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항만물류와 지역경제 간의 연계성에 관한 연구 -부울경 메가시티를 중심으로- (A Study on the Dependency between Port Logistics and Regional Economy - Focused on the BuUlGyeong Megacity -)

  • 리윈장;이열;최태영
    • 한국항만경제학회지
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    • 제38권3호
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    • pp.1-13
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    • 2022
  • 부울경 메가시티는 동남권지역의 성장과 연계성을 강화하여 제2수도권으로 성장하는 것을 목표로 설정하였다. 이 목표를 달성하기 위해 4가지 공동체 구성을 정책수단으로 설정하고 있다. 본 연구는 부울경 경제공동체에 초점을 맞추어 항만물류와 지역경제발전 간의 연계성을 분석하기 위해 VAR 모형, Granger 인과관계분석, 충격반응함수, 분산분해 등의 연구방법을 사용하였다. 실증분석 결과는 다음과 같다. 첫째, 선박입출항은 화물수송량에 정(+)의 유의미한 영향을 미치는 것으로 나타났다. 분산분해 결과에 의하면 선박입출항은 화물수송량에 대하여 0.84%~9.94%의 영향을 주는 것으로 나타났다. 둘째, 화물수송량은 선박출입항과 경기종합지수에 대하여 선행적으로 영향을 미치는 것으로 나타났다. 분산분해 결과에 따르면 화물수송량은 선박입출항에 대하여 32.73%~36.48%, 경기종합지수에 대하여 0.07%~3.65%의 영향을 주는 것으로 나타났다. 경기종합지수는 화물수송량에 정(+)의 유의미한 영향을 미치는 것으로 나타났다. 충격반응분석과 분산분해 결과를 통해 경기종합지수가 선박입출항과 화물수송량에 약한 충격을 주고 있음을 확인할 수 있었다. 본 논문의 정책적 시사점은 다음과 같다. 첫째, 부울경 지역 정부는 해양항만 인프라 확충, 투자장려 등 해양경제 활성화를 위한 인센티브를 제공해야 한다. 둘째, 부울경 지역과 연계된 주요 국가 항만의 화물수송량 증가는 부울경 지역 경제에 대하여 정(+)의 영형을 미치기 때문에 부울경 메가시티 항만화물 증가를 위해 이들 국가 및 항만을 대상으로 적극적인 항만마케팅 및 정기항로 서비스를 확대해 나가야 한다. 셋째, 글로벌 선박사의 초대형 선박 및 크루즈가 부울경 메가시티 항만에 지속 기항할 수 있도록, 시설확충 등 해양항만 인프라 확대를 위한 투자가 지속적으로 이루어져야 한다.

학위논문의 주요어 분석 (간호학 및 간호학관련 학위논문을 중심으로 : 1960-1991. 8) (A Statistical Study on the Key Words in the Titles of Nursing Related Theses)

