Objectives: This study was aimed to investigate utilization of health promotion indices of the 3rd National Health Plan 2011-2020 (HP2020) in the 6th Korean Community Health Plan. Methods: Health promotion indices were defined as a set of indicators on smoking, alcohol drinking, physical activity, nutrition and obesity used in HP2020. This indices were categorized into essential indicator, accessory indicators and others. Based on chi-square test, we analyzed utilization of health promotion indices in 186 Community Health Plans by regional classifications: four large influence areas (SudoGangwon, Chungcheong, Gyeongsang and HonamJeju) and four regional classification (metropolitan district, city, urban-rural area and rural area) Results: Among total 186 plans, indicator utilization rate were 97.8% in smoking, 71.0% in alcohol drinking, 91.9% in physical activity, 99.5% in nutrition and 72.0% in obesity. Utilization rates of alcohol drinking indicators and essential indicators in alcohol drinking show significantly difference by four large influence areas (p<0.01) and four regional classification (p<0.01). Essential indicators in physical activity show significantly difference by four large influence areas (p<0.01). Conclusions: Central government must provide technical assistance and educate personnel in community health centers and provincial health department about meaning and usefulness of Health Plan 2020 indicators.
Kim, Jung-Min;Koh, Kwang-Wook;Oak, Chul-Ho;Jung, Woo-Hyuk;Kim, Sung-Hyun;Park, Dae-Hee
Journal of Preventive Medicine and Public Health
/
제42권6호
/
pp.377-385
/
2009
Objectives : This study was performed to evaluate the effectiveness of 'village health worker training program' which aimed to build community participatory health promotion capacity of community leaders in villages of low developed country and to develop methods for further development of the program. Methods : The intervention group were 134 community leaders from 25 barangays (village). Control group were 149 form 4 barangays. Intervention group participated 3-day training program. Questionnaire was developed based on 'Health Promotion Capacity Checklist' which assessed capacity in 4 feathers; 'knowledge', 'skill', 'commitment', and 'resource'. Each feather was assessed in 4 point rating scale. Capacity scores between intervention group and control group were examined to identify changes between the pre- and post-intervention periods. A qualitative evaluation of the program was conducted to assess the appropriateness of the program. The program was conducted in Tuguegarao city, Philippine in January, 2009. Results : The result showed significant increases in the total health promotion capacity and each feather of health promotion capacities between pre and post assessment of intervention group. But there was no significant change in that of control group. Participants marked high level of satisfaction for preparedness, selection of main subjects and education method. Qualitative evaluation revealed that training program facilitated community participatory health promotion capacity of participants. Conclusions : This study suggested that the Village health worker training program is effective for building health promotion capacity of community leaders and it can be a main method for helping low developed countries with further development.
Objectives: Health promotion policies have been developed and implemented in most developed countries. The purpose of this study is to compare the national health promotion plans among Korea, Japan and USA. Methods: Data were collected and involved overview of health promotion plans, formulation of policy, evaluation, monitoring and research, implementation in each countries. I got the some literatures over the governmental websites related to the health promotion. The data from each country were analyzed for comparison. Results: The goals of Healthy People 2020 are to attain high-quality, longer lives, to achieve health equity, to create social and physical environments, to promote quality of life across all life stages. Those of Healthy Japan 21 are increasing the year of healthy life and reducing health disparities. and Those of Health Plan 2020 are prolonging of healthy age and improvement of healthy equity. The number of topic areas and objectives of health promotion in each countries were different. Healthy People 2020 lacks participation of community people and stakeholders in the process of planning, impletation, evaluation. Conclusion: The planning models of health promotion were different among countries. But they reflect the social determinants of health. The health plan goals of Korea were similar to Japan. but were different from USA. The implementation and evaluation systems of USA and Japan were systematic and performed well than those of Korea.
As we encounter the global and localized era, the development operations on a regional level are in active promotion. This manuscript has been completed with the purpose of probing for course of action in lifelong learning movement in terms of activating and developing of local communities. For this, the comparative analysis of practiced cases in America's community school movement, Japan's movement for establishing lifelong learning village and Sweden's study circle movement have been made. For the analytical frame of the comparison, the actual results on background of promotion, themes for practice, details of practice, methods for practice of local community centered lifelong learning movement have been applied. As a result of analysis, the local community centered lifelong learning movement has been promoted to break each country's social and economic crisis and to activate the local community. The promotion of each operation has been accomplished with the support of specific organization and the participants were the citizens of the local community. Also, the details of practice are composed of operating the people-centered lifelong learning program, cooperative learning by local citizens and local community realization activity. The details of education is closely related with the life of learners. Therefore, the lifelong movement for the activation of local community hereafter should be promoted based on the coherence of local community, should be able to contain the actual life of the citizens and should be practiced as a process of forming the lifelong learning group at concerned local community through a democratic learning process.
