Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Improvement of Child Welfare Service Using Health Impact Assessment: A Case of the Cheongju Dream Start Center

건강영향평가를 통한 아동 복지서비스 개선: 청주시 드림스타트 센터 사례

  • Kang, Eun-Jeong (Department of Health Administration and Management, College of Medical Science, Soonchunhyang University) ;
  • Lim, Sung-Eun (Welfare Service Research Division, Korea Institute for Health and Social Affairs)
  • 강은정 (순천향대학교 의료과학대학 보건행정경영학과) ;
  • 임성은 (한국보건사회연구원 복지서비스실)
  • Received : 2011.02.08
  • Accepted : 2011.03.12
  • Published : 2011.03.30
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Abstract

Objective: This study aimed to introduce Health Impact Assessment using the case of a HIA on 2008 Dream Start Project in Cheongju. Methods: We followed the typical procedure of HIA recommended by the Merseyside Guidelines on HIA. In scoping, the steering committee decided 5 key domains of child health to be assessed: prenatal care, vaccination, nutrition, access to health care, and child abuse and also the methods of collecting the evidence. The HIA appraisal team collected information from various sources including literature, community survey, and focus group interviews. The HIA appraisal team also synthesized the collected information in terms of the nature of health impacts and equity and made recommendations accordingly. Results: Positive impacts were expected in prenatal care, vaccination, and nutrition, while negative impacts were expected in access to health care. The impact of Dream Start on child abuse was uncertain. Several recommendations were made and submitted to the Dream Start team for their consideration. About 2 years later, we found many of them were implemented in 2009 Dream Start project. Conclusion: HIA was found to be applicable and effective to make decision makers in the welfare sector consider health in their work.

Keywords

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