Hoshi T, Nakahara T, Iwanaga T, Osaki Y, Kaneko M, Takano Y, Gunji A
Tokyo University.
Nihon Koshu Eisei Zasshi. 1992 Dec;39(12):883-90.
Based on the "Maternal and Child Health Service Act", public health centers and municipalities offer health education, health counseling, health examination, and home visits for district children and for their mothers. The relationship between the number of the MCH services offered and the working hours of public health nurses at the public health centers and the municipalities was analyzed. Data were taken by a survey in 1989, which was used for evaluating services provided to the children and their mothers in 1988. Questionnaires were sent to 23 health centers and their districts and 100 responses from 8 wards, 20 cities, 47 towns, and 25 villages were analyzed. When total working hours of the public health nurse for MCH are allocated to the four parts-planning, implementation, evaluation and training-86.7% of working hours are for implementation itself. The correlation coefficient between the total working hours of the public health nurse for MCH and the population, and the number of births per year, were significantly positive. A total of 107 hours were supplied for the infant child health examination per 100 births per year, for which 64% was for implementation itself. In the case of the health examination for three-year-old children, total working hours were 143 hours, for with 79% was for implementation itself. The number of mother-child handbooks issued, the number of health education classes and health counselings conducted, various health examinations performed, and home visits made were correlated significantly with the working hours of the public health nurse.
根据《母婴健康服务法》，公共卫生中心和各市为辖区内的儿童及其母亲提供健康教育、健康咨询、健康检查和家访服务。分析了公共卫生中心和各市提供的母婴健康服务数量与公共卫生护士工作时间之间的关系。数据来自1989年的一项调查，该调查用于评估1988年为儿童及其母亲提供的服务。问卷被发送到23个卫生中心及其辖区，分析了来自8个区、20个市、47个镇和25个村的100份回复。当公共卫生护士用于母婴健康服务的总工作时间分配到规划、实施、评估和培训这四个部分时，86.7%的工作时间用于实施本身。公共卫生护士用于母婴健康服务的总工作时间与人口数量以及每年的出生人数之间的相关系数呈显著正相关。每年每100例出生婴儿的婴幼儿健康检查共提供107小时，其中64%用于实施本身。在对三岁儿童进行健康检查的情况下，总工作时间为143小时，其中79%用于实施本身。发放的母子手册数量、开展的健康教育课程和健康咨询次数、进行的各种健康检查以及家访次数与公共卫生护士的工作时间显著相关。
