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KMID : 0378019730160040103
New Medical Journal
1973 Volume.16 No. 4 p.103 ~ p.118
A Study of the Status on Maternal and Child Health at the Yonsei Urban Community Health Project Area


Abstract
A study on the knowledge, attitudes and practice of maternal and child health in Yonhee Community Health Center area was done with the following objectives;
1. To know the general characteristics of the pregnancy eligible women.
2. To know the level of knowledge, attitudes and practice of maternal and child health.
3. Ultimately, to use the results of this study as baseline data to establish the future maternal and
child health plan of Yonhee Community Health Center.
The sampling unit was a housewife whose age was from 15 to 49. Among 5,300 housewives registered in Yonhee Community Health Center, there were 3, 000 housewives whose age was from 15 to 49.
Using systematic sampling with random-start method, about 10% among 3, 000 housewives were selected as a sample. Field work was done from November 10th to December 5th, 1972 by home-visiting with an already designed questionnaire schedule.
The outstanding findings of this study were as follows:
1. Family size:
72.4% of the total women studied had more than 5 family members and average number of family size was 5.6.
2. Number of living children:
The number of women who had more than 4 children was 26.2%, and more than 5 children was 19.7%.
3. Induced abortion:
Among the number of the total study group, 34. 4% had an induced abortion history of more than one time. Especially, 5.2% had an induced abortion history of more than 5 times., 4. Antenatal care: The status of antenatal care for their last born children showed that 24.2% of the total study group had received antenatal care. The younger the women were, and the higher educational level the women had, the more they had received antenatal care. f 5. Sources of knowledge of antenatal care: 56.1% of the women studied got information from their own experience and neighbors, and only 21.9% got information from medical facilities, such as a hospital or health center. 6. Delivery care: Only 15. 1% of the women studied delivered their last-born children at a hospital and 76.4% delivered at home. Among the reasons for home delivery, 41.3% gave economic problems as the main reason. 7. Delivery attendants: 83.7% were attended by non-medical personnel and only 16.3% were attended by medical personnel. The rate of delivery attended by their mother and mother-in law was 51.8%. 8. Equipment for home delivery: 90.9% of the deliveries at home used scissors to cut the umbilical cord and only 28.3% of these were sterilized.
9. Post-partum care:
Women must rest for 5-6 weeks after delivery. But, in this study, after delivery only 7.2% of the women delivered rested for more than one month. Besides, 3.0% of the women did not have time to rest after delivery.
10. Feeding for baby:
89. 0% of the babies were breast-fed by their mothers, and the feeding period was 2 years or more. 11. vaccination:
73.5% of the children had received more than one type of vaccination.
Among the types of vaccination, vaccination rate of D. P. T, Small-pox, Poliomyelitis and B. C. G. was 44.0%, 63.6%, 54,9% and 48.8% respectively.
12. Well-baby care:
45% of the children had received well-baby care at medical facilities.
The highest rate of well-baby care was in direct ¢¥proportion to the youth of the mothers and their higher educational level.
In conclusion, the status of maternal and child health at Yonhee Community Health Service Proje¡þct area is poor and a program to solve the maternal and child health problems is urgently needed.
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