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KMID : 0358119880140020087
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Journal of the Korean Public Health Association
1988 Volume.14 No. 2 p.87 ~ p.97
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IMPACT OF URBAN PRIMARY HEALTH CARE PROJECT ON MATERNAL AND CHILD HEALTH PRACTICE IN A POOR AREA OF TAEGU CITY
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朴正漢/Park, Jung Han
徐淑香/金周浩/Sue, Suk Hyang/Kim, Ju Ho
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Abstract
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This study was conducted to assess the impact of the urban primary health care project, which was carried out from 1 April 1985 to 31 August 1987 on the maternal, and child health practices in the poor area of Nam San 4 Dong, Taegu City. From 1 February to 30 April 1988, well trained students of nurse assistant school interviewed the mothers who had children under 3 years of age; 44 mothers with 48 children in the project area and. 97 mothers with 100 children in the control-area surrounding the project area.
The pregnancy wastage rate was reduced from 39..0% revealed in the base line survey to 15.1% in the project area and from 38.1% to 20.0/ in the -control area. The family planning practice rate was increased from 48.2% to 77.3% in the project area and from 56.0% to 61.9% in the control area. The women with children under 3 years of age had received the prenatal care for the last pregnancy in 97.9% in the project area and 97.0°0 in the control area. The percentage of mothers who had the first prenatal care visit in the first trimester was increased from 47.9% in the base line survey to 64.6% in the project area. Average number of prenatal care visit was 7.1 visits in the project area and 5.3 visits in the control area. Home delivery rate was reduced in both areas; from 25.0% to 6.2% in the project area and from 14.´3% to 4.0% in the control area.
Breast feeding-rate during the first month after birth was 70.9% in the project area and 62.0% in the control area. Supplementary diet was started before 6 months of age in 52.1% of the infants in the project area while it was 16.7% in the base line survey.
The immunization rates of the children in the project area were higher(l00% for BCG, DPT-and polio, 87.5/ for measles, 96.77o- for mumps and rubella, 81.0/ for B hepatitis) than those in the control area.
It was presumed that the maternal and child health level have been improved since the primary health care project had "significant impact on the maternal and child health practice. It is recommended to expand such project to the other poor areas.
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