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KMID : 0358119920180020003
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Journal of the Korean Public Health Association
1992 Volume.18 No. 2 p.3 ~ p.17
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A Study on the Current Status and Approaches to Improve Maternal and Child Health Cate Program by Private Clinics in the Cities in Kyungnam Province
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金柄成/Kim, Byung Sung
金公鉉/金炳晟/朴亨鐘/Kim, Kong Hyun/Kim, Byung Sung/Park, Hyung Jong
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Abstract
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This study was carried out to review the current status of maternal and child health care (MCH) program implemented by the private clinics located in the cities in Kyungnam Province and to suggest alternative approaches to improve their on-going programs through a self-administered questionnaire.
The subjects were 185 private physicians who operated their own clinics since: 1990 and were general practitioner, Obstetrician/Gynecologist or pediatrician. The survey was conducted by mail from 15 January to 25 February 1992. The response rate was 70.8 percent.
Major results were as follows:
1. The major manpower for MCH of the studied clinics was physicians and nurse-aids. 32% of those employed one or more lab-technicians. No clinics had an independent building for MCH program. Most of studied clinics did not adequately install medical and laboratory equipments for MCH program except some of Ob/Gyn clinics.
2. 51.9% and 46.6% of the studied clinics did not provide consulting services and curative services to patients in relation to MCH respectively. 74% of them did not also provide any laboratory services.
3. Pre-and post-natal care services were provided in most Ob/Gyn clinics and´, general practitioners while growth measurement and immunization services were done in pediatric clinics.
4. 33% of the studied clinics had been opening either regular or irregular health education sessions for MCH. Ob/Gyn clinics put emphasis on clinical management and physiology of pregnancy and preparing delivery, but pediatric clinics did on infant rearing and immunization. 45% of the studied clinics had some kinds of health education materials for MCH program.´
5. Blood pressure, glucosuria and blood type were tested in 65% of the studied cljinics:Ultrasonography and tests for hepatitis and fetal heart rate were provided in 40%: and tests for uterine cancer, gonorrhea and syphilis in 30%. Those tests were almost provided by Ob/Gyn clinics.
6. There were less than 10% of clinics, which had been supported with drugs, equipments, or culture media for MCH programs from the government. Even though the government supply those materials to them free of charge to encourage their involvement. 40% of Ob/Gyn clinics and each 56% of general practice and pediatric clinics replied not to engage MCH programs linked with the Health center.
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KEYWORD
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