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KMID : 0365220150520010001
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Korean Journal of Public Health
2015 Volume.52 No. 1 p.1 ~ p.9
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Conducting a Need Assessment for Developing New Health Services and Analyzing 3 Delays Factors in Myanmar Rural Area
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Cho Byong-Hee
Min Sang-Hee
Sohn Ae-Ree
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Abstract
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Objectives: This paper aims to set the priority of health programs and to analyze the so called “3 delays barriers inherent in such programs.
Methods: A questionnaire was developed to evaluate the size of health problems in rural Myanmar and the effects of new health programs to be implemented, with the consultations of .Korean community health professors and the health bureau of the Myanmar local government. NIBP(needs impact based planning) was applied for 23 local health practitioners to set the priority of health programs. 3 delays barriers were asked in depth to key informants among local health practitioners.
Results: The 1st priority programs were the supports to under 5 clinic, construction of birth room, innovation of facilities of health center, computerization of health administration, provision of safe water. The next priority programs were expansion of health education, NCD management, strengthening of the function of auxiliary midwife and community health worker. The low priority was put on the programs such as health fair and nutrition for adolescents. Among the barriers, weak health perceptions of the rural people were not so severe issue. Rather, poverty, humble transportation condition, and low quality of health services of health centers were more important factors lowering the use of health services.
Conclusion: Rural health practitioners in Myanmar wanted the supports to upgrade the health care facilities such as under 5 clinics, birth rooms, and health centers. But group discussions made change to some degree their opinions toward improving rural residents’ health behaviors instead of upgrading their own services. Thus, group discussion could be useful in need assessment in addition to formal NIBP method.
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KEYWORD
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Myanmar, rural health, need assessment, NIBP
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