주민참여형 건강사업 참여 지역별 운영과정 및 참여자 경험 비교: 경상남도 제2기 건강플러스 행복플러스 시범사업을 중심으로*

Abstract

= Abstract = Purpose: The purpose of this study is to explore the operation process of the participatory health project and participants’ experience. Methods: This study used an explanatory mixed method. Six active and passive regions were selected in the 2nd Health Plus Happiness Plus (HPHP) project. The operation process was analyzed using documents such as annual reports and meeting records. A total of 19 participants, consisting of community activists, health committee members, and health center officials, were surveyed on cooperative resolution and interviewed on their experience in small group. Results: In active regions, health committees were organized around local self-sustaining organizations, but passive regions tended to be organized around village representatives. Among the cooperative resolution scores, domain 2 (horizontal communication-cooperation from the public and private sectors) was significantly higher among residents than among public health center officials and in active regions than in passive regions. Qualitative research revealed that active regions showed characteristics such as conditions for public health center officials to focus on this project, smooth communication between village activists and public health center officials, and active administrative support from public health center officials. Difficulties in carrying out this project resulted in a lack of competency and competency education, budget reduction, and a lack of specific directions and guidelines. Conclusions: For the successful implementation of the participatory health project, it is necessary to consider the characteristics of the active regions and to improve and apply the contents derived from the difficulties derived from this study.