Outcome mapping (OM) is a participant-oriented new method for project planning,monitoring and evaluation.It is based on continuous learning and focuses on changes in behavior,relationship and activities of persons,groups and organizations.The use of OM can help to clarify the roles and assignments of the government,managers,health workers,and other relevant personnel,making full use of the limited social resources and improving the efficiency and quality of health services.We introduce the principle and operation steps of OM with case simulation in health resource integration,to show its application in decision-making.
Decision Making ; Outcome and Process Assessment (Health Care) ; methods ; Planning Techniques

In order to reduce the health inequalities within a society changes need to be made in broad health determinants and their distribution in the population. It has been expected that the Health impact assessment(HIA) and Healthy Cities can provide opportunities and useful means for changing social policy and environment related with the broad health determinants in developed countries. HIA is any combination of procedures or methods by which a proposed 4P(policy, plan, program, project) may be judged as to the effects it may have on the health of a population. Healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential. In Korea, social and academic interest regarding the HIA and Healthy Cities has been growing recently but the need of HIA and Healthy Cities in the perspective of reducing health inequality was not introduced adequately. So we reviewed the basic concepts and methods of the HIA and Healthy Cities, and its possible contribution to reducing health inequalities. We concluded that though the concepts and methods of the HIA and Healthy Cities are relatively new and still in need of improvement, they will be useful in approaching the issue of health inequality in Korea.
Health Planning/*methods ; Health Services Accessibility ; *Health Status Disparities ; Humans ; Korea ; *Urban Health ; Urban Population

PURPOSE: An injury surveillance information system (ISIS) collects, analyzes, and distributes data on injuries to promote health care delivery. The present study aimed to review the data elements and functional requirements of this system. METHOD: This study was conducted in 2019. Studies related to injury surveillance system were searched from January 2000 to September 2019 via the databases of PubMed, Web of Knowledge, ScienceDirect, and Scopus. Articles related to the epidemiology of injury, population survey, and letters to the editor were excluded, while the review and research articles related to ISISs were included in the study. Initially 324 articles were identified, and finally 22 studies were selected for review. Having reviewed the articles, the data needed were extracted and the results were synthesized narratively. RESULTS: The results showed that most of the systems reviewed in this study used the minimum data set suggested by the World Health Organization injury surveillance guidelines along with supplementary data. The main functions considered for the system were injury track, data analysis, report, data linkage, electronic monitoring and data dissemination. CONCLUSION ISISs can help to improve healthcare planning and injury prevention. Since different countries have various technical and organizational infrastructures, it is essential to identify system requirements in different settings.
Datasets as Topic ; Delivery of Health Care ; Health Information Systems ; Health Planning ; Humans ; Public Health Surveillance ; methods ; Wounds and Injuries ; prevention & control

In recent decades it has been proved that the success or failure of family planning program in developing countries has tremendous impact on the improvement of health, welfare, as well as the general socio-economic development. Therefore it is worth giving a review of family planning in Korea during the last two decades. We are happy to credit the voluntary leaders, particular1y from the public health sector of universities, who played a key pioneering role in the initiation of the organized effort and for the continued leadership in the development of the national program. The organization of 17,000 village level family planning mothers' clubs in 1968 is one of the most outstanding innovative achievements. Despite such long standing problems as very poor morale of the family planning workers, poor national health care network, and stubborn preference for boys, Korea has been fairly successful in achieving the demographic objectives by reducing the total fertility rate from 6.0 in 1960 to 2.7 in 1968, and by increasing the rate of family planning practice from 9% in 1964 to 49% in 1978.
Contraception/methods ; Family Planning/trends* ; Human ; Korea ; Population Control ; Population Density ; Voluntary Health Agencies

Disaster Planning ; organization & administration ; Emergencies ; Emergency Medical Services ; organization & administration ; Humans ; Public Health ; methods

health planning and priority decision-making in health policy. This study was performed to examine disease-specific mortality and prevalence trends for diseases in Korea from 2002 to 2015.METHODS: In this study, 206 mutually exclusive diseases and injuries were classified into 21 cause clusters, which were divided into three cause groups: 1) communicable, maternal, neonatal, and nutritional conditions; 2) non-communicable diseases (NCDs); and 3) injuries. Cause specific trends for age-standardized mortality and prevalence rates were analyzed by the joinpoint regression method.RESULTS: Between 2002 and 2015, the age-standardized mortality declined to about 177 per 100,000 population, while the age-standardized prevalence rate increased to approximately 68,065 per 100,000 population. Among the 21 cause clusters, most of the disease mortality rates showed decreasing trends. However, neurological disorders, self-harm, and interpersonal violence included periods during which the mortality rates increased in 2002–2015. In addition, the trends for prevalence rates of human immunodeficiency virus infection and acquired immune deficiency syndrome, tuberculosis, transport injuries, and self-harm, and interpersonal violence differed from the overall prevalence rates. The annual percent change in prevalence rates for transport injuries increased during 2004–2007, and then decreased. The self-harm and interpersonal violence prevalence rates decreased from 2004 to 2014.CONCLUSION: Between 2002 and 2015, overall decreasing trends in the mortality rate and increasing trends in the prevalence rate were observed for all causes in Korea. Especially, NCDs represented an important part of the increasing trends in Korea. For clusters of diseases with unusual trends, proper management must be considered.]]>
Acquired Immunodeficiency Syndrome ; Health Planning ; Health Policy ; HIV ; Korea ; Methods ; Mortality ; Nervous System Diseases ; Prevalence ; Republic of Korea ; Tuberculosis ; Violence

The community health practitioners (CHP) play an important role in primary health care services to the underserved population in rural area. Time and motion study of 26 CHPs in Kyungpook Province was conducted through work diary method for 6 consecutive days from the time they arrived until they left the primary health post (PHP) during the past 3 weeks from November 16 to December 5, 1987. The allocation of activity time by working category, service category, location of activity and CHP's function was analyzed according to the characteristics of CHPs i. e., age, marital status and experience as CHP. The major findings are as follows: The mean activity time per CHP in a week was 2,918 minutes. The length of their working hours as longer for older, married and more experienced CHPs than other. About 80% of the CHP's activities took place within the PHP and only about 20% occurred outside of the PHP. Working hours for the outdoor activities were longer for younger, single and less experienced CHPs than others. The allocation of activity time by working category showed 46.3% in the technical work and 18.7% in the administrative work. Working hours for the technical activities were longer for younger, single and less experienced CHPs than others. The percentage of activity time revealed greatest as much as 63.1% for direct patient care in technical word and 61.6% for record keeping in administrative work. Of the total working hours in a week, direct patient care and public health activities accounted for 29.2.% and 16.2%, respectively. Of the indoor activities, working hours for direct patient care were longer than those for public health activities. However, of the outdoor activities, working hours for public health activities were longer than those for direct patient care. The allocation of activity time by CHP's function showed 49.7% in management of common disease, 31.8% in management of PHP and technical supervision of village health workers, 9.5% in MCH and family planning, 6.6% in community health management and 2.4% in community approach. Based on these findings, it was found that CHPs were mainly working in the PHP with a majority of their time being spent of direct patient care rather than preventive and promotive health cares. To enhance the preventive and promotive health services of the CHPs and to involve the activities for community development, refresher course for CHPs should be reinforced and supervision mechanism of the CHPs should be established and operated in Gun- and province- level.
Community Health Workers ; Family Planning Services ; Gyeongsangbuk-do ; Health Services ; Humans ; Marital Status ; Methods ; Organization and Administration ; Patient Care ; Primary Health Care ; Public Health ; Social Change ; Vulnerable Populations

Global public health security is both a collective aspiration and a mutual responsibility that demands cooperative action at all levels. The expansion of the current H5N1 avian influenza enzootic and its incursion into human health presents a real and significant threat of an influenza pandemic. The world has for the first time an unprecedented opportunity for pandemic preparation. Current global efforts to tackle the H5N1 pandemic threat are centred around the framework of the International Health Regulations (2005) that requires countries to openly share disease intelligence including clinical samples, viruses and epidemiological information. Present international initiatives also seek to establish more equitable allocation and sharing mechanisms for developing countries, of therapeutic resources, public health interventions and other broad-based support in the event of a pandemic. To be sustainable, country preparatory efforts need to be integrated within wider national emergency preparedness frameworks and emphasise the strengthening of basic capacities in disease surveillance, outbreak response and health systems that can respond to a range of public health emergencies. Such capacity building represents permanent investments in health that will have enduring benefits beyond a pandemic. Preparations must also go beyond the health sector; greater promotion of intersectoral cooperation and an adoption of a whole-of-society approach to preparation is recommended. Broad collaboration is vital in addressing the complex challenge posed by influenza to our collective security.
Animals ; Birds ; Communicable Disease Control ; methods ; Global Health ; Health Planning ; Humans ; Influenza A Virus, H5N1 Subtype ; isolation & purification ; Influenza in Birds ; epidemiology ; virology ; Public Health

OBJECTIVE: We researched contraceptive practice and attitudes in Chungju, Korea by questionnaires. METHODS: We gave questionnaires to 316 reproductive women who visited Local Corporation Chungju Medical Center and public health center in Chungju city from August 2002 to December 2002. Items of the survey contained general characteristics, methods, level of satisfaction and side effects of contraception, contraceptive failure methods when failed. RESULTS: We studied questionnaires of 305 cases excluding questionnaires of 11 cases which were either incomplete or uncertain. Of the 298 cases who were not trying to get pregnant, 268 (89.9%) used contraceptive methods. The most common method was tubal ligation (23.2%), followed by condoms (21.8%), Intrauterine devices (17.1%), vasectomy (15.4%), periodic abstinence (8.1%), coitus interruptus (2.3%) and oral contraceptives (1.7%). In the 30-34 age group, the practice rate of contraceptive methods was the highest. Satisfactory rate of contraceptive methods was 76.9%. Intrauterine devices had the most frequent side effects. Of 305 cases, who practiced contraception, 70 (22.9%) cases failed and got pregnant and they commonly used periodic abstinence. CONCLUSION: In comparison with the past, practice rate of contraceptive methods increased. Because of the low efficiency of contraception, despite of high practice rate of them, women who had failed the contraception were considerable and the rate of artificial abortion was high. In order to overcome this phenomenon, it is necessary to induce efficient and correct practice of contraceptive methods through further definite and continuous education including oral contraceptives.
Chungcheongbuk-do* ; Coitus Interruptus ; Condoms ; Contraception ; Contraceptives, Oral ; Education ; Female ; Humans ; Intrauterine Devices ; Korea* ; Natural Family Planning Methods ; Public Health ; Surveys and Questionnaire ; Sterilization, Tubal ; Vasectomy

OBJECTIVE: We researched contraceptive practice and attitudes in Chungju, Korea by questionnaires. METHODS: We gave questionnaires to 316 reproductive women who visited Local Corporation Chungju Medical Center and public health center in Chungju city from August 2002 to December 2002. Items of the survey contained general characteristics, methods, level of satisfaction and side effects of contraception, contraceptive failure methods when failed. RESULTS: We studied questionnaires of 305 cases excluding questionnaires of 11 cases which were either incomplete or uncertain. Of the 298 cases who were not trying to get pregnant, 268 (89.9%) used contraceptive methods. The most common method was tubal ligation (23.2%), followed by condoms (21.8%), Intrauterine devices (17.1%), vasectomy (15.4%), periodic abstinence (8.1%), coitus interruptus (2.3%) and oral contraceptives (1.7%). In the 30-34 age group, the practice rate of contraceptive methods was the highest. Satisfactory rate of contraceptive methods was 76.9%. Intrauterine devices had the most frequent side effects. Of 305 cases, who practiced contraception, 70 (22.9%) cases failed and got pregnant and they commonly used periodic abstinence. CONCLUSION: In comparison with the past, practice rate of contraceptive methods increased. Because of the low efficiency of contraception, despite of high practice rate of them, women who had failed the contraception were considerable and the rate of artificial abortion was high. In order to overcome this phenomenon, it is necessary to induce efficient and correct practice of contraceptive methods through further definite and continuous education including oral contraceptives.
Chungcheongbuk-do* ; Coitus Interruptus ; Condoms ; Contraception ; Contraceptives, Oral ; Education ; Female ; Humans ; Intrauterine Devices ; Korea* ; Natural Family Planning Methods ; Public Health ; Surveys and Questionnaire ; Sterilization, Tubal ; Vasectomy