• 제목/요약/키워드: public health Programs

검색결과 1,388건 처리시간 0.033초

Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program

  • Liautaud, Alexandre;Adu, Prince A.;Yassi, Annalee;Zungu, Muzimkhulu;Spiegel, Jerry M.;Rawat, Angeli;Bryce, Elizabeth A.;Engelbrecht, Michelle C.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.172-179
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    • 2018
  • Background: Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. Methods: Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. Results: Participants recruited (n = 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (+12%, p = 0.002) and skills/practices (+14%, p = 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. Conclusion: Training is essential to strengthen HCWs' occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated.

Community Health Promotion Programs in Japan

  • Eto, Takashi
    • Korean Journal of Health Education and Promotion
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    • 제1권1호
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    • pp.119-124
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    • 1999
  • Before considering health promotion programs carried out in Japan, I would like to explain a summary of today's health conditions of Japan for a while. Current major concern in public health world as well as political or economic world is an aging society. To say more precisely, it would be an aging society with relatively small children's population. Estimated total population is 126,166,000 in 1997. Among these, almost 10% population loves in Tokyo Metropolitan Area. (omitted)

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보건소 방문건강관리사업의 자조집단 운영 현황 (A study on current situation of self-help group program in community-based home visiting health service)

  • 박정숙;권상민
    • 디지털융복합연구
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    • 제12권8호
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    • pp.449-458
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    • 2014
  • 본 연구는 방문건강관리사업에서 동일한 문제를 가진 대상자의 자기관리 증진을 위한 자조집단 현황을 파악하기 위한 조사연구이다. 전국 253개 보건소를 대상으로 설문조사하였으며, 2010년 9월 3일부터 9월 20일까지 회수된 109개소의 자료를 SPSS/WIN 18.0프로그램을 이용하여 분석하였다. 연구결과 보건소에서 방문간호사업을 담당하는 간호사는 평균 9.27명, 대상 보건소 중 자조집단 프로그램을 실시한 보건소는 48개(44.0%), 자조집단 중 암 관련 프로그램이 65건(28.8%)으로 가장 많았으며, 실행예산은 500만원 이상은 19.6%로 재정적 지원이 열악한 현실이었다. 반면에 전문인력, 자조집단 관련 정보 및 예산 부족 등의 이유로 자조집단을 운영하지 못하는 보건소들도 자조집단 프로그램의 필요성은 인식하고 있었다. 결론적으로 자조집단 형성과 운영을 위한 매뉴얼 개발 및 효과성 검증을 위한 객관적 척도 개발 연구에 기초자료를 제공할 수 있다고 본다.

미국의 최신 건강중심 체육교육수업의 소개 - Sports, Play, Active Recreation for Kids(SPARK) 체육프로그램 개발배경 및 사례보고 - (Introduction to a Health-related Physical Education Curriculum Model in the United States : Sports, Play, and Active Recreation for Kids (SPARK))

  • 유수진
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권3호
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    • pp.101-109
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    • 2011
  • The purpose of this article is to introduce the Sports, Play, and Active Recreation for Kids (SPARK) physical education curriculum. SPARK is a model for health-related, research-based and evidence-based physical education programs in the United States. The outcome of school physical education can relate to public health, but there exists few evidence-based physical education programs reporting health-related variables. School physical education can provide more opportunities for children and adolescents to be physically active and to learn more about healthy lifestyles. However, physical education programs have been cut and eliminated due to lack of funding in the U.S. as in South Korea. Although facing these problems, SPARK programs have been implemented in over 50% of schools, after school programs and coordinated school health programs in the U.S. This article reviewed: (a) background information of the SPARK program, (b) examples of effective interventions, and (c) methods of dissemination to schools nationally in the U.S. The methods showed in SPARK may use as a model for researching, developing and implementing new physical education(PE) program and after school programs in Korea.

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학교구강보건사업의 보건지리학적 분석을 위한 지리정보체계의 활용 (A GIS-Based Public Health-Geographical Analysis of Oral Health Programs for Primary School Students)

