• Title/Summary/Keyword: Community-Based

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A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

  • Seth, Tulika;Kotwal, Atul;Thakur, Rakesh Kumar;Ganguly, K.K.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2781-2789
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    • 2012
  • Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.

A Study for Reorientation of Home Care Service at Community (일개 보건소 방문간호사업의 업무 분석)

  • Lee, Hong-Ja;Kim, Chun-Mi;Yun, Soon-Nyong
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.163-180
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    • 1998
  • The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

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Research Policy Countermeasures of Welfare Agency While the Social Environmental Changes (사회적 환경 변화에 따른 복지기관의 정책적 대응 고찰)

  • Kim, Young-Chun;Chung, Min-Suk
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.251-261
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    • 2010
  • The research examine countermeasures of community welfare center, total welfare service provider in the local, to establish of identity and revitalization in the rapidly changing social circumstances. It examine countermeasures of the community welfare center in institutional and practical environment of welfare environment. The community welfare center has to provide welfare service which is improvement the quality of life in local, to be as methodical casework facility and to solve the community matters throughout organized residents. Also, comparison with specific welfare center and similar welfare facilities, the community welfare center has to provide differentiation services from totally welfare services. Finally, in privatized and market economic welfare environment, the community welfare center has to have policy countermeasures strategies to survive in competition not only welfare service provider.

Assessment of Community Capacity Building Ability of Health Promotion Workers in Public Health Centers

  • Kim, Jung-Min;Koh, Kwang-Wook;Yu, Byeng-Chul;Jeon, Man-Joong;Kim, Yoon-Ji;Kim, Yun-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.5
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    • pp.283-292
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    • 2009
  • Objectives : This study was performed to assess the community capacity building ability of health promotion workers of public health centers and to identify influential factors to the ability. Methods : The subjects were 43 public officers from 16 public health centers in Busan Metropolitan City. Questionnaire was developed based on 'Community Capacity Building Tool' of Public Health Agency of Canada which consists of 9 feathers. Each feather of capacity was assessed in 4 point rating scale. Univariate analysis by characteristics of subjects and multivariate analysis by multiple regression was done. Results : The mean score of the 9 features were 2.35. Among the 9 feathers, 'Obtaining resources' scored 3.0 point which was the highest but Community structure scored 2.1 which was the lowest. The mean score of the feathers was relatively lower than that of Canadian data. The significant influential factors affecting community capacity building ability were 'Service length', 'Heath promotion skill level', 'Existence of an executive department', and 'Cooperative partnership for health promotion'. According to the result of multiple linear regression, the 'Existence of an executive department' had significant influence. Conclusions : Community capacity building ability of subjects showed relatively lower scores in general. Building and activating an executive department and cooperative partnerships for health promotion may be helpful to achieve community capacity building ability.

A Study on Status of Use of Community Park and Level of Satisfaction Based on Types of Its Facilities (근린공원 시설유형에 따른 이용실태 및 만족도에 관한 연구)

  • Park, Yool-Jin;Kim, Hwa-Ok
    • Journal of Environmental Science International
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    • v.19 no.4
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    • pp.427-436
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    • 2010
  • In this study this author made research and analysis on physical status and characteristics of community parks in Ik-san provinces and also depending on its potential resources such parks were classified into constructed parks and unconstructed parks and status of use of such parks and level of satisfaction were studied. Through this paper this author strived to provide basic data required for forming green track of land for the parks. Required time for visiting community parks either constructed or unconstructed type was within 40 minutes or less. However constructed parks appeared to be more convenient for access in comparison with natural unconstructed parks. Mostly they were used by residents in neighboring community and also residents in the area around it were found as using it frequently. At the time of using community parks either constructed or unconstructed types means of access were mostly by walking or by riding bicycles. Thus considering large number of users of such parks are from neighboring community it appeared that parks with its simplicity and convenience in terms of distance and with rich nature were preferred by users rather than large scale parks at distance. In terms of time frame of use and motivation of visit constructed parks were used mainly for exercise and relaxation in the morning at parks and its facilities whereas un constructed parks were mostly used in the afternoon for for walking and chatting and rest under with time to spare at shadows of its trees. Time spent at parks were composed mostly of rest and walking more frequently than exercise and leisure activity thus it was different from motivation for visiting parks. As for evaluation of use of parks natural elements, unique environment, trees and lawns featured highly in unconstructed parks in comparison with constructed parks. Thus it seemed visitors are more conscious of forest and landscape in a form of unchanged nature. Thus for community parks first consideration should be heightening accessibility in view of primary concern for convenience by users rather than facilities or environmental conditions.

