A study on the Evaluation of Maternal Child Health Services in Public Health

Abstract

Objectives: This study was conducted to evaluated the maternal child health services provided by public health centers in pyungtaek city. Methods: Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full-term babies. in order to compare their dmographic factors, and physical, obstetrical, and emotional staus, in addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting serices on them, Moreover, additional data were collected form 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices. Results: 1) The pregnant women’s satisfaction for the prenatal education course, knowldege, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane, placenta previa preeclampsia, and cesarean section more frequently than the mother with full-term babies. 5) At the pre-intervention data collection point, mothers with premature babies experienced significantly less social support than mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were no statistically significant. 6) In the premature group stress, care giving burdens, and postpartum depression decreased after the intervention, Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mother with premature babies was very high. Conclusion: These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient, Although statistically significant differences were not found. the investigators found a potential for changes in a positive direction, Long-term effects of the health services on maternal child health need should be addressed in future studies.