Recently in Korea, integration of F. P. & MCH programs for effective and efficient implementation of the health programs has been discussed actively.
In fact, categorical health workers in fields have been trained and changed as an integrated health workers by government.
But one of the most important problems that had to be solved for successful integration of F. P. and MCH programs, is that there must be a common indicator for the evaluation of the two health services (integrated indicator).
We regarded reproductive efficiency ( = R. E.) that had been proposed by Charlotter Muller et al, as the good integrated indicator.
The object of this brief article is to introduce the meaning of reproductive efficiency and to illustrate the usefulnesses of R. E. as the integrated health indicator by applying this indicator to the data from preliminary survey of Seosan demonstration project for integration of F. P. & MCH service supported by WHO.
The results and conclusions are as follows
1) Definition of R. E. is the percentage of Pregnancies that succeed in production normal, surving children after taking into account the frequency of all measurable types of WVexse outcomes (End point for evaluation of survival is one year of age).
2) On the basis of the past pregnant history, reproductive efficiency of the 2,484 eligible women (15- 44 years) was roughly 75 (But, in the concept of good births, it is not regarded whether the survived infant is normal health or not).
3) Compared with the results of the other two surveys of the rural area in Korea, reproductive efficiency has been slightly decreased than before, in spite of family planning and MCH services for past 20 years. Because the quantity of increased abortion rate overwhelmed that of the decreased infant mortality rate.
4) Reproductive efficiency has the object for measure many events during the period from the conception (Wanted pregnancy) to an normal surviving children as an 1 year of age. So these heterogenous adversities, i. e, induced abortion, still births, spontaneous abortion, neonate & infant death, are aggregated as R. E. However, if the information of these important events and reproductive efficiency were given, R. E. is used as the comprehensive evaluation indicator for F. P. and M, C. H. after meticulous analysis the various components of R. E.
5) Economic loss for adverse outcomes of preg. were pregnancy were calculated applying the medical cost at the relatively small sized hospital of small city. Economic loss for 100 cases of adverse outcome is 10,420,000 won, and economic loss for infant death is 46.1% of the total loss. So, it is rational to invest much more effort and than before to MCH programs.
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