[Relationship between health services for maternal and child health and working hours of public health nurses].
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.
Hoshi
T
T
Tokyo University.
Nakahara
T
T
Iwanaga
T
T
Osaki
Y
Y
Kaneko
M
M
Takano
Y
Y
Gunji
A
A
D002648:Child; D002669:Child Welfare; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008430:Maternal-Child Health Centers / Q000458:organization & administration*; D011247:Pregnancy; D011637:Public Health Nursing; D000078329:Workforce; D016526:Workload