Cho N H, Lee I J
Ingu Pogon Nonjip. 1985 Jul;5(1):113-49.
Since the inception of the national family planning program in 1962, the main emphasis has been placed on the provision of contraceptive services and information, education, and communication (IEC) activities through home visits by family planning field workers and through government designated private physicians. This approach has been a powerful management system for the national program, particularly in the rural area. However, new issues in the national family planning program emerged with the subsequent socioeconomic changes since 1962. An increasing number of the rural population began to migrate to the urban area, and, therefore, beginning in the 1970s, more weight had to be given to the family planning service for the urban area; in particular, for those in the low-income brackets. In an effort to increase contraceptive acceptors among the urban low-income people, the government has implemented various special projects for them since 1974, through maximum utilization of community leaders including Tong and Ban Chiefs and mothers' clubs, and family planning workers in their areas. Thus, this paper analyzes the current status of family planning and fertility behavior of urban low-income wives as a part of program evaluation. Also, this paper is based on an analysis of the 1984 Family Planning Survey data, which was conducted in July 1984 and responded to by 600 married women aged 15-44 in the low-income areas of the Daejon and Daegu cities. The survey data revealed that the contraceptive practice rate was 77.0%, which was much higher than 70.3% of the national practice rate in the same year, and the approval rate for the 1 or 2 children of the low-income areas was much higher than that of other urban areas. Based on the results of the analysis, the following recommendations are suggested for the better program implementation: 1) improvement of program management system for recruiting new acceptors in their 20s for birth spacing; 2) development and inducement of innovative incentive schemes and IEC activities for increasing the proportion of the 1 child families; and 3) strengthening the utilization of community resources including mothers' clubs.
自1962年国家计划生育项目启动以来,主要重点一直是通过计划生育外勤人员的家访以及政府指定的私人医生来提供避孕服务和开展信息、教育及宣传(IEC)活动。这种方式对于国家项目而言是一种强有力的管理体系,在农村地区尤为如此。然而,自1962年以来,随着随后的社会经济变化,国家计划生育项目出现了新问题。越来越多的农村人口开始向城市地区迁移,因此,从20世纪70年代开始,必须更加重视城市地区的计划生育服务;特别是针对低收入群体。为了增加城市低收入人群中的避孕接受者,政府自1974年以来通过最大限度地利用包括统长和班长以及母亲俱乐部在内的社区领袖和当地的计划生育工作者,为他们实施了各种特别项目。因此,本文作为项目评估的一部分,分析了城市低收入妻子的计划生育现状和生育行为。此外,本文基于对1984年计划生育调查数据的分析,该调查于1984年7月进行,大田和大邱市低收入地区的600名15 - 44岁已婚妇女参与了调查。调查数据显示,避孕使用率为77.0%,远高于同年全国70.3%的使用率,低收入地区对生育1个或2个孩子的赞成率远高于其他城市地区。基于分析结果,为更好地实施项目提出以下建议:1)改进项目管理体系,招募20多岁的新接受者以实现生育间隔;2)开发并推行创新激励计划和IEC活动,以提高独生子女家庭的比例;3)加强对包括母亲俱乐部在内的社区资源的利用。