Objectives: This paper aims to describe a public health planning model, Mobilizing for Action through Planning and Partnership(MAPP), and to discuss its application in Korea with a specific focus on the Local Public Health System (LPHS) component of MAPP. Methods: Literature content review was performed on research papers on MAPP development and application, MAPP handbook and guides, the guidelines for the 5th Phase Community Health Plan, and a research report on public health center evaluation system. Results: MAPP has been applied to public health planning (the 5th Phase Community Health Plan) and a performance evaluation system for public health center in Korea. The current application is limited to the early stages of the MAPP. Limited or partial application affects the integrity of the model. Follow-through should be strengthened especially for evaluation planning. Conclusion: Systems thinking approaches should be considered for the development of LPHS and strengthening logical and practical linkage between planning and evaluation of community health planning.
Purpose Virtual communities change the way people communicate and share information. The purpose of this paper is to find how internet social capital and individual motivations influence the information sharing in virtual communities. This study considers the social capital theory, individual motivations, information sharing, and community promotion to construct a theoretical model. Design/methodology/approach Social capital focuses on three dimensions that include 6 factors: social interaction ties, centrality, shared language, shared vision, trust and reciprocity. Individual motivations include 2 factors: reputation and enjoy helping. To confirm the research model and the hypotheses, 426 effective questionnaires were used for the final analysis. Findings The result of data analysis demonstrates that social interaction ties, centrality, shared language, trust, and reciprocity were significant in affecting information sharing behaviors. However, reputation, enjoy helping, and shared vision does not appear to have a significant influence on information sharing behaviors. The information sharing was positively related to community promotion.
Purpose: This study conducted to identify factors affecting on the job stress among employees of community integrated health promotion programs. Methods: A total of 175 employees of community integrated health promotion programs in public health centers were asked to complete a pack of self-report questionnaires. The data were then analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: Employees' emotional labor was a bit higher than moderate. Employees' job stress was higher than that of general employees in public health centers but similar to police officers. Job stress had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors affecting on the job stress were emotional labor, self efficacy and working period for integrated health promotion. Conclusion: Based on the results of this study, employees of community integrated health promotion programs in public health centers need to develop effective interventions to help them effectively decrease job stress. This, in turn, will decrease emotional labor and increase self efficacy.
Health education is essential service of health promotion program, and health promotion is external extension of health education. However, the implementation of health education in community is not well because of lack of budget and health education specialist, deficient cognition for health promotion. Hence, introduction for the credential on health educator is to assist community and school health through the training of the specialist This study was carried out to establish the credential health educator for activation of health promotion program in Korea. In detail, this study aimed at 1) to confirm the law for health education, 2) to understand the credential on health education specialist in U. S. and the certification on other parts in Korea, 3) to establish the proper credential on health educator in Korea. Finding the results were as follows: The law on health education was Regulation on Health Promotion which has defined the health educator and responsibility of health education. In case of U. S., the credential on health education specialist has implemented since 1992, and the sort of credential on health education specialist were community health educator, public health educator, school health educator, and health promotion specialist. Therefore, major opinion to introduce the proper credential on health education in Korea were suggested: the first, establishment of educational processing on the training of specialized health educator, the second, introduction of examination on the evaluation for ability as health educator. the last. planning for application of health educator in community.
Purpose: The purpose of this study was to define and clarify the concept of health promotion 'competence' in public health nurses (PHNs). Methods: A hybrid model was used to develop the concept of competence. The model included a field study carried out in Seoul, Korea. The participants in this study were 20 PHNs who were working in the health promotion area. Results: The concept of health promotion competence was found to be a complex phenomenon having a meaning in two dimensions: personal-relationship and environmental-relationship. Four attributes and eight indicators were defined. Conclusion: Health promotion competence was defined as the ability to have understanding and flexibility in practicing (personal-relationship dimension) and to have capacity for uniqueness and leadership in planning (environmental-relationship dimension). Therefore, PHNs who work in the health promotion area should be equipped with attributes and indicators of health promotion competence to enhance their competence in health promotion.
Objectives: Community-Based Participatory Research (CBPR) is a kind of health promotion approach to increase social cohesion and sense of community, which has built the collaborated partnership in all phases. This has the co-ownership of research objectives and knowledges produced by residents, and the outcome was taken to enhance community empowerment. This study performed to embody CBPR, which had regulated collective health status approached by social epidemiology. Methods: Reference review had been exercised focused on CBPR books and papers published since 1990. Our interests were aimed at its paradigm and methodological issues. Particularly, we problematized its feasibility in the social and behavioral foundations of pubic health. Results: According to the review, CBPR shared critical understanding and decision-making related to their community development including health status. Therefore, it was strength-based approach in spite of scientific dichotomy. CBPR created social cohesion and community empowerment with all participants, because it sublated contradiction between subjectivism and objectivism. Conclusions: The success of CBPR needs what we so called trust, democracy, collaboration, devotion, and consensus of equity. Despite these factors, CBPR may be a methodological transition to prepare some intervention of health inequality. This is because it does emphasize a mixture of theory and praxis to manage vulnerable people in community.
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