  • 고옥자;김상혜;김희걸;이금재;이영숙
    • 대한간호학회지
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    • 제24권1호
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    • pp.58-69
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    • 1994
  • In order to see the development of Nursing related research activities in Korea over the last three decades, abstracts of almost all of the Master and Ph.D theses that appeared from 1961 up to August 1991 were collected. The number of theses was 2354, from which an index of key words has been constructed. Key words were defined as those terms in each thesis title that convey major objectives of the given thesis study and the important nursing concepts dealt with in the thesis. Although all the key words were picked from the thesis title only, full use was made of the abstracts in deciding the principal objectives and essential contents of the thesis studies and their important concepts as well. In total, 539 kinds of key words were identified from the 2354 titles, and the identified words were all found to be in the International Nursing Index. On an average each title has two key words. Which key words were most frequently used, how they have changed with time, what kind of concept is preferably dealt with by each graduate school, and the concepts to which a given key word is likely to be connected were examined. The results are summerized below : 1) For each decade the theses numbers were as follows : 54(2.3%) from the 60’s, 413(17.5%) from the 70’s, 1523(64.7%) from the 80’s, and 364(15.5%) from the 90’s. Master’s thesis contributed 96% (2252) of the papers and Ph. D’s theses filled the remaining 4%(102). 2) A total of 539 key words were used, averaging about 2 for each thesis. The most frequently used key words were ‘Nurse’, ‘Anxiety’, ‘Knowledge / Attitude /Practice’, ‘Stress /Stressor’, ‘Attitude’, ‘Job-Satisfaction’, ‘Mental Disorder’, ‘Operation’, ‘Elderly’, ‘Nursing Role’. 3) Each decades key words can be classified as : the 60’s : ‘Nursing Education’, ‘Pulmonary Tuberculosis’, ‘Mother-Child Health’, ‘Growth & Development’, ‘Public Facilities’, ‘Mental Disorder’ : the 70’s : ‘Nurse’, ‘Family Planning’, ‘Attitude’ / ‘Knowledge, Attitude / Practice’, ‘Curriculum in Nursing Education’, ‘Clinical Practice in Nursing’, ‘Analysis of the Work of the Nurse’, ‘Health Education of School’, : the 80’s : ‘Nurse’, ‘Anxiety’, ‘Stress /Stressor’, ‘Operation’, ‘Nursing Role’, ‘Job Satisfaction’ : the 90’s : ‘Nurse’, ‘Elderly’, ‘Family-Support’, ‘Stress /Stressor’, ‘Home Care’. Key word ‘Nurse’ appears continuously and most frequently through the years, which indicates that there has been active study of the characteristics of nurses and related fields. The concept ‘Anxiety’ has been studied steadly from the 80’s and it shows that interest in health and disease are increasing Which comes as a result of society changing to an industrial and informational community. 4) Looking into each graduate school’s study area key words ‘Anxiety’, ‘Nurse’, ‘Mental Disorder’, ‘Stress /Stressor’, ‘Operation’, ‘Attitude’, ‘Hemo-dialysis’, were studied in the regular graduate school : ‘Family Planning /Contraception’, ‘Knowledge / Attitude /Practice’, ‘Physical Health-State /Physical Health Examination’, ‘Nurse’, ‘Using Clinical Facilities’, ‘Health Education of School’, were studied in the Graduate School of Public Health’ ; ‘Nurse’, ‘Anxiety’, ‘Stress / Stressor’, ‘Job-Satisfaction’, ‘Clinical Practice Education’, ‘Nursing Education’, were studied in the Graduate School of Education : ‘Nurse’, ‘Job Satisfaction’, ‘Nursing Role’, ‘Administration - Employment /Employment Management’, ‘Leadership’, ‘Personnel Profile’, ‘Nursing Manpower / Changing Working Place’, were studied in the Graduate School of Public Administration. 5) The Connection between key words were : ‘Nurse Job Satisfaction’, ‘Stress / Stressor ⇔ Coping / Ajustment’, ‘Nurse ⇔ Nursing Role’, ‘Anxiety ⇔ Giving Information’, ‘Nurse ⇔ Stress / Stressor’, ‘Anxiety ⇔ Operation’, ‘Nurse ⇔ Burnout’, ‘Knowledge, Attitude, Practice ⇔ Family Planning’, ‘Nurse Administration ⇔ Employment’, ‘Anxiety Muscle ⇔ Relaxation Technic’, ‘Anxiety ⇔ Mental Disorder’. From the above it can be noted that many nursing concepts were handled in the thesis titles. But there were more than enough papers on the characteristics of the nurse. It is suggested that in depth research be made on ‘Nursing Accidents’, t-‘Ethics’, ‘Nurse - Patient Interactions’, ‘Spritual Care’, ‘Dying’, ‘Hospice’, ‘Resident Helper’ and that there should be in depth research relating to the physical and mental development of youth and in particular physical concepts like ‘Drug - Abuse’, ‘Child -Abuse and Teaching’.

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경산시 보호수의 현황분석 및 활용방안 (Analysis of Current Status and Utilization of Protected Trees in Gyeongsan City)

  • 김근호
    • 농업생명과학연구
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    • 제45권2호
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    • pp.69-83
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    • 2011
  • 본 연구의 목적은 경산시 보호수의 환경분석, 보호관리 및 활용 실태 등의 조사 분석을 통한 합리적인 관리 및 활용방안을 위한 기초자료를 제시하는데 있다. 조사한 결과를 보면 경산시가 지정한 41개소에 보호수 55주가 있고 총 종수는 8종이며, 수종으로는 회화나무 (30.9%)와 느티나무 (23.6%)순으로 가장 많았다. 보호수의 유형으로는 당산목이 45.5%로 가장 많았고 그 다음으로는 풍치목이 36.7%를 차지하였다. 200년~300년 사이의 보호수가 21주로 전체 38.2%를 차지하였고, 수고는 15 ~ 20 m 사이의 보호수가 경산시 보호수의 54.6%를 차지하였다. 보호수의 입지 유형을 보면 마을형이 34%로 가장 많았고, 다음으로 도로변형이 19.5%로 많았다. 식재유형은 독립수가 전체 보호수의 78%를 차지하였다. 보호수의 근원부는 나지상태가 58.5%로 가장 많았고, 다음으로는 쇄석 및 자갈이 19.5%를 차지하였다. 토양경도는 평균 9.64 mm로 나타났고 보호책은 9곳에 설치가 되어있고 석축이 있는 곳은 22개소로 전체 53.7%로 조사되었다. 외과수술을 받은 보호수는 38주로 전체 70.9%를 차지하였고 표지석은 보호수 전체의 80.5%인 33개소에 설치되어 있었다. 쉼터로 이용되고 있는 곳은 13곳으로 전체 31.7%를 차지하였고 시설물은 주로 정자, 의자, 간단한 체육시설, 야외테이블 등으로 구성되어 있었다. 본 연구에서 기존쉼터를 정비하거나 보호수 주변을 정비해서 소규모 공원화가 될 수 있는 지역을 제시하였다. 향후 농촌지역 공원녹지 공간 확보 및 지역민의 공동체회복을 위한 보호수 주변 소공원 조성 가능성을 위한 기초자료를 제공하는데 그 의의가 크다고 사료된다.

