통일 후 북한지역 영ㆍ유아 대상 예방접종체계 수복을 위한 선행연구

다국어 초록 (Multilingual Abstract)

Background: 8,000 children in North Korea died before they reached the 1 year after births in 2013. The high mortality rate of children under five years of age is mainly caused by infectious diseases and malnutrition. The need for national pediatric immunization and supply of vaccines will be vital when the abrupt reunification occurs. Objective: The purpose of this study is to scrutinize the pediatric immunization coverage of North Korea. Additionally it is to estimate the amount and the costs needed to vaccinate. Methods: The target population is the children of North Korea. The method is based on a pre-survey and an interview of North Korea defectors. The target interviewees searched for are as follows; doctors, teachers, and others. The interview includes questions on mortality rates and immunization coverage. The analysis is largely based on the statements of the health care providers within the selected group. Results: The interviewees are 8; 7 female and 1 male. The birth years range from 1956 to 1982. 3 out of 8 are former health care providers; a doctor, a pharmacist, and a nurse. The morbidity rate of infectious diseases exceeds the data from WHO. The immunization coverage is nearly 0% after 1980s. In order to ensure the welfare of North Korean children, at least 8,234,000 vaccine doses, requiring over 105 million U.S. dollars, are needed. Conclusion: The morbidity rate of infectious disease in North Korea is conspicuous. The preparation for supply and expenditure of vaccines is vital.

목차 (Table of Contents)

• ABSTRACT
• 연구 방법
• 연구 대상 및 자료수집 방법
• 자료 분석방법
• 연구 결과
• 연구 대상자의 특성
• 출생률 및 사망률
• 예방접종 남·북한 실태
• 백신 필요량 및 예상 소요 비용
• 고찰
• 결론
• 참고문헌

참고문헌 (Reference)

1 "The statistics of ex-healthcare professionals among North Korea defectors"

2 Levine OS, "The future of immunisation policy, implementation, and financing" 378 : 439-448, 2011

3 Lee HK., "Study on the limped and changed North Korean health care system-based on the latter half of 1990" Graduate School of North Korea studies 1990

4 "Policy for North Korea defectors"

5 Kim JS, "Pharmaceutical policy and health care research in DPRK" University of North Korean Studies 2012

6 Immunization commission fee by regulations on commission of Immunization, "Ministry of Health & Welfare announcement 2015-251"

7 "Live birth (August), 10103, Vital statistics"

8 UN Inter-agency Group for Child Mortality Estimation., "Levels &trends in child mortality report 2014" Unicef, World Health Organization, The World Bank, United Nation 2014

9 Korea Centers for Disease Control & Prevention., "Infectious Diseases Surveillance Yearbook, 2013" KCDC vii-28-, 2014

10 UNICEF, "Immunization summary; a statistical reference containing data through 2013"

11 "Immunization management"