Short-term Changes of Community Structure of Phytoplankton in Summer Around Namhae Island of Korea (여름철 남해도 연안 식물플랑크톤 군집 구조의 단기 변화)

  • Im, Wol Ae;Gang, Chang Geun;Kim, Suk Yang;Lee, Sam Geun;Kim, Hak Gyun;Jeong, Ik Gyo
    • ALGAE
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    • v.18 no.1
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    • pp.49-58
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    • 2003
  • The short-term dynamics of the summer phytoplankton community structure were investigated in coastal waters around Namhae Island, the Southern Sea of Korea. The study was based on a comprehensive survey constituting 39 collections from 13 stations on July 18-22, August 1-2, 14-16 and 27-30, respectively. The community structure was analysed using cluster analysis and important environmental correlates of the assemblage structure were identified with canonical correspondence analysis (CCA). Water temperature, salinity, NO₂, NO₃, NH₄, PO₄, chlorophyll a and transparency were measured as physico-chemical environmental factors which may be associated with the phytoplankton community structure. Variations of salinity and concentrations of NO₃ and chlorophyll a were not significant. In addition to warmer water temperature, concentrations of NO₂, NO₄and PO₄ decreased at the beginning of August. And transparency was deeper and water column became very unstable after the middle of August. A wide taxonomic diversity was encountered during the survey, including a total of 121 taxa which was composed of 72 diatoms, 48 dinoflagellates and 1 euglenoid species. Cluster analysis showed that the Phytoplankton community could be divided into 4 distinct groups, indicating rapid changes of the community in the short course of this survey. These phytoplankton groups also showed distinctive dispersion patterns in 2-dimensional canonical space, indicating distinct groupings for stations at each survey. Dominant taxa of diatoms (Chaetoceros curvisetus, Chaetoceros spp., Leptocylindrus danicus, Leptocylindrus mediteraneus, Skeletonema costanum, and Pseudo-nitzschia pungen) clustered in region of CCA space corresponding to stations surveyed at the middle of July. Dominant taxa of dinoflagellates were tightly associated with stations surveyed at the middle (Karenia breve) and end (Cochlodinium polykrikoides and Polykrikos schwartzii) of August. The CCA also showed that the phytoplankton community compositions were highly associated with water temperature, transparency, NO₂, NH₄ and PO₄, suggesting that gradients in physical and nutrient conditions affect short-term changes in phytoplankton composition.

The Use of Likert Scale in Community Nutrition Research: Analysis of the Articles Published in Korean Journal of Community Nutrition (지역사회영양학 연구에서의 리커트 척도 이용 현황: 대한지역사회영양학회지 게재 논문을 중심으로)

  • Ryu, Si-Hyun;Yoon, Ji-Hyun
    • Korean Journal of Community Nutrition
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    • v.14 no.5
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    • pp.600-607
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    • 2009
  • The purpose of this study was to examine if Likert scales had been properly utilized in community nutrition research. A total of 527 research articles published in the 32 issues of Korean Journal of Community Nutrition from the volume 5, issue 1 in 2000 to the volume 10, issue 2 in 2005 were screened and 55 articles were found to have utilized one or more Likert scales for the studies. Therefore, 109 Likert scales used in the 55 studies were reviewed regarding the name, statement and response items, reliability and validity check, and analysis method. The scales were mostly referred as Likert scales (60%) or Likert-type scales (27%). Some scales were found to be referred as Likert scales although they were Likert-type scales when judged based on the information given in the respective articles. However some scales couldn't be judged for the rightness of the names because the information given for the scales in the articles was not enough. About 23% of the scales consisted of items less than 6 or more than 30, and therefore found to be inappropriate. The percentage of the scales listing all the statement items in the articles was only 25%. Most of the scales (85%) included 5 response items, and the rest included 4 (7%), 7 (6%), or 3 (2%). The percentages of the scales including appropriate center and end items were only 2% and 22%, respectively. Less than half of the scales (41%) were found to have been checked for reliability and only one scale was reported to have been checked for validity. In some scales (6%), the responses were scored improperly for analysis. The responses to the scales were frequently found to have been analyzed by parametric statistics such as mean, ANOVA, t-test, and Pearson's correlation, which might be a problem depending on the size and distribution of study samples. In conclusion, there is much room for improvement in the use of Likert scales in community nutrition research.