신규 일반음식점 영업자의 위생관리 지식 및 태도 (Knowledge and Attitude on the Restaurant-Related Sanitation of New Restaurateurs)

  • 박기홍;손석준
    • 농촌의학ㆍ지역보건
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    • 제31권1호
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    • pp.21-34
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    • 2006
  • 식품위생에 관한 지식은 식중독의 예방여부, 냉동 냉장식품 보관법, 유통기한 경과 제품처리에 대해서는 조사대상의 87.9%-94.4% 정도가 정확히 알고 있었으나, 식중독의 원인 주요 예방법, 냉장고 보관온도에 대해서는 조사대상의 56.0%-63.0% 정도가 바르게 알고 있었다. 위생지식에 대한 정답률이 낮은 남성, 40대 이외의 연령층, 학력이 낮은, 종업원이 음식조리자인 경우에 대한 지속적인 위생교육이 필요 필요할 것으로 생각되고, 위생교육 미이수자가 위생지식에 대한 정답률이 높은 것으로 보아 교육내용 방법에 대한 개선이 필요하겠다. 위생수준 개선의 필요성에 대해서는 조사대상의 83.6%가, 건강진단의 필요성에 대해서는 조사대상의 78.6%가, 위생교육의 필요성에 대해서는 조사대상의 76.4%가 필요하다고 응답하였다. 위생수준이 미흡한 이유로 영업주의 위생의식이 미흡하여서가 조사대상의 71.6%로 가장 높았고, 개선해야 될 분야에는 업소시설 등 환경위생이 조사대상의 36.7%로 가장 높았다. 위생교육에서 가장 필요한 교육내용으로는 조사대상의 35.7%가 음식의 위생적 품질관리라고 하였고, 29.5%가 전반적인 식품위생의 개요라고 하였으며, 17.7%는 주변환경 및 주방시설의 위생적 취급이라고 응답하였다. 식품위생법 위반시 조사대상의 81.0%는 즉시 시정한다고 응답하였으며, 학력이 높을수록 즉시 시정하겠다는 응답이 많았다. 위생개선을 의해 행정기관에 바라는 점은 조사대상의 73.2%가 시설 및 운영자금지원을 지적하였고, 주기적인 위생교육이 19.3%, 위생공무원의 현지지도가 6.2%였다. 위생실천 실태에서는 위생복 착용률은 31.1%였으며, 조리시에 손을 씻지 않거나 그냥 물로만 씻는 경우가 각각 3.2%, 36.2%였고, 개인위생을 잘 준수한다는 43.7%로서 실천이 제대로 되지 않는 것으로 조사되었다. 이상의 결과로 미흡한 식품접객업소의 위생상태 개선을 위해서는 행정기관의 제도적 보완과 금융지원, 영업주의 직업에 대한 자긍심고취, 위생교육기관의 실효성 있는 위생교육프로그램의 개발 및 교육이 집중적으로 이루어져야 할 것으로 사료된다.

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지역 가치 증진을 위한 장승포 폐 여객선 터미널의 활용 방안 및 브랜드 제안에 관한 융합 연구 (Convergent Studies of Utilization Plan and Brand Suggestion for Abandoned Passenger Ferry Terminal in Jangseungpo to Improve Local Community Value)

