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Journal Article

In'gu pogon nonjip = Journal of population and health studies

Ingu Pogon Nonjip

Jul

2

1

29

52

LR: 20150901; JID: 8609047; OID: PIP: 016115; OID: POP: 00121374; OTO: PIP; GN: PIP: TJ: JOURNAL OF POPULATION AND HEALTH STUDIES; ppublish

Korea (South)

PMID: 12264835

kor

English Abstract; Journal Article; J

Unknown(0)

12264835

PIP: The Government has trained and deployed a new type of midlevel healthworker, the Community Health Practitioner (CHP) in order to attain the goal of equity in the provision of health services in remote rural areas since 1981. This study aimed at assessing the current situation vis a vis the need for health services prior to the deployment of these CHPs in remote rural areas. Data utilized in this paper are drawn from the 1981 Baseline Household Interview Survey for evaluation of the government-supported CHP program. Collection was by the household interview survey method during October-November 1981. A total of 4083 households were sampled. This paper summarizes major findings from the survey. 1) The perceived or subjectively assessed need for medical treatment was 21/100 persons during a 15-day period; the net rate/100 persons desiring medical treatment was only 59. Clearly there is a big gap between need and utilization of medical treatment. The major source of medical treatment employed was the druggist or pharmacist; 72% of medical treatment was rendered by either of those professionals, 13% by private practitioners, and only 5% by a physician associated with a health subcenter. Annual visits to various types of medical facilities per capita were 4.41:3.18 visits to a druggist or pharmacist and .73 visits to a private practitioner. About 70% of nonusers pointed to economic reasons as the major barrier against access to one of the various medical facilities. 2) 1/3 of the pregnant women received at least 1 prenatal visit and 17% were attended by professionals for delivery. 87% of births occurred in the home and only 28% of home deliveries used sterilized instruments. 65% of the pregnant women desired their mother, husband, or neighbor as a birth attendant; only 35% desired the help of a physician. 3) About 10% of mothers considered their infant or child as unhealthy. Immunization coverage was high; 1 or more shots were given to 61%, polio vaccines were given to 53%, and 30% received the BCG. 52% of those currently practicing contraception are currently married. Female sterilization was the most prevalent method (30%) for the users. The use rate of family planning approaches the saturation status of family planning; the net rate over the need for family planning among fecund married women was 92%. It is concluded that there is a great gap between the current situation and the national goal of equity in the provision of health services in remote rural areas. The unmet need for medical services is high and utilization relies heavily on self-care using nonprescription medicines. There is a high level of unmet need for preventive services. The government-supported CHP program as an innovation will greatly contribute to narrowing the gap between utilization of and need for health services or help in reaching the goal of equity in provision of health services in remote rural areas in the future. (author's modified)

Allied Health Personnel, Asia, Child Welfare, Delivery of Health Care, Developing Countries, Evaluation Studies as Topic, Family Planning Services, Far East, Government Programs, Health, Health Personnel, Health Planning, Health Services, Health Services Accessibility, Health Services Administration, Health Services Needs and Demand, Health Services Research, Immunization, Korea, Maternal Welfare, Organization and Administration, Program Evaluation, Rural Health Services, Utilization Review, Child Health, Eastern Asia, Evaluation, Family Planning, Family Planning Programs, Government Sponsored Programs, Health Services Evaluation, Korea, Republic Of, Management, Maternal Health, Needs, Paramedical Personnel, Program Accessibility, Programs, Research Report

Song,K. Y., Kim,H. S.