A Study on the Service Support Program for the Work-Family Balance in the Community (일-가정 균형을 위한 지역사회의 지원에 대한 고찰)

  • Jeong, Jee-Young;Cho, Seung-Eun
    • Journal of Family Resource Management and Policy Review
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    • v.12 no.1
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    • pp.21-39
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    • 2008
  • The purpose of this study was to investigate service support programs for the work-family balance in the community. Service support programs in the community are at beginning stages of development, because it has taken about 10 years to put a self-governing system into practice in Korea. This study concentrates on service support programs developed by various service organizations in the city and does not include any rural districts. First, the developmental process of the work-family balance model and type of the service support program in the community were studied. Next, the situation of care service support was examined based on written articles. Finally, a few suggestions were made f3r work-family balance in the community. The developmental situation of work-flmily balance in Korea is in a stage which is shifting from the company-leading model to a family-company-community model. The most common type of service support program offered in the community until now has been the informal sector through relatives, neighbors or friends. However, service support programs, in the public sector by the government and in the voluntary sector by nonprofit organizations and corporations, has rapidly been growing and the number of services from each sector has also increased. Profit organizations in the private sector, such as medical and care service centers, are also now rapidly increasing. It appears that service support programs contributing to the work-family balance in the community come from a number of sectors, including public, voluntary, private and informal sectors, to suit consumer needs.

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The Study on Supporting Situation of the Community Child Care Service for the Work-Family Balance - Focused on Dual Income Families Living in Seoul and Gyeonggi Province (일-가정 균형을 위한 지역사회의 자녀 돌봄 지원 실태에 대한 연구 -서울, 경기지역 맞벌이 가정을 중심으로)

  • Cho, Seong-Eun;Jeong, Jee-Young;Han, Ji-Sue
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.1
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    • pp.147-168
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    • 2009
  • The purpose of this study is to research support systems of the community child care services for optimum work-family balance. For this purpose, the questionnaire to be completed combined four areas: the workplace, school, community and home. Then questions concerning demographic factors and community-related aspects were analysed for this article. After analyzing 197 questionnaires, supplementary questions were asked, by interview to 10 samples. Full-time working wives (eg. working from 9am to 6pm) who have 1 or more children under 10 years old, living in Seoul and Gyeonggi province were collected as samples. The results were as follows: First, child care from family and relatives, and community services was properly used during the week, but dual working parents took complete charge of child care on Saturdays. Second, emergency child care was usually provided by the family, while relatives and community child care services were used less. Third, parents spent 17% of their monthly income on total child care expenditure. Fourth, community child care services were not used often, but the level of satisfaction with them was very high. Finally, they used relatives' services for safety reasons and community services for location, and only based on informed decisions. Therefore, Saturday child care programmes need to be initiated to help physically and mentally tired parents, with more general provision of positive and diverse public support systems.

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The Effects of Social Support on the Community Participation with Moderating Effect of Stress Coping Behaviors for the Physically Disabled Persons - Focused on the convergence view of individual and environmental factors (지체장애인의 사회적 지지와 지역사회참여의 관계에서 스트레스 대처 능력의 매개효과 검증 - 개인요인과 환경요인의 융복합적 관점을 중심으로)

  • Park, Hae-Keung;Bae, Eun-Seok
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.615-623
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    • 2016
  • This study examined the social support of the physically disabled persons(PDP) and stress coping behaviors as the factor determining their Community Participation. It also analyzed the possibility of such social support influencing their community participation using their stress handling ability as a moderator. The analysis first revealed that the social support for PDP is a positive variable influencing their community participation. Second, the social support has a positive effect on their stress coping behaviors. Third, their stress coping behaviors had a positive effect on their community participation. Fourth, the social support, partially serving as a moderator for boosting their stress coping behaviors, had a positive effect on their community participation. Based on these findings of this study, a proposal for PDP's community participation was made.