pp.11-21
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    • 2015
  • This study carried out evaluation of vulnerability in accessability and functionality using road network that was extracted from Intelligent Transportation System(ITS) and digital map. It was built in order to figure out accessability that locational data which include community center, public facilities, medical facilities and highway IC. The method for grasping functionality are Digital Elevation Model(DEM) and land slide hazard map provided by Korea Forest Service. The evaluation criteria for figure out accessability was set to related comparison of average time in urban area. Functionality value was calculated by the possibility of backing the vehicle possibility of snowfall and landslides. At last, this research computed weighting value through Analytic Hierarchy Process (AHP), calculated a vulnerable score. As the result, the accessability of rural village came out that would spend more time by 1.4 to 3.2 times in comparison with urban area. Even though, vulnerability of the road by a snowfall was estimated that more than 50% satisfies the first class, however, it show up that the road were still vulnerable due snowing because over the 14% of the road being evaluated the fifth class. The functionality has been satisfied most of the road, however, It was vulnerable around Lake Daechung and Piban-ryung, Yumti-jae, Suriti-jae where on the way Boeun. Also, the fifth class road are about 35 km away from the city hall on distance, take an hour to an hour and a half. The fourth class road are about 25 km away from the city hall on distance, take 25 min to an hour. The other class of the road take in 30 min from the city hall or aren't affected of weather and have been analyzed that a density of road is high. In A result that compare between distribution and a housing density came out different the southern and the eastern area, so this result could be suggested quantitative data for possibility of development.

아동학대 예방을 위한 부모 인성역량 강화 프로그램 개발 연구 (A Study on the Development of Parents' Character Competency Reinforcement Program for the Prevention of Child Abuse)

  • 김봉제;권기남
    • 한국보육학회지
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    • 제18권4호
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    • pp.109-121
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    • 2018
  • 본 연구는 아동학대 예방에 있어서 부모의 인성 변화가 가장 우선시 되어야 한다는 인식에 따라 인성교육진흥법에 제시된 핵심 역량에 근거하여 아동학대 예방을 위한 부모의 인성역량 강화 프로그램 개발하고자 하였다. 이를 위해 아동학대 부모의 특성을 파악하고자 어린이집/유치원 및 초등학교에서 아동학대 부모를 경험했던 교사를 대상으로 초점집단면접을 실시하였으며, 국내외 아동학대 예방 부모교육 프로그램 분석을 통해 부모에게 요구되는 인성역량과의 관련성을 확인하였다. 연구결과 아동학대 예방을 위한 부모의 인성역량 강화 프로그램은 크게 자기관리역량, 의사소통역량, 심미적감성역량, 공동체역량 강화의 4개 영역으로 구분되며, '나와 자녀 바로 알기', '부모 자신의 분노조절 훈련하기', '자녀와의 효과적 의사소통 기술 증진하기', '자녀와의 쌍방소통식 의사소통 연습하기', '자녀와 문화예술체험하기', '나와 자녀의 감정 이해하기', '한 자녀를 키우기 위한 온 마을이 필요하다'의 총 7개의 활동으로 구성되었다. 본 연구에서 개발한 아동학대 예방을 위한 부모 인성역량 강화 프로그램은 아동학대 예방을 위한 부모 인성교육 활성화에 기여할 수 있을 것이다.

퍼지셋 질적 비교 분석(fsQCA)을 활용한 관광지 거주민들의 삶의 질 저하에 영향을 미치는 요인 연구 (Using Fuzzy Set-Quality Comparative Analysis (fsQCA) to Explore the Factors Influencing on the Hindrance to Tourist Resident's Quality of Life )

