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KMID : 0386819940040020010
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Journal of the Institute of Health Environmental Sciences
1994 Volume.4 No. 2 p.10 ~ p.27
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Cost-Benefit Analysis on CHP Program in Korea
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Abstract
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There was a severe shortage of health professionals. and thereafter people were medically uhderserved in rural areas. The community health practitioner(CHP) program in Korea began in 1981 for the purpose of enhancing the health status of the
people
in
rural areas. As of 1992, 2,038 CHP'S are working to provide preventive and primary health service, along with health education. CHP program has been evaluated as one of the most successful programs in the public health area in Korea.
@ES The objectives of this study are:
@EN 1) to evaluate the economic aspect of CHP program, using the costbenefit analysis; and
2) to figure out personal factors and regional factors on the outcome of CHP's activities. Data were collected through questionnaire survey to each CHP.
To investigate influencing factors on the CHP's activities, a multiple linear regression model is used. In the model, indepenent variables are CHP's personal factors(age, education, marital status, locational coincidence with birth place, job
satisfaction) and regional factors(geographical classification. population. number of and distance to substitutional clinics. cooperation of community health aids), and dependent variable is outcome of CHP's activities.
The result of multiple linear regression analysis shows that regional factors are influential on the maternal health care, infant health care, family planning and medical treatment. CHP's personal factors have been found to influence on health
consultation and health education. As a whole, it is shown that CHPs with 3-4 year experience(age of the late twenties and early thirties) are most active, and their activities decline after then.
The calculated cost-benefit ratio is 1.3, which means the economic effectiveness of CHP program outweighs its costs. However, the ratio could be a lot greater if the value of nonmarketable benefits such as intangible benefits could be taken into
account. Finally, according to the result of this study, the CHP program should be developed and expanded to meet the basic health needs of the people in medically under served rural areas.
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KEYWORD
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