연구성과

Purpose: The purpose of this study is to identify the operational status and current management of Sub-HealthCenters in Limpio, Paraguay. Second, understanding the use of Sub-Health Centers and Perceptions ofSub-Health Centers in Limpio, Paraguay. Third, Providing policy implications for strengthening the HealthDelivery System in Paraguay. Methods: The survey of the current status of sub-health centers in Limpio wasconducted with observation and interview. Utilization of Sub-Health centers was analyzed in the 2018 ParaguayCommunity Health Survey. A face to face interview was conducted to complete a questionnaire and 831samples were collected for the study. Results: In order to perform the normal function of the sub-health center,it will be necessary to allocate manpower that meets the standard. A common problem with sub-health centersin Limpio is that they have an environment vulnerable to rain. Currently, there are no health promotion andcommunicable disease management programs in sub-health center. Satisfaction of users about treatment,equipment, medicines and cleanleness of rooms. Implications: First, it is necessary to allocate human resourcesand organize spaces according to the standard. Second, there was a problem caused by moisture, andcontinuous maintenance and repair are required. Third, water and sewage related facilities must be safelyimproved to prevent contamination of groundwater. Forth, it is necessary to implement a program that fits therole of the sub-health center. Fifth, it is necessary to form a health delivery system considering the accessibilityof residents. Finally, it is necessary to discuss the location of sub-health center considering travel time of Limpioresidents.