  • 이현애;정희정;함주연;정남호
    • 경영정보학연구
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    • 제21권1호
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    • pp.113-133
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    • 2019
  • 도시 관광객의 과잉 증가로 인해 낙후된 구도심 지역이 활성화되면서 임대료 상승으로 기존 거주민이 내몰리는 젠트리피케이션(gentrification)과, 주거지역의 관광지화로인한 거주민의 이주현상을 의미하는 투어리스티피케이션(touristification)은 최근 전 세계적인 문제로 지적되고 있다. 한국에서도 제주도와 북촌한옥마을 등에서 오버 투어리즘으로 인한 환경오염, 지가 및 임대료 상승, 공동체 문화 약화와 같은 현상이 나타나고 있다. 이러한 현상은 거주민들의 삶의 질을 저해함으로써 심각한 사회문제로 대두되고 있으며, 이에 대한 해결방안으로써 스마트 관광 도시가 대두되고 있다. 이에 본 연구는 2015년부터 스마트 시티 시범 도시로 선정되어온 부산시의 거주민들을 대상으로 설문을 실시하였으며, 퍼지셋 질적 비교 분석(fuzzy-set Qualitative Comparative Analysis)을 통해 관광 개발에 따른 경제적 이익, 사회적 비용, 환경적 지속성, 문화적 혜택, 기술적 영향이 거주민 삶의 질 저하에 미치는 복합적인 영향을 살펴보고자 하였다. 그 결과, 총 세 가지의 거주민 삶의 질 저하 패턴이 도출되었다. 관광 개발로 인한 사회적 비용이 크다고 느낄 경우 거주민들은 필수적 혜택(기술·경제적 혜택)(패턴 1)이나 부차적 혜택(환경·문화적 혜택)(패턴 2)을 크게 인식하더라도 삶의 질이 저하된다고 느끼는 것으로 나타났으며, 관광 개발로 인해 어떤 혜택도 전혀 인식하지 못하는 모습을 보이기도 하였다(패턴 3).

가족계획 우수.부진지역 사례연구 (A Case Study on High and Low Performance Areas for Family Planning)

  • 홍성열;김태일
    • 한국인구학
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    • 제4권1호
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    • pp.105-130
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    • 1981
  • This study was conducted to compare the characteristics of high performane areas for family planning with that of low performance areas and to find factors which strongly affected contraceptive practice behavior. For the study, eight areas were selected from 274 rural family planning canvassing areas of Korean Population Policy and Program Evaluation Study, which was an action study operated in all areas of Cheju Island from July 1, 1976 until December 31,1979. As a first step of the action study, Cheju Island was devided up 318 family planning canvasser areas Each area was consisted of 200 households in rural district and 300 households in urhan one Duriog the period of project, each canvassing area had been managed by a female family planning canvasser, selected by director of health center considering several individual conditions needed for family planning activities Basic activities of canvassers were to counsell all the eligihie couples in own charged area about family planning methods and also to distribute contraceptives such as condoms and oral pills. In case couples desire to accept sterilization including vasectomy and tubal-ligation, the canvassers played a linking role connecting potential client with family planning field workers. Canvassng areas shows significant differentce in performance for family planning, nevertheless they are supposed to have almost the same conditions regarding family planning distribution channel. Because the purpose of the Cheju project was to eliminate all the problems that existed in governmental distribution system, that is to remove geographic, economic, cognitive and administrative barriers Accumulated performances of family planning methods accepted by residents in each area were calculated by eligible women aged 14-49. And then canvassing areas were ranked according to performance score. Consequently, 4 areas in extremely high and low family planning performance areas were selected respectively. Major results were obtained by comparing characteristics of high performance area with that of low performance areas, which are as follows: 1. The mean number of living children was about the same both in high and low performance areas for family planning. But respondents' mean age (38.5) in high performance areas was higher than that (37.0) in low performance areas 2. Respondents' perception in the expectant educational level of others' children in high performance areas was higher than that in low performance areas, although respondents educational level, monthly expenditure and ratio of children in high school and above was not different. 3. Ratio of ownerships of TV and newspaper in high performance areas was highen than that in low performance areas 4. The duration of canvasser' charge in high performance areas was longer than that of low performance areas, showing the fact that canvassers didn't move cut in high performance areas 5. In high performance areas, canvassers' houses were relatively located in the center part of the village. And so villagers resided in near distances from the anvasser's house 6. 4H clubs' activities in high performance areas were more active than those in low performance areas Therefore it was assumed that cohesiveness of community in high performance areas were stronger than that in low areas. 7. Canvassers' family planning practice rate was higher than that in low performance areas, and also canvassers' human relationship was more sociable than that of canvassers in low performance areas. 8. Fourteen variables which showed relatively high significance level in $X^2$ and F test were selected as independent variables for stepwise regression analysis. According to the results of regression analysis. five of 14 variables-distributors education level ($R^2$=.4439), duration of distributor's charge ($R^2$=.6166), 4H club activities ($R^2$=.6697), canvasser's contraceptive practice ($R^2$=.7377) and location of distributions house ($R^2$=.8010) explained 80.1 percent of total variance.

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Social Support의 한국적 의미 (Search for the Meaning of Social Support in Korean Society)

  • 오가실;서미혜;이선옥;김정아;오경옥;정추자;김희순
    • 대한간호학회지
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    • 제24권2호
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    • pp.264-277
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    • 1994
  • In Korea the concept of social support was first used as a research concept in nursing and has not had much application in the clinical field. Another problem is that research on social support has used a direct translation of the words “social support” into Korean as “sawhejuk jiji”. Three questions were posed to direct the re-search. 1) Is there a concept of social support in Korean society? 2) if so, what words or expressions are used to de-scribe it? 3) further, if so, how is social support structured and how does it function? In order to answer the research questions a three-step research methodology was used : The first step consisted of a literature review on re-search related to social support and on information on the background of, and the way of thinking re-lated to interpersonal relations among Korean people. The second step, which was done to identify whether there is a concept of social support in korean society, involved interviewing a sample of the population. The third step involved a panel discussion that included the members of the research team and three consultants, a sociologist, a philosopher and a scholor in korean literature. A review of the literature on interpersonal relationships in traditional korean society identified a four cirole structure that explains interpersonal relationships. The first circle with “me” at the center is the family but here “me” disappears into the “we” that is essential for a cooperative agricultural society. In the second circle are those close to “me” but outside the family. The third circle includes those with whom “I ” have infrequent but regular contact and with whom correct conduct is important. The last circle is all the people with whom “I” have nothing in common. They are excluded in interpersonal relationships. The literature on interpersonal relationships showed that within the traditional Korean society people lived in villages where most people were very familiar with each other. “Yun”, the social network established the connection and “Jung”, the feeling of affection increased with time as the connection was strengthened. In the traditional village psychological support was provided through “Mallaniki”, “Pumashi” and “Kae” with the latter two also providing material support. In modern Korea there are more informal and formal social networks, like social services and community activities on the formal level and cultural and leisure groups along with “kae’s on the informal level. But even with this modern variety of groups, most social support comes from informal networks that resemble the traditiorlal “Pumashi”, “Kai” md “Mallaniki”. The six member research team interviewed 65 people in order to identify whether there is a concept of social support and then analysed their responses. There were 20 different words describing the reception of the social support and these could be grouped into seven major categories : virtuous, fortunate, helped, supported, blessed, attached(receiving affection) and receiving (grace) benevolence. there were 27 words describing the act of social support which could be categorized into seven major categories : love, looking after, affection(attachment), kindness(goodness), faith, psychological help and material help. for the meaning of social support translated as “sawhe juk jiji” there were a total of 14 different answers which could be categorized into 3 major categories : help, agreement, and faith. In third step, the results of the literature review and the answers to the questions were discussed in a pannel. The results of the discussion led to the following definition of social support in Korea which is shaped like a the four sided pyramid on a base. Social support is the apex of the pyramid and four sides are made up of : “do-oom” (both emotional and material help), “jung” (connectedness, or relationship bound by affection, regard or shared common experience ), “midum” (faith or belief in), “eunhae” (kindness or benevolence). The research team identified “Yun”( the basic network of relationships) as the base of the pyramid and as such the foundation for the components of social support in Korean culture. On “Yun” rest the other four components of social support : “Jung”, “Midum”, “Do-oom”, and “Eunhae”, For social support to take place there must be “Yun”. This is an important factor in social support. In private social network “Jung” is an essential factor in social support. But not in the public social network. “Yun” is a condition for “Jung” and “Jung” is the manifestation of support.

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