남북한간 보건의료 교류ㆍ협력의 효율적 수행체계 구축방안 연구: 인도적 대북지원사업을 중심으로

제목
남북한간 보건의료 교류ㆍ협력의 효율적 수행체계 구축방안 연구: 인도적 대북지원사업을 중심으로
A Study of Efficient Ways of Cooperation in Health Care and Medicine between the Two Koreas
저자

이상영황나미윤강재

발행연도
2008
발행기관
한국보건사회연구원
초록
□ 본 연구는 보건의료 분야에 있어서 남북한간 교류‧협력의 지속성을 유지하면서 그 효과를 극대화시키기 위한 정책대안 마련을 위해 우선 그간의 대북 보건의료 지원사업이 어떤 성과를 이루었으며, 어떤 문제점을 내포하고 있는지에 대한 평가를 실시하였다.
이를 근거로 거버넌스의 관점에서 정부와 민간단체 간 역할분담 및 업무 조정‧연계체계를 제시함으로써 대북 보건의료 지원사업이 안고 있는 문제점을 개선하고 사업 추진의 효율성을 제고하기 위한 정책대안을 제시하고 있다.

The socialist healthcare system that North Korea once had in place allowed
access to free-of-charge treatment and preventive medicine for people. From the
1980s onwards, however, North Korea’s healthcare system started to collapse
with a long series of economic woes and natural disasters, and its continuing
stance of isolationism. Unable to handle the situation by itself, the North
Korean government came to resort to the international community, calling for
support in the provision of food and medical supplies. This was the beginning
of support that numerous international and non-governmental organizations,
including the UN, would provide for North Korea.
The medical and healthcare support the international community provided to
North Korea was in the beginning confined largely to emergency drugs, medical
supplies, and basic health and nutrition services for vulnerable groups, including
children, mothers and the disabled, but more recently has extended to include
pharmaceutical manufacturing, hospital modernization, facility development and
disease prevention.
The intergovernmental relations between the two Koreas have been limited in
many ways due to political reasons. Much of the support South Korea
implemented as a response to requests from North Korea was by and large by
non-governmental organizations with the financial means of the government’s "South-North Cooperation Fund". Executed this way, South Korea’s support has
contributed to some extent to improving the health of North Koreans as well
as to building cooperative relationship between the two Koreas. On the other
hand, however, a number of problems emerged in the process, including the
shrinking of the South Korean government’s role, a lack of coordination among
NGOs, and a lack of ensuring that the support provided was being allocated in
a transparent way.
Thus, this study proposes the governance of exchange and cooperation. This
incorporates the aforementioned and other principles and a plan of action which
prescribes the objectives the South Korean authorities should pursue, which
involve taking the initiative in support projects, building mid-to-long term
strategies and setting common goals in cooperation with non-governmental
organizations, and allocating authorities and resources to non-governmental
organizations and coordinate, direct and support them toward the goals.
목차
Ⅰ. 북한의 보건의료 현황
1. 북한 보건의료의 기본 원칙
2. 북한 주민의 건강수준
3. 북한 보건의료체계
4. 보건의료인력

Ⅱ. 보건의료부문의 대북지원 현황
1. 국제기구의 대북 보건의료 지원
2. 국제 비정부기구(NGO)의 대북 보건의료 지원
3. 남한 정부의 대북 보건의료 지원
4. 남한 민간단체의 대북 보건의료 지원

Ⅲ. 대북 지원체계의 성과와 문제점
1. 보건의료분야 대북지원사업 추진경과
2. 보건의료분야의 대북지원체계 현황
3. 대북지원사업 추진체계의 성과
4. 대북지원사업 추진체계의 문제점
5. 제2차 남북 정상회담 이후의 지원사업 추진환경 변화

Ⅳ. 대북지원체계 개선방안
1. 북한에 대한 보건의료 지원의 필요성에 대한 검토
2. 대북 지원의 원칙
3. 대북지원 원칙에 따른 지원체계 기본구상
4. 향후의 대북지원사업 추진전략과 추진체계
보고서 번호
연구보고서 2008-05
ISBN
978-89-8187-490-2
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