  • 이하나;오광명;백진경
    • 한국과학예술포럼
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    • 제37권2호
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    • pp.239-250
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    • 2019
  • 산업 구조의 변화와 더불어 세계적으로 노후화된 시설과 쇠락한 유휴산업시설에 대한 재활용 및 도시재생 사업이 활발히 시행되고 있다. 본 연구는 장승포 폐 여객선 터미널과 그 일대 활성화를 위하여 시작되었다. '유휴 산업시설의 사례'를 조사하고 양상을 파악하여 활용방안과 브랜드를 제안하는 융합연구(convergence study)이다. 본 연구의 목적은 장승포동의 지역 특성에 적합한 도시재생 전략수립을 위하여 지역 특징을 조사하고 설문을 통하여 지역 주민의 의견을 수집하여 장승포 폐 여객선 터미널의 재활용 방향을 수립하는 것이다. 따라서 본 논문은 유휴 산업시설의 재생 관련 선행연구를 분석하고, 유휴 산업시설의 문화적 리노베이션 사례를 조사하여 대상지에 적합한 활성화 방안을 도출하고자 시도하였다. 연구 결과 및 내용은 다음과 같다. 첫째, 사례 조사 결과 최근 국내외 유휴 산업시설의 재활용은 건축물의 전통성과 역사성을 유지하되 지역환경과 쓰임에 적합한 현대적인 문화공간을 조성하는 경향을 볼 수 있었다. 또한 이를 통한 지속가능한 문화, 경제적 활성화를 추구하고 있었다. 둘째, 거제시 지역특성 조사 결과 여객선 터미널의 운항 중단 이후 주변 상권이 침체되었으며, 거제시는 여객선 터미널의 재활용과 더불어 관광 활성화를 도모하기 위해 장승포 폐 여객선 터미널을 국제항으로 추진하고 있었다. 셋째, 주민 대상 설문조사 결과 과반수 이상의 지역주민이 장승포 폐 여객선 터미널의 기능 복원에 찬성하며, 지역 내 문화 공간의 부재에 따른 문화적 욕구충족을 원한다고 답하였다. 이러한 연구 결과를 바탕으로 거제시 장승포동 폐여객선 터미널의 재활용 방안으로 지역적 특성과 주민 의견을 반영하여 여객선 터미널의 기능을 복원하고, 문화공간으로서 활용될 수 있는 방안과 이에 적합한 장승포 폐 여객선 터미널의 새로운 브랜드명과 디자인 안을 제안하여 거제시의 지역 가치 증진에 기여하기를 기대한다.

밭 공간분포와 개별·집단관정 이용을 고려한 밭용수 공급 경제성 분석 (Economic Analysis of Upland Crop Irrigation Between Individual and Collective Well Water Supply)

  • 장성주;박진석;신형진;김형준;홍록기;송인홍
    • 한국지리정보학회지
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    • 제23권3호
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    • pp.192-207
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    • 2020
  • 밭은 논에 비해 수익성이 높고 경작면적도 증가 추세에 있어 적절한 용수공급의 중요성이 커지는데도, 밭 용수기반은 부족한 상황이다. 본 연구의 목적은 밭 재배지의 공간분포에 따른 개별관정과 집단관정에 의한 밭 용수공급의 경제성을 비교 평가하는데 있다. 노지 밭작물 중 고추, 배추, 사과, 콩 네 작물에 대해 충청권역에서 각 작물의 주요 생산지역인 청양군, 당진시, 예산군, 괴산군을 대상지역으로 선정하였다. 경제성 분석 결과, 고추, 배추, 사과 콩의 B/C ratio는 개별관정 시나리오에서 1.49, 1.36, 1.90, 0.71, 집단관정 시나리오에서 1.45, 1.20, 1.91, 0.65로 산정되어 콩을 제외한 고추, 배추, 사과는 밭 용수공급시설의 개발이 경제적 타당성이 있는 것으로 나타났다. 특히 작물의 가치가 큰 사과와 고추재배의 경우 밭용수 공급의 효과가 커서 작물가치가 관정개발의 중요한 인자로 나타났다. 작물 총수입에 대하여 민감도 분석을 수행한 결과 작물의 총수입이 낮은 작물일수록 가격변동이 경제성에 미치는 영향이 큰 것으로 나타났다. 집단관정 개발을 위한 필지 수에 따라 경제성 분석을 수행한 결과 고추와 배추의 경우 밭의 공간분포가 밀집되지 않아 집단관정 개발 시 규모의 경제 효과가 나타나지 않았으며, 사과와 콩의 경우 20개 이상의 필지를 집단화한 경우 규모의 경제의 효과가 나타났다. 결론적으로, 관정을 이용한 용수개발은 작물 가치가 큰 사과나 고추 작물에 유리하고, 집단관정의 효과는 실제 작물 재배의 공간분포자료를 바탕으로 추가적인 분석이 요구된다.

가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고- (An Intervention Study on Integration of Family Planning and Maternal/Infant Care Services in Rural Korea)

  • 방숙;한성현;이정자;안문영;이인숙;김은실;김종호
    • Journal of Preventive Medicine and Public Health
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    • 제20권1호
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    • pp.165-203
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    • 1987
  • This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

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