Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Community-Based Participatory Project to Reduce Health Disparity: Focusing on the Residents' Autonomy Council

<사례보고> 건강격차 해결을 위한 주민참여형 보건사업: 주민자치회 중심 전략개발

  • Nam-Soo Hong (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Keon-Yeop Kim (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
  • 홍남수 (경북대학교 의과대학 예방의학교실) ;
  • 김건엽 (경북대학교 의과대학 예방의학교실)
  • Received : 2023.07.11
  • Accepted : 2023.08.14
  • Published : 2023.09.30
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Abstract

Objectives: The objective of this study was to develop strategies aimed at reducing disparity of physical activity in urban community. Methods: The study was conducted in a urban vulnerable area, focusing on the establishment and operation of a community health organization through the residents' autonomy council. Training programs were provided to the members of the council to enhance their capabilities. The research project was planned and implemented using a living lab approach. Based on these activities, the health division of residents autonomy council was newly established. Results: The findings demonstrated the potential and feasibility of utilizing the residents' autonomy council as a community-led health organization. A health project model centered on the health division of the residents' autonomy council was developed. Conclusions: This study concluded that it is possible to effectively promote health projects to reduce the health disparity through the resident-led participation strategy on the residents' autonomy council in the community.

이 연구에서는 신체활동 수준 격차의 근본적인 원인을 해결하기 위해서 1) 중재모형을 개발하고 적용하였으며, 2) 중재모형 평가를 통해 지역 간 격차 해소 전략을 제시하였다. 취약지역 1개동을 선정하여 사업을 진행하였으며 주민자치회를 기반으로 주민건강조직을 구성하고 역량강화 교육을 시행하였다. 리빙랩을 활용하여 주민건강조직 중심으로 사업을 계획하고 추진하였다. 이러한 주민참여 활동을 바탕으로 주민자치회 건강행복분과를 신설하여 지속적인 사업의 토대를 마련하였다. 사업 평가를 통해서 주민자치회 건강분과를 중심으로 보건소, 주민센터 등이 협력하고, 보건영역과 공동체 영역에서 사업을 지원하는 사업 모형을 개발하였다. 주민자치회가 주민건강조직으로 작동할 수 있는 가능성을 확인하였으며, 지역사회에서 이루어지고 있는 주민참여나 자치활동과의 연계를 통해서 주민참여형 보건사업 전략이 활성화 될 수 있다고 생각된다.

Keywords

Acknowledgement

이 연구는 질병관리청의 지원으로 수행되었음.

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