A study was carried out from October 1977 to September 1978 in order to devolope health care delively system which will meet to rural area in Korea.
For the study objective a model of health care delivery system of Myun´ (township) area was developed which is adopted the net-work of village health vo~luntar wj x.If r who will play the role of bridge for communication related with health and illness between families or village people and health subcenter, and the model health care delivery system net-work was set in the area of Soodong Myun, Yangju Gun, which is the rural health demonstration areas of Ewha Womans University since 1912. The activities and attitude of 22 village health voluntary workers were observed and analized during the study period.
The results are as follows;
1. For the field activities of village health voluntary workers, a guide line{ which is described with specific behavioral objectives was developed and used for not only _training_of _ the workers but also evaluation of their field activities.
2. During the study period, the number of 971 village people were served primary health care service by village health voluntary worker and the service was classified largely into symptomatic medications (92%) and preventive measures (8%).
3. Comparative percentage of the number of 894 symptomatic cases cared by village health voluntary workers to 5, 695 cases of patient treated by Soodong Health Subcenter during the same period was 15.7%.
4. Annual utility rate of village health voluntary worker by Myun total people was 16.15yo but utility rate by Rie was varied from 38.2% to 2.8% which shown there were considerable differences in each Rie. In order to settle the village health :care set factors of utility should be detected and their counter measure must be´
5. As the health need of village people increases, it is expected that the excluding present six basic drugs is inevitable, but considering the abi voluntary worker, the selection of additional drugs and education, plat studied.
6. It is desirable that a financial resource for supplementary purchage of ´i materials whould be alloted from village public fund like Saemaeul N which has already practiced in a few villages in the study area.
7. As pointed out by village health voluntary workers, in order to improv village leaders should be in the center of it and the cooperation of whc a core of healthful village development, and it is reasonable that the hr up these voluntary health activities by village people in techniques.
8. Jt seems effective that a supplementary education for village health accomplished by a planned education through regular meetings like wont and irregular post guide when Myun Health Workers can handle the pi the round trip of villages.
9. It is desirable that village health voluntary workers, who are recd voluntary organization like Saemael Woman´s Club, are charged by nat, given a function of village health care service and used through basic subcenter.
10. It is advisable that the village health voluntary worker´s service is cc form of money, but by other way such as an exemption of medical fee her families in health subcenter can be one method.
11. Daily health activities of each village health voluntary worker should subcenter by biweekly or monthly in order to get not only for basic but also for evaluation the program. It is recomandable that the report f( and clear enough for village health voluntary worker to fill it effectivel:
12. Village health care service should be developed into a Saemaeul Moves people actively participate. For this, the appointed function of villap worker should be absorbed into those of living Environment Betterme. Planning Section of Saemaeul Women´s Club or it is desirable that estal Village Health Promoting Section and make it involve the appointed sections mentioned above.
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