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- Health Impact Assessment of Free Immunization Program in Jinju City, Korea
- Keon Yeop Kim, So Youn Jeon, Man Joong Jeon, Kwon Ho Lee, Sok Goo Lee, Dongjin Kim, Eunjeong Kang, Sang Geun Bae, Jinhee Kim
- J Prev Med Public Health. 2012;45(4):267-275. Published online July 31, 2012
- DOI: https://doi.org/10.3961/jpmph.2012.45.4.267
- 7,855 View
- 57 Download
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Abstract
PDF Objectives This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks.
Methods A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.
Results Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics.
Conclusions The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.
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Citations to this article as recorded by
- Cross-Sectional Study of Varicella Zoster Virus Immunity in Healthy Korean Children Assessed by Glycoprotein Enzyme-Linked Immunosorbent Assay and Fluorescent Antibody to Membrane Antigen Test
Yunhwa Kim, Ji-Young Hwang, Kyung-Min Lee, Eunsil Lee, Hosun Park
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Nelius Wanjiku Wanjohi, Reema Harrison, Ben Harris-Roxas
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Journal of Korean Medical Science.2019;[Epub] CrossRef
- Changes in Dietary Behavior Among Adolescents and Their Association With Government Nutrition Policies in Korea, 2005-2009
- Sang Geun Bae, Jong Yeon Kim, Keon Yeop Kim, Soon Woo Park, Jisuk Bae, Won Kee Lee
- J Prev Med Public Health. 2012;45(1):47-59. Published online January 31, 2012
- DOI: https://doi.org/10.3961/jpmph.2012.45.1.47
- 12,546 View
- 107 Download
- 36 Crossref
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Abstract
PDF
Objectives This study was conducted to observe recent changes in adolescents' dietary behavior and indirectly evaluate the effects of the government's nutritional policies in Korea.
Methods We analyzed the secular trends in seven dietary behaviors using the Korea Youth Risk Behavior Web-based Survey data from 2005 to 2009. Through literature review, we included the policies implemented for the improvement of adolescents'dietary behaviors during the same periods.
Results The significant linear trends were observed in all dietary behaviors (
p <0.05). Overall, all behaviors except the fruit intake rate were desirably changed during five years but undesirable changes were observed between 2008 and 2009 in all behaviors. Within those periods, several policies were implemented including 'Ban on carbonated-beverages in school', 'Green Food Zone', etc. Despite confirmed evidence of their effects, the policies on individual behavior such as nutrition education didn't influence the prevalence of dietary behaviors because they were conducted to too limited persons. Polices on the school environmental improvement, such as ban on carbonated beverage in school, were more effective because they decreased the exposure of undesirable food environment. However, for effect of Green Food Zone improving community environment we couldn't come to a conclusion because of too short period after full implementation.Conclusions Among government nutrition policies conducted from 2005 to 2009, those on environmental improvement, especially in school, were more effective than those on individual behavior. Therefore, the development and implement of policies on school environmental improvement are needed in Korea.
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Summary
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