  • 양진영
    • 치위생과학회지
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    • 제13권2호
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    • pp.174-181
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    • 2013
  • 본 연구는 학교구강보건사업을 통해 구강보건서비스를 제공받고 있는 초등학생들이 전국의 각 시 군 구별로 어떻게 서로 다르게 분포되어 있는지를 파악하기 위하여 GIS기법 중에서도 단계구분도를 이용하여 5단계로 나누어 지도를 제작하였다. 서울에서는 학교구강보건사업을 실시하는 초등학교가 전혀 없어서 본 연구에서는 제외되었고 205개 시 군 구를 대상으로 하여, 구강보건서비스에 대한 공간적 지리적 접근성을 비교의 기준으로 삼아 다음과 같은 결과를 얻었다. 통계적 인접성에 의해 5단계 중에서 기본구간은 0.1~20.0%로 설정하였다. 1. 전국 각 시 군 구 초등학교 학생 수 대비 학교구강 보건실을 운영하는 초등학교 학생 수 비율이 기본 구간에 해당하는 지역은 전국적으로 113개 시 군 구에 해당하며 33개 시 군 구는 0%에 해당한다. 2. 전국 각 시 군 구 초등학교 학생 수 대비 학교구강 보건실을 운영하는 초등학교에서 구강보건교육과 바른양치교육을 수행했던 학생 수의 비율이 기본 구간에 해당하는 지역은 전국적으로 101개와 102개 시 군 구에 각각 해당한다. 구강보건교육이 전혀 실시되지 않는 시 군 구는 34개, 바른양치교육이 전혀 실시되지 않은 시 군 구는 35개이다. 3. 전국 각 시 군 구 초등학교 학생 수 대비 학교구강 보건실을 운영하는 초등학교에서 예방서비스를 받았던 학생 수의 비율이 기본 구간에 속하는 지역은 전국적으로 80개 시 군 구에 해당한다. 34개 시 군 구의 초등학생들은 어떤 예방서비스도 제공받지 않았다. 4. 전국적으로 학교구강보건실을 통해 치료서비스를 제공 한 초등학교 중에서 기본 구간에 해당하는 시 군 구는 153개이다. 51개 시 군 구의 초등학생들은 치료서비스를 전혀 제공받지 않았다. 이와 같이 학교구강보건사업을 통하여 구강보건서비스를 제공받는 초등학생들은 전국적으로 볼 때 지리적 공간적 편차가 매우 크다는 사실을 알 수 있다. 다시 말해서, 초등학생들의 구강보건서비스에 대한 공간적 지리적 접근성은 전국의 각 시 군 구에 따라 격차가 매우 크다는 사실을 확인할 수 있다. 또한, 본 논문은 GIS 기법을 활용하여 학교구강보건사업의 전국적 분포를 비교 분석함으로써 공공 부문에서의 국가구강보건정책을 입안하고 시행하는데 정책적 근거자료로 활용될 수 있을 것이며, GIS를 활용하여 보건지리학, 구강보건학, 치과위생학 사이의 학제간 연구를 수행하였다는 데 의의를 갖는다.

영양관련 프로그램의 내용분석을 통한 텔레비전의 영양교육적 역할의 검토 (Examination about the Television's Role of Nutrition Education through Content Analysis of Nutrition-related Programs)

  • 이정원;이보경
    • 대한지역사회영양학회지
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    • 제3권4호
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    • pp.642-654
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    • 1998
  • In order to examine the television(TV)'s role of nutrition education and the nutritional interests and problems of the general public in the 1990s, a comtents analysis was done on two nutrition-related TV programs, a regular round-table talk show and a newscast. Broadcast from January 1993 to July 1997 and from January 1997 to July f1997, respectively. Nutrition-related information was classified into five categories. Food and nutrient(39.5%) and diseases(34.7%) were most frequently telecasted, which were followed by food habits and general health(13.0%), traditional dishes and cookery(8.2%), and food sanitation and safety(4.6%). In becoming the latest year, some trends in the issues displayed increased telecasts about disease, dish and cookery, and food safety, while the telecasting of food and nutrient decreased. The contents about the relations hip between life-style(including diet) and chronic degenerative diseases and the importance of balanced diets and regualr meals for health promotion became particularly emphasized. Overall, two TV programs provided the public with positive, practical, and sometimes practive nutrition education messages for improving eating life and health care. They also raised the public's awareness of the nutritional importance of Korean staple foods such as rice, kimchi, seaweed, and soysauce, and they sometimes satified the audience's curiosities by introducing Korean food culture or foods of Buddhist priests. When the accident of food toxicity occurred concrete information about how to manage it was rapidly given to the public. In addition they played a role in food balance policy by telecasting over-product foods such as garlic and onion. However some negative points appeared. Telecasts on milk and its products and diabetes mellitus showed the least frequently. These shows should be broadcast more often considering the present nutrition and health problems in Korea. Some functions or effects of foods were mostly explained by only physicians of Chinese medicine. Sometimes misinformed, unclear, overemphasized, biased, or unfair information was televised to the public. If these problems could be solved through the sincere cooperation between nutrition faculty and TV produces, become televison could a more complete and effective medium for educating the public about nutrition.

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일개 도시 지역사회 간호센터 모형개발을 위한 요구조사 (A Study on Model Development for Urban Community Nursing Center)

  • 윤순녕
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.260-271
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    • 2002
  • Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

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공공도서관 사서대상 소비자건강정보(CHI) 관련 교육전후의 인식변화 연구 (A Study on the Effectiveness of CHI-Related Education for Public Librarians)

  • 노영희
    • 정보관리연구
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    • 제43권4호
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    • pp.1-29
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    • 2012
  • 헬스리터러시(Health Literacy)는 적절한 건강진단을 위한 기본적인 건강정보 및 서비스를 획득하고 처리하고 이해할 수 있는 능력으로서, 사서들은 이용자뿐만 아니라 자신들의 헬스리터러시도 향상시켜야 한다. 이에 본 연구에서는 국내 공공도서관 사서에게 적합한 건강정보활용교육 프로그램 개발에 기여하고자 건강관련 교육프로그램을 개발하고 이를 사서교육에 적용하였으며, 그 효과를 측정하고 개선사항도 발견하였다. 그 결과, 공공도서관 사서의 CHI(Consumer Health Information) 관련 용어에 대한 친숙도 증가, 교육후 이용자에 대한 교육증가 및 내용의 다양화, CHI관련 서비스를 수행하기 위해 활용하는 정보원의 다양화 및 전문화, 참고서비스에 걸리는 시간 절감 및 전문지식 부족의 한계에 대한 부담 감소 등의 부분에서 효과가 있었던 것으로 나타났다. 그러나 본 연구는 사서대상 CHI관련 교육과 관련하여 국내에서 최초로 수행된 연구로 교육강사 및 주제의 다양성, 방법론 부분에서 많은 한계가 있었으며, 향후 보다 발전된 CHI관련 교육 프로그램의 개발이 요구된다고 할 수 있다.