This study identified and evaluated the current status of health support programs for infants, young children and pregnant women and suggested development plans. To this end, previous studies were reviewed, related policies were organized, and domestic and foreign best practices were collected. A survey was conducted on 804 mothers of infants, young children and 258 public health center officials to evaluate the health support programs for infants and pregnant women and to collect requests for improvement. An expert survey was conducted on 21 experts. According to the standards of the World Health Organization(WHO), the research classifies the target and scope of health support for infants, young children and pregnant women into universal support, targeted support, and indicated support. 75% of mothers of infants and young children evaluated the health support program for infants and pregnant women positively. As for the positive points, ‘because of financial help with support costs’, ‘because of appropriate support at the necessary time’, etc. There was a high demand for ‘providing an opportunity to diagnose the development of infants and toddlers’. They hoped to expand the target and cost of health support programs. Public health center officials evaluated that infants and pregnant women's health support projects were necessary, and among them, the children's national vaccination support project and mother-newborn health management support project received the highest evaluation. In the future, it was hoped that the universal service would be expanded. Experts emphasized the ‘expanding home visit health support service’ for infants, and education and counseling through regular visits had to be provided frequently. We suggest six directions for the promotion of health support for infants, young children and pregnant women in the future: a comprehensive life cycle perspective, family-centered support, reinforcement of psychological and emotional support, collaboration between support systems, improvement of project accessibility, and improvement of services for the vulnerable class and vulnerable areas. Methods to realize these are proposed: establishment of life cycle integrated health management system, strengthening of support considering developmental characteristics of all age groups, expansion of opportunities for diagnosis of development of infants and young children, introduction of primary care physician system, improvement of birth registration system, and parent education opportunities through postpartum care centers. father's capacity building, psychological examination and diagnosis support for infants and young children, emotional support and counseling opportunities for pregnant women, training of counselors to strengthen psycho-emotional support, establishment of an app for sharing/integrating service information, preparing a one-stop service window, delivery system Revision of laws for linkage and cooperation, provision of home visit service, expansion of medical personnel specialized in the health of infants and pregnant women, non-face-to-face online treatment and counseling support, promotion of support services and reinforcement of guidance, establishment of emergency transportation system, bridging regional gaps and establishment of public infrastructure, Support for areas vulnerable to childbirth, establishment of a health support coordinator system, reinforcement of rehabilitation treatment support for disabled infants, support for disabled parents, expansion of rare disease items for newborn screening, improvement of postpartum care center quality, preparation of grounds for subsidizing postpartum care center usage costs.
Table Of Contents
Ⅰ. 서론 13 1. 연구의 필요성 및 목적 15 2. 연구내용 17 3. 연구방법 18
Ⅱ. 연구의 배경 29 1. 선행 연구 31 2. 영유아･임산부 건강지원의 대상 및 범위 43 3. 영유아･임산부 건강지원 사업 정책 추진 개요 48 4. 영유아･임산부 건강지원사업 국내 우수 사례 56 5. 영유아･임산부 건강지원사업 국외 우수 사례 67
Ⅲ. 영유아･임산부 건강지원사업 정책 변화와 중앙정부와 지방정부의정책현황 85 1. 영유아･임산부 건강지원사업 정책 변화 87 2. 중앙정부 영유아･임산부 건강지원사업 114 3. 지자체 특화 영유아･임산부 건강지원 사업 135
Ⅳ. 영유아･임산부 건강지원사업 사업평가 및 개선요구: 정책수요자 157 1. 임신･출산 및 산전･후 관리경험 159 2. 영유아･임산부 건강 및 관리 현황 199 3. 영유아･임산부 보건소 및 소아과 이용 207 4. 영유아･임산부 건강지원사업 이용 경험 219 5. 영유아･임산부 건강지원사업 평가 및 개선요구 227 6. 소결 및 시사점 243 Ⅴ. 영유아･임산부 건강지원사업 사업평가 및 개선요구: 사업 담당자 249 1. 보건소 일반 현황 251 2. 보건소 내 영유아･임산부 건강지원사업 운영 현황 257 3. 영유아･임산부 건강지원사업 평가 및 개선요구 266 4. 영유아･임산부 건강지원 관련 정책 추진에의 의견 278 5. 소결 및 시사점 283
Ⅵ. 영유아･임산부 건강지원사업 사업평가 및 개선요구: 전문가 285 1. 영유아･임산부 건강지원사업 사업평가 287 2. 영유아･임산부 건강관리 지원사업별 평가 및 개선요구 298 3. 영유아･임산부 건강관리 지원사업 구상 시 중점 고려 내용 316 4. 영유아･임산부 건강지원 관련 정책 현안에의 의견 322 5. 소결 및 시사점 330