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Reproduction Health Care Interpretator Service

Bureau of Health Promotion. Public Health Bureau. Public Health Center. 1. Conduct trainings for first teachers and evaluation work 2 . Plan the application for interpretation outlays 3. Disburse interpretation fee. Recruit, train and manage interpretators.

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Reproduction Health Care Interpretator Service

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  1. Bureau of Health Promotion Public Health Bureau Public Health Center 1. Conduct trainings for first teachers and evaluation work 2 . Plan the application for interpretation outlays 3. Disburse interpretation fee • Recruit, train and manage interpretators. • Collect and arrange the monthly application form for interpretation outlays from public health center. Predict the required interpretation hours for each public health center: hours/number of times/year＝4hours×2times×4weeks/month×12months/year×2 persons＝768hours/year. Reproduction Health Care Interpretator Service Guidance and Assistance Fund for Foreign Spouses Reproduction Health Care Interpretator For the first year, the hour rate is NT$200 per hour; for the second year, the hour rate is NT$300 per hour. Maximally, each time cannot exceed 4 hours, and it cannot exceed 2 times every week. 14 subsidized cities and counties: Yunlin county, Hsinchu county, Taipei county, Nantou county, Jiayi county, Tainan, Kaohsiung, Changhua county, Keelung, Taichung, Miaoli county, Kaohsiung county, Pingtung county, Hualien county etc.

  2. Promotion on Pregnant and Postnatal Women Exercise Subject City/county public health bureau/center Medical centers/hospitals Postnatal nursing institution Postnatal health care center Hold a large conference Train instructors Go to institutions to train and assist promoting the exercise Select 10 institutions to conduct the trial activities Select 2 cities or counties to conduct the trial promotion Train first teachers to promote the exercise within an institution In cooperation with media propagation Evaluate results

  3. Woman Friendly Childbirth Trial Project • Current Situation: • 1. About 1/3 of childbirth is by caesarean operation. • 2. Excessive medical intervention • Objective:Allow women to choose the ways of delivery. • Principle:Consider the rights of both mothers-to-be and • physicians to avoid any medical disputes. Execution (Shin Kong,Tri-Service General, Linkou Chang Gung, Shin Hui Shin, St. Paul’s) On-Trial Hospitals Tools 1.Education leaflet 2.Delivery plan booklet 3.Working handbook • 1. Subject:women do not have • prenatal complications and planned • caesarean birth. • Procedures: • During the 32th week of pregnancy, • Provide education materials and • Explanation. • During the 36th week of pregnancy, • physicians discuss with pregnant • Woman and sign on delivery plan • booklet. • Pre-delivery evaluation: if fetal heart • rate deceleration, fetal distress, or any • conditions that may require a • caesarean operation occurred, • physicians should decide for the • subsequent handling. Personnel Training Focus Group Interview Physicians Nurses Women Evaluation

  4. Induced Abortion - Consultation and Operational Procedures Group other than highly concerned group Women intend to have an induced abortion Consultation Subjects Married Single Family Important Party Consultation and evaluation before the operation highly concerned group • Consultation Content • The time to have an induced abortion • Risks of delivery and operation • Another choice • Health care and contraception • Mental recovery and rehabilitation • Arrangement of resources and transferal Close of case and follow-up Consultation about factitious induced abortion Reasons 1.Medical reasons 2. Due to violation 3. Family and mental reasons Keep baby Induced Abortion Consulter Physicians Nurses Social workers Psychotherapists Consultation after the operation Transferal for Consultation

  5. National Database of Low Birth Weight Premature Baby & Health Care Service Network National Database of Low Birth Weight Premature Baby Database Integration Principle of public health tracking management: The cases that cannot be tracked by hospitals are transferred to a public health center and tracked by the center nurses. Public Health Tracking Management System Database of Premature Baby Foundation Childbirth Reporting System

  6. From 1 March 2006, Bureau of Health Promotion, Centers for Disease Control, and Bureau of National Health Insurance, Department of Health worked together to include a column of faeces color into Vaccination Information Management System, in order to increase the screening rate. Stool Identification Card for the Screening of Infants New Measures Within 60 days Normal Abnormal

  7. To improve the insufficient screening manpower of hospitals Volunteer Project of Nurse Participating Children's Developmental Screening Execution: 1. Complete the training to volunteers for children’s developmental screening. 2. Establish the early screening procedures of children’s health outpatient clinic. 3. Increase the screening rate for children of retarded development 4. Report and transfer the cases under suspicion of retard development, and establish the entire procedures. Project Goal To increase children's developmental screening rate On-Trial Area: hospitals in Taichung and Changhua county

  8. Development of Group Game Screening Methods for Aged 3-4 Children Developmental Screening Procedures Physiological and developmental screenings Children's preventive and health care service Kindergarten on-site screening Group game screening Health Check Game Screening

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