2020, Vol.26, No.2

JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 2023 KCI Impact Factor : 0.46

pISSN : 2733-8649 / eISSN : 2733-8657
https://journal.kci.go.kr/ikiha

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.

Purpose: The ratio of the visually impaired is gradually increasing due to various causes such asnatural aging, accidents, and environmental changes. Therefore, this study has two folds. Firstly, itaims to analyze the current satisfaction level with information facilities for the visually impaired. Secondly, it aims to examine the factors affecting the satisfaction with indoor information facilities. Through this study, it helps to identify problems of information facilities for the visually impairedand it works as a practical data for further improvements. Methods: For 50 visually impaired people,a telephone survey was conducted on the satisfaction with the braille blocks, braille signboards,braille information boards with tactile map, audio guide devices, and safety egress devices. Microsoft Excel and SPSS 26.0 were used for the analysis. Results: It was confirmed that the overallsatisfaction with the indoor information facilities was very low. The more the visually impairedpeople recognized the installation standards, and the better the maintenance was, the higher thesatisfaction. In the case of braille blocks and braille signboards, the effect of information transferon satisfaction was relatively high. In the case of audio guide device and safety egress device, thestandard suitability influenced satisfaction. Implications: The low level of satisfaction with the overallinformation facilities can impede visually impaired people from receiving practical help through theinformation facilities. Factors influencing the satisfaction level of each facility were identified, whichmakes it possible to prepare effective improvement measures.

Purpose: The ramp is an important facility for the barrier free access and vertical circulation of usersof various buildings, including users of walker, wheelchair users, stroller users, and baggage carriers. The installation standards for ramps in Korea have various problems during construction and BFcertification. It is necessary to improve the criteria for ensuring practical mobility and safety. Method: Korean standard, International Standard(ISO 21542, 2011), German Standard(DIN 18040-1,2010), Austrian Standard(OENORM B 1600, 2017), Swiss Standard(Norm SIA 500, 2009), CanadianStandard(Building Standards Guide, 2017), American Standard(ADA Standards, 2010) wereinvestigated and analyzed. A comprehensive improvement of the ramp installation standards isproposed. Results: The ramp is a necessary facility for the barrier free access and vertical circulationof the disabled. It shall be installed with comprehensive consideration of the appropriate slope ofthe ramp, the distance of the continuous slope, the handle and upstand for pedestrian safety. Inorder to improve convenience, setting the proper slope and limiting the length of the slope arevery important, and improvements are required to the levels presented by international and foreignstandards. The unclear standards of Korean law and BF certification standards should be clearlyimproved so as not to be misinterpreted in construction and Barrier Free Certification. Implication:International and foreign standards should be reviewed to ensure practical mobility and safety. Andcomprehensive improvement measures should be presented through continuous research.