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KMID : 0351619720130020291
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Kyungpook Medical Journal
1972 Volume.13 No. 2 p.291 ~ p.355
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Status of Maternal and Child Health in A Rural Area
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ì°àõΰ/Lee, Sung Kwan
ÑÑÔàý÷/ÑÑýñÎç/ûó?ûà/çÜÚÃú/ï÷òåùÊ/ãéî¤úè/Kim, Doo Hie/Jung, Jong Hak/Shin, Jae Hyun/Park,Jae Suck/Shin, Tae Kyu/Kim, Hie Kyo
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Abstract
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Introduction
The data about maternal and child healt;a in rural horea have been reported partly by :-o~ie authors. Eut the data -ere not sufficient fo~ an understanding of the health situation of mothers and children.
So we intend to clarify the current status of maternal and child health simul_tanccasly ;~~rith the project "Maternity aides utilization in the ~~I. C. H. and family planning conducted far a 21 month period from April 1970.
The field of ~I. C. H. is not only the weakest point in the medical field in our country but it has also dropped behind among the developing countries. One of the most important purposes of this study was to extract baseline data to u~~grade the situation of lI. C. H. in the rural area.
Major items of observation included the k;:owledge, attitude and practice in regard to maternal and child health, family planning, vital registration and fertility, also the basic sociodemographic characteritics of the eligible ~~-omen was obser~~ed.
Materials and Method
Materials
Respondents were divided into t~.~-o groups. The women who registered for the project have specific characteritics; younger age, smallerchildren and escecia¢¥1;~ an unbalanced ratio of sons and daugi,t=ors and the;r ~,varted to have more ci:i_idren than aII married ~romen.
So if the data from the registered women was iast:fficient then it was supplemented by data cbtained fron the eligible married women who live in the same area v~hich -as objected to intermediate and post-survey.
Method
Ease line data relating to the last delivery exper~:enced by each of the `?,6i2 respondents was cbtained from checki;:g notebooks -hick had been given to the maternity aides. ~~nc~n a maternity aide detected a pregnant women, she registered her, asked questions relating to maternity history, and fi!Ied out the questionnaires in the same book henever she revisited to ash questions, and we tivculd expect to obtain more detailed and accurate answers. All resporderts who had delivered or gestated during the studying period from April 1970 to December 191 were included.
The data from the intermediate and post-survey were obtained by the same routine method of irtervie,.ving. The number of respondents on intermediate and the post-survey were 1, 586 and x,531, respectively.
The items of questions asked were as follows: Basic characteristics of households
and women 25 items
Fertility and pregnancy wastage 35 items
Immunization 10 items
Nutrition of infants 8 items
and 16fi or 24 percent wanted to get more children (Table 13-D-9).
Outcome of present pregnancy of those women who not desired
The respondents who did not desire current pregnancy were divided into three groups in accordance with the additional children when asked them "How many additional children want at the practice of contraception".
Of 240 respondents, 43 or 18 percent w~~nted to practice contraception immediately (additional child 0), 120 or 50 percent, wanted to practice contraception after one additional child acid 42 or 18 percent, after two or more additional children.
The rate of live birth rose with the desirability of current pregnacy i. e. , no additional children group vas 54 percent, one additional child group, 65 percent, and two or more additional children group, 83 percent.
On the Contrary, the rate of induced abortion decreased with the desirability of pregnancy, i. e. , no additional children group was 30 percent, one additional child group, 9 percent, and two or more additional children group, 2 percent.
After birth, the acceptance rate of contraception rose v~ith decrease of desirability o:f cur-rent pregnancy, i. e. , no additional chilldren group was 71 percent, one additional child group, 71 percent, and two or mo: e additional ch.~;ldren group, 61 percent.
The rate of v.~anting more child ten rose with desirability of pregnancy, i. e. , no additional group, ~. as zero persent, one additional group, 10 percent, and two or more additional group, 26 percent (Table 13-d-10).
E. Number of children at the time of first
contraception
Regarding the number of children at the time of first contraception four children (2 male and 2 female) was the most frequently observed number(22 percent), being fallowed by 3 sons and one daughter, 2 sons and one daughter, 2 sons and three daughters in descending order.
The number of children by age of respondents
The most frequent number of children of those women aged 2029 years was one son and one daughter, of those aged 3034 years, 2 sons and one daughter, of those aged 3539 years, 2 sons and two daughters, of those aged above 4044 years, 2 sons and 3 daughters, and of those aged above 45 years, 3 sons and 3 daughters. As described above, the number of children at beginning of contraception rose with advancing age of women (Table 13-e-1).
The number of children by educational level
The most frequent number of children of those women not educated formaly u as 2 sons and 3 daughters, of those women educated primary school, 2 sons and 2 daughters, of those women educated middle school one son and one daughter,
Generally, the number of children at beginning of contraception decreased with advance of educational level (Table 13-1:-2).
Acknowledgement
The authors would like to express their heartful gratitude to ,tilt. George C. Worth, Director of Poulation Council for the -hole-hearted cooperation they have extended to us to make this study possible.
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KEYWORD
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