Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 9. Key stakeholder perspectives on strengthening the CBIO+ Approach.

Autor:	Lambden, Jason, Martin, Shayanne, Valdez, Mario, Stollak, Ira, Westgate, Carey C., Perry, Henry B.
Předmět:	PROFESSIONS RURAL health services FOCUS groups ATTITUDES of medical personnel WORK STAKEHOLDER analysis CLIENT relations COMMUNITY support COMMUNITY health services INTERVIEWING MEDICAL personnel PEER relations PRIMARY health care EXPERIENTIAL learning QUALITY assurance CHILD health services QUESTIONNAIRES RESEARCH funding INTEGRATED health care delivery RURAL health HEALTH promotion
Zdroj:	International Journal for Equity in Health; 2/28/2023, Vol. 21 Issue 2, p1-13, 13p
Abstrakt:	Background: Community-based health interventions have been an integral part of recent health gains globally. An innovative approach to delivering community health care combines the Census-Based, Impact-Oriented (CBIO) Approach with Care Groups and Community Birthing Centers called Casas Maternas Rurales. CBIO+ was adopted by Curamericas/Guatemala in its Maternal and Child Health Project, 2011–2015. Here, we describe the opinions of Project staff and local government health care workers about the strengths and challenges of CBIO+. Methods: Self-administered questionnaires, key informant interviews, and focus group discussions were used to obtain the views of 21 staff members from Curamericas/Guatemala as well as 15 local government health workers. The evaluation focused on four primary areas: (1) advisability of integrating the CBIO+ Approach into the government's rural health system, (2) staff knowledge of the CBIO+ Approach, (3) advantages, disadvantages and challenges of the CBIO+ Approach, and (4) proposed improvements to the CBIO+ Approach. The data were coded into categories and from these categories themes were derived. Results: The most commonly mentioned advantage of CBIO+ was the inclusion of the community in program planning, which improved participation. Many respondents noted that the CBIO+ Approach was challenging to implement in communities with internal conflicts. Among other challenges mentioned were coordinating (both among the Project staff and with others in the communities), maintenance of a high level of community participation, and overcoming opposition of men to women's participation in Care Groups. The staff mentioned a number of possible changes, including increasing male involvement, raising salaries for community-level paid staff, providing volunteers with incentives, and improving coordination both internally and externally. There was a strong demand among the local Ministry of Public Health and Social Welfare staff for the Project to continue. Conclusion: The CBIO+ Approach and its implementation by Curamericas/Guatemala was overall embraced by local staff. By eliciting feedback while the project was ongoing, actionable areas for improvement were identified. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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