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우리나라 母子保健要員의 業務 및 活動

Activites and Performance of Maternal and Child Health Workers in Korea

공중보건잡지 1975년 12권 2호 p.327 ~ 334
소숙정,
소속 상세정보
소숙정 (  ) - 서울대학교 보건대학원

Abstract


The objuctives of this study were to know the present situations and activties of the matereral and child health workers in Korean Government health program. Two ways were adapted in these purposes. First, the target population were estimated in terms of number of workers engaged in the program, and another survey was performed with questionnaires about the workers activities and performance.
The questionnaire survey was carried out through June 1974 toward 1,062 MCH workers. Out of 1,062 workers, 775 made responses to the survey.
The results obtained were summarized as follows:
1. Among the full capacity of 1,130 positions prepared by government, 4,2 percent were vacant in May 1974. The recruited 1,083 MCH workers were composed of 251 professional nurses or midwives and 832 nurse-aids.
2. The average number of population covered by a present MCH worker was estimated as followings; 21,848 in total 2,746 of the married women, and 3,704 infants and preschool children including 562 infants.
3. The number of births per worker by year, by month were estimated 616.2 and 51.4 respectively.
Since most of the MCH workers were working in the rural areas, the number of births even though excluding the births occurred in urban area were estimated 473.4 by year and 39.5 by month per MCH wokers.
4. The age of the professional nurses or midwives was distributed evenly from twenties to fifties. But that of nurse-aids was much younger. Among the workers with nurse-aids certification, only 29.4 percent were married and all of them were traind only 9 month or less in duration. And the experience in MCH field were insufficient to work independantly.
5. The worker´s activies could be divided into several components. The one of the most important activity was care of the child births through the atteding at delivery or distribution of delivery sets. The average number of births per month attended by a worker was estimated at 10.2 percent and that of sets per month distributed was 16.1 percent. These numbers were much more for a nurse-aid than for a professional nurse or midwife.
6. The frequency of group teaching carried out by worker was averaged more than 2 times a month. The major topics emphasized in group teaching were the importance of prenatal care for the health of mothers and children.
7. The MCH workers shifted their positions frequently showing that 34.9 percent of professional nurses or midwives and 44.1 percent of nurse-aids had been working less than one year at their position. More than 78 percent of the workers dissatisfied